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Re: suggestions SLS

Posted by g_g_g_unit on January 19, 2012, at 22:20:48

In reply to Re: suggestions g_g_g_unit, posted by SLS on January 19, 2012, at 6:42:35


> I would not stop increasing the Parnate until you reach a dosage of 80 mg if that becomes necessary. I don't think the dosage range for Parnate as recommended in the PDR is sufficiently high. 40 mg seems to be the minimum dosage at which people respond well to.
>
> There is a high-dosage Parnate treatment strategy that works sometimes when the normal dosages do not. The minimum dosage for this treatment is 120 mg.
>

I met with my psychiatrist today. He wants me to withdraw from Lexapro in preparation for a Parnate trial.

I told him I was concerned about the Australian prescribing regulations, which list a recommended dose of 20mg (with anything above 30mg requiring strict supervision). But he consulted Stahl's prescribing guide, which lists a maximum dose of 60mg - in accordance with American prescribing guidelines, I gather?

I'm not sure he'd go above 60mg, but I should thankful that he's at least being flexible.

I admit I am hesitant about returning to Parnate, since last time, on a maximum dose of 40mg, I generally felt *more* depressed and dysphoric, but I'm wondering if a higher dose will make a difference.

 

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poster:g_g_g_unit thread:1007711
URL: http://www.dr-bob.org/babble/20120108/msgs/1007823.html