![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by francesco on January 30, 2004, at 17:58:18
... and Parnate.
I'm on day 5 of Parmodalin, a stupid italin med that mixes 10mg of Parnate and 1mg of Trifluoperazine. I'm experiencing side-effects and I don't know which is the culprit. I'm considering also to quit it. The effects are somnolence, sometimes mental impairment, sometimes problem with coordination and balance ... Since in this period I'm quite hypocandriac about meds I tend to think it's the trifluoperazine but I'm open to other interpretations.What should I have to do ? Should I have to quit ? Waiting for the Parnate to kick in ?
How much time Parnate requires to kick in ?
Does it kick in gradually or all at once ?
Any comment greatly appreciated
Posted by Chairman_MAO on January 30, 2004, at 22:56:16
In reply to I need a last minute suggestion about Stelazine .., posted by francesco on January 30, 2004, at 17:58:18
Sounds like it's all Stelazine effects to me, but the only way to know for sure is to take Parnate WITHOUT the Stelazine. :(
I strongly suggest not taking ANYTHING with stelazine in it; Vatican City Nardil is preferable by many orders of magnitude to taking Stelazine. I only knew personally one person--with severe psychotic symptoms--who took Stelazine, and she said to me, "I probably will have to be on this sick [explicative noun deleted] for the rest of my life", as she showed me her trembling hands. She'd been on it for only a few days.
Posted by francesco on January 31, 2004, at 3:21:20
In reply to Re: I need a last minute suggestion about Stelazine .. » francesco, posted by Chairman_MAO on January 30, 2004, at 22:56:16
Thanks Chairman, you have been helpful.
I think I'll quit it. I'm just taking 10mg of Parnate with 1mg of Stelazine in it. Do you think that also at this low dosage one can have problems with it ? I mean, let aside the risk of DT, one can feel 1mg of Stelazine in its body ?
Anyway, it's just a theoretical question because you've persuaded me. I don't feel comfortable in taking a med with an antipsychotic inside. And above all I don't have psychotic features therefore the risk is not justified. I'll quit it and thanks for having cleared up my mind. I'm taking this stuff for adhd-features and I don't think stelazine is indicated. My psychiatrist is a very kind person and very competent but he's too open to my suggestions. I know that many of you have the opposite problem, but for me this a real problem, since I'm a quite manipulative person. I have managed to get prescribed every thing I wanted, then at home, thinking that maybe it was not the right teraphy for me because it was my first choice and not my psychiatrists'.
I have also managed to get prescribed Ritalin which is not on the italian market. Next time I'll ask heroin, maybe he'll make a script ;-)
Thanks again, you have made me think.> I strongly suggest not taking ANYTHING with stelazine in it; Vatican City Nardil is preferable by many orders of magnitude to taking Stelazine. I only knew personally one person--with severe psychotic symptoms--who took Stelazine, and she said to me, "I probably will have to be on this sick [explicative noun deleted] for the rest of my life", as she showed me her trembling hands. She'd been on it for only a few days.
Posted by Chairman_MAO on January 31, 2004, at 8:11:12
In reply to sincerely thanks » Chairman_MAO, posted by francesco on January 31, 2004, at 3:21:20
I'm glad I could help, and I can relate to your plight about indirectly self-medicating through compassionate psychiatrists. I've wasted a considerable amount of time doing so, although I've also had my time wasted almost as much by them, so I don't know who's more at fault, heh (probably me).
That's one of the reasons I started posting here: I find that the recommendations I've made to others are way more accurate than those I've made for myself (why I didn't think that this would be the case from the beginning is a matter for psychotherapy). It's kinda like using a "power" for "good and not for evil". It feels fantastic to know that I can improve the quality of others' lives.
On the Stelazine issue: it's not unheard of to use low-dose neuroleptics for management of ADHD symptoms. Not unheard of, but not that common, either, at least in the States. I've had people tell me that neuroleptics have helped them clear up some "static" in their minds. Personally, they've always created a lot more static for me, and this is what usually happens, and one of the main reasons people stop taking them. One other thing that is way more likely to happen than dyskinesia/dystonia if you're taking Stelazine is prolactin elevation. This can cause, in males, breast enlargement and impotence, among other things. Your doctor knows way more than I do about this.
I read a while back that a study came out showing that the typical antipsychotics weren't any more dangerous than atypicals if they were used in equipotent doses. That said, it is a bad idea to take ANY antipsychotic for an extended period (or any drug that hasn't been studied for decades and shown to be relatively benign) unless you have to. Sure, your 1mg dose is below even the starting dose, but you will most likely end up taking at LEAST 20mg of Parnate. This picture is further complicated by the fact that Parnate is an inhibitor of MAO-B and I believe has a significant antiparkinsonian effect.
My final word: if you want to see if this combination benefits you, don't take more than 6mg of Stelazine (shouldn't be a problem). I highly doubt you are at risk for any problems that might persist after the discontinuation of the drug unless you take it for YEARS. I'd be willing to bet money (if I had the money to bet, heh) that you'd like the Parnate a LOT better without the Stelazine. Have your psychiatrist import some from the US or elsewhere. Whether Ritalin will be superior for you is something you can only find out by trying both.
Cheers,
--cm
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.