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Re: Parnate Augmentation

Posted by chumbawumba on September 21, 2017, at 1:00:08

In reply to Parnate Augmentation, posted by Alpam on April 8, 2012, at 6:51:24

> Hi all,
> Currently I suffer from panic attacks, GAD, Major depression, debhilitating fatigue, Occasianal insomnia, essential tremour, Adult ADD, and tension headachaches
> I am currently taking Parnate 60mg, Abilify 20mg, Propranolol 160mg and Tomimax 50mg. Apon saying this I am the kind of person who sufferes minimimal to no side effects to medications.
> THe Parnate has all but completely eliminated my panic disorder which is great, and the Propranolol has stopped my shakes.
> I am meeting up with my Pdoc next week and I want to suggest some ideas to improve my depression and get my fatigue under control. I have him researching the combination of Dexamphetamine and a MAOI, so hopefully I will get that combination, but if I don't, does anyone have any suggestions on medications that reduce depression and fatigue but are safe to use with a MAOI?
> I heard good things about Low Dose Naltrexone, would that be an option? How about Zyban, or is that contridicted?
> Your help and comments would be appreciated.
> I am getting desperate here, all I can say is thank god for government jobs.

I take Parnate 60 mg and can't sleep at all without 45 mg of Dalmane. But as far as augmentation I have found low dose (600 mg) of Lithium to be very helpful. Also I was using ketamine lozenges daily for awhile and I think it actually was somewhat curative. I don't use it anymore but my Doctor was fine with prescribing low dose ketamine with an MAOI.

If one digs through case reports and anesthesiology guidelines the impression is that the combination of ketamine and an MAOI is not as dangerous as was thought

The weirdest thing with Parnate was having episodes of orthostatic hypotension and just falling on my *rs* if I stood up quickly. Fortunately that didn't last long.

I tried low dose naltrexone and oddly it gave me vicious insomnia but not much else. But your mileage may vary.




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