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Re: Adding Parnate and prazosin. » SLS

Posted by Bob on December 29, 2011, at 19:47:02

In reply to Adding Parnate and prazosin., posted by SLS on December 29, 2011, at 6:55:56

> I added prazosin (Minipress) 30 mg last week as a treatment for residual PTSD, if it even exists in me. I thought it was worth a shot. Certainly, childhood abuse and neglect contributed to the evolution of my depressive illness.
>
> I added Parnate on Monday. I am titrating as quickly as I can while avoiding the development of hypotension. The prazosin might work synergistically with Parnate to significantly reduce my blood pressure. We'll have to see. 30 mg is a small dose of prazosin. There is room to increase it.
>
> So...
>


My doctor will not allow me to try Parnate while I have nortriptyline on board. Unfortunately I don't think I'd survive a complete washout just to find out if it would work or not. I would also have to stop the sertraline as well of course.

He did say he's had some success with prazosin specifically for preventing or reducing nightmares.

> I'm feeling better than I should be. Yesterday, I met some family and friends at a hotel bar. I was comfortable, gregarious, and talkative. My mind was very active. I really enjoyed myself for the first time in many years.
>
> Two things are different about my current regime compared to the last time I took Parnate lithium and prazosin. I wonder
>
> Currently:
>
> Parnate 40 mg (titrating rapidly)
> nortriptyline 150 mg
> Lamictal 200 mg
> Abilify 10 mg
> lithium 300 mg
> prazosin 30 mg
>
> Wish me luck! I could sure use it.
>
>
> - Scott

 

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poster:Bob thread:1005781
URL: http://www.dr-bob.org/babble/20111226/msgs/1005833.html