Posted by Uncouth on June 13, 2015, at 13:52:13
Hi
I had high hopes from parnate after failing on Nardil and Marplan due to various issues. I've been on it for about 2 months and about two weeks ago just pushed to 100mg.1) I am 125kg (thanks, Nardil!!!) and need to lose weight. Does parnate have a particular dose/kg target like Nardil supposedly does?
2). I still get very fatigued in the morning. When I take my 40mg of parnate, and i feel it kick in, it helps a little bit, but I definitely am getting some amount of orthostatic drop when I stand (though not enough to generate lightheadedness, just fatigue).
3) Fatigue, anhedonia, low motivation is still an issue. Was surprised as thought TCP would be good for this. Still need about 100mg of Armodafinil, sometimes more or sometimes less, to even get basic things done.
4) Where do I go from here??? I have read Chairman_MAOs posting (ARE YOU STILL HERE?!) about high dose TCP, like 150mg+, working phenomenally well for social phobia and confidence which is really what I need. I may talk to Dr. Gillman but given that I am already at a high dose, my doc doesn't seem to think I will see more benefit increasing but reports to the contrary abound. How does one increase when at already a high dose without promoting fatigue or other side effects?
5) Finally, what are possible adjuncts if I stay at say 100mg? I have done well for about a year at Atomoxetine but it eventually pooped out. I would prefer to not try a stimulant. Can't take abilify or AAP due to weight gain. Already taking Namenda 21mg XR. I am bipolar so stability is an issue too, also take a few caps of lithium orotate.
But really looking for something to give me the DESIRE back--motivation, social interest, optimism, libido. (Yes, testosterone is being managed too).
Any thoughts on what might work with Parnate? Any recent experiences of people needing to go much much higher than the 40-80mg recommended?
Sorry for lots of questions but I am desperate. It's a beautiful sunny day outside and i don't even feel like being in the sun or going for a walk or swimming, i'm just staring at the wall or my phone or my pill/supplement cabinent :-/
Uncouth
poster:Uncouth
thread:1079745
URL: http://www.dr-bob.org/babble/20150520/msgs/1079745.html