![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by adam canada on December 7, 2004, at 21:23:31
pdoc prescribed me today parnate. I will research on it tonight. Works on norepinephrine he says. But he says it has interactions with paxil and therefor i will have bloodtests from time to time.
He wants to start me on 10mg and 25mg later on. I currently take paxil 5mg.
I have been on over 15 medications with little hope in sight to feeling ''decent''. I have severe depression anda certain amount of anxiety. if it werent for paxil my anxiety would be beyond tolerable. Where every f----- moment I would be worried about something. I suppose it helps a bit for depression.
Anyway aside from lack of motivation I sleep a lot and am sleepy a lot. Tired too. We discussed parnate and it seems it may add to that or perhaps not.
Anyway my real question is will it more likely not negatively interact with Paxil? Will it be relatively safe? What should I expect?
I am very sensitive to meds and 10mg paxil put me to sleep all the time. I was drowsy all the time etc. 5mg is the ideal dose of that medication it seems.
I been taking vivarint (works on norepinephrine) but a tiny dose for 4 days. it seems to help with grim pains in my head. hot pains. I dunno. also it seems to make me more sexually interested. which is great. but the med cannot be found online for purchase anymore.
I hope parnate will help.
Posted by jujube on December 7, 2004, at 22:26:06
In reply to Paxil with Parnate. Will it work?, posted by adam canada on December 7, 2004, at 21:23:31
I have never used a MAOI such as Parnate, but it is my understanding that a MAOI should not be combined with a SSRI, and that there needs to be a wash-out period between stopping the SSRI and starting the MAOI. I am not sure what the problem is, but it may have to do with serotonin syndrome. I am sure others with MAOI experience will provide you with more advice.
Tamara
Posted by King Vultan on December 8, 2004, at 0:15:49
In reply to Paxil with Parnate. Will it work?, posted by adam canada on December 7, 2004, at 21:23:31
As Tamara indicates, mixing an MAOI and an SSRI is completely contraindicated, as this has an excellent chance of causing serotonin syndrome, a potentially life threatening condition. I've heard of some instances where people have gotten away with it, but basically, mixing these two drug classes is a huge no-no. I would strongly advise against it.
Todd
Posted by cubbybear on December 8, 2004, at 6:38:54
In reply to Paxil with Parnate. Will it work?, posted by adam canada on December 7, 2004, at 21:23:31
You say your doctor has decided to prescribe Parnate along with Paxil? Can't believe it.
That's playing with fire!
Posted by jclint on December 8, 2004, at 14:14:53
In reply to Paxil with Parnate. Will it work?, posted by adam canada on December 7, 2004, at 21:23:31
Not wanting to jump to conclusions, but surely you wouldn't need both paxil and parnate, at least not before trialing parnate on its own? IMO you should really try parnate on its own. I can't really see the benefit of taking two drugs that ultimately work on the same systems, surely you could compensate by increasing your parnate dose?
Posted by djmmm on December 8, 2004, at 14:21:46
In reply to Paxil with Parnate. Will it work?, posted by adam canada on December 7, 2004, at 21:23:31
Are you sure the drug you were prescribed is PARNATE?...I'm a little skeptical for a few reasons.. parnate only comes in 10mg. pills, so taking 25 mgs. seems strange...typically, that number should be 20 or 30mg..but regardless, a combination of the two classes of medication (even though they are both at low doses) is a little risky.
also..I don't know of any reason why a bloodtest would be warranted for such a combination. I just don't see a psychiatrist prescribing both of these medications.
Im assuming either 1. you have mistaken Parnate for another similar sounding medication, 2. you have some fundamental misunderstanding of what exactly your DR. instructed you to do, 3. You have aquired Parnate from another source, other than the DR that Rx'ed the Paxil.
This definitly goes beyond aggressive, liberal psychiatry.
Posted by ixus on December 8, 2004, at 16:46:59
In reply to Paxil with Parnate. Will it work?, posted by adam canada on December 7, 2004, at 21:23:31
Wean from Paxil. It is not a good choice for you. Parnate should work fine. I slept a lot, tired. Parnate solved my problems.
Posted by cybercafe on December 8, 2004, at 21:11:44
In reply to Paxil with Parnate. Will it work?, posted by adam canada on December 7, 2004, at 21:23:31
> pdoc prescribed me today parnate. I will research on it tonight. Works on norepinephrine he says. But he says it has interactions with paxil and therefor i will have bloodtests from time to time.
>
> He wants to start me on 10mg and 25mg later on. I currently take paxil 5mg.
>
> I have been on over 15 medications with little hope in sight to feeling ''decent''. I have severe depression anda certain amount of anxiety. if it werent for paxil my anxiety would be beyond tolerable. Where every f----- moment I would be worried about something. I suppose it helps a bit for depression.
>
> Anyway aside from lack of motivation I sleep a lot and am sleepy a lot. Tired too. We discussed parnate and it seems it may add to that or perhaps not.
>
> Anyway my real question is will it more likely not negatively interact with Paxil? Will it be relatively safe? What should I expect?
>
> I am very sensitive to meds and 10mg paxil put me to sleep all the time. I was drowsy all the time etc. 5mg is the ideal dose of that medication it seems.
>
> I been taking vivarint (works on norepinephrine) but a tiny dose for 4 days. it seems to help with grim pains in my head. hot pains. I dunno. also it seems to make me more sexually interested. which is great. but the med cannot be found online for purchase anymore.
>
> I hope parnate will help.interesting combination. is your doctor in toronto by any chance? is he accepting new patients? :)
Posted by adam canada on December 8, 2004, at 22:41:51
In reply to Re: Paxil with Parnate. Will it work?, posted by djmmm on December 8, 2004, at 14:21:46
> Are you sure the drug you were prescribed is PARNATE?...I'm a little skeptical for a few reasons.. parnate only comes in 10mg. pills, so taking 25 mgs. seems strange...typically, that number should be 20 or 30mg..but regardless, a combination of the two classes of medication (even though they are both at low doses) is a little risky.
>
> also..I don't know of any reason why a bloodtest would be warranted for such a combination. I just don't see a psychiatrist prescribing both of these medications.
>
> Im assuming either 1. you have mistaken Parnate for another similar sounding medication, 2. you have some fundamental misunderstanding of what exactly your DR. instructed you to do, 3. You have aquired Parnate from another source, other than the DR that Rx'ed the Paxil.
>
> This definitly goes beyond aggressive, liberal psychiatry.I went online and it seems that it should not be taken together. Quite frankly this just shows what I always thought of most pdocs... they are incompetent! I could go research a day on the internet regarding these medications and know more than some of these ''specialists''.
Anyway I guess I cant take it. Which is a shame. He did prescribe parnate. Yes i read it right. I didnt buy any yet. I been on paxil for a year and a half and it's what keeps me from ending up in the morgue.
But paxil is not enough. And I cannot go off it or I will suffer through the hardest mental pains imaginable. Stopping it and trying something else is not an option. I can only add a med to the paxil I already take. Which is a shame. I DONT KNOW what the hell I can do. I started to not take the small dose of vivarint I was taking. 1/3 of a tablet of the vivarint 10 (says vivarint 10 on the package).
vivarint which is said to work on norepinephrine has helped with harsh head pains which I get when I am only on paxil. They are burning hot pains. It also seemed to I dunno... I felt more at ease. But vivarint is off the market for some stupid retarded reason.
I dunno what I can do. I am sick of spending hours upon hours researching meds and looking for something that will help. I need someone for seratonin. Vivarint when i took it on its own a while ago didnt help much on its own. instead it kept me occupied with a sex obession. Nothing else. I didnt feel alive or anything.
Maybe a small dose of parnate would be acceptable? I dont know.
out of the 15-20 meds I tried dexedrine seemed to help somewhat. in the beginning it did. I felt alive, motivated, talkative, wanted to do things and even write, take up hobbies, meet people... but it didnt last. and it would make me feel very agitated. i think that is the term. and very grim during times. I dont know what will be good for me anymore.
I need help
Posted by adam canada on December 8, 2004, at 23:02:12
In reply to Re: Paxil with Parnate. Will it work?, posted by cybercafe on December 8, 2004, at 21:11:44
yes this is a toronto doctor. He is one of the few doctors to actually listen to me. I got sick and tired of the unsympathetic robotic ghouls which were my previous pdocs.
This doctor seems creepy though. It would scare me to be in the same room with him for too long. But he kind of listens. kind of. And actually was willing to prescribe me dexedrine after hearing me out. then it just didnt work the same so dex is out.
I wish there was something to make me feel alive again. i am getting fed up. Nothing is enjoyable much. Just mildly here and there. I have little interest in anything. I am a zombie person.
Posted by jujube on December 8, 2004, at 23:23:12
In reply to Re: Paxil with Parnate. Will it work?, posted by adam canada on December 8, 2004, at 23:02:12
Adam,
Please don't despair yet. Perhaps if you post what meds and/or combination of meds you have already tried, people could give you some suggestions as to what other options you may want to pursue. There is bound to be a cocktail of meds that can help you.
Tamara
> yes this is a toronto doctor. He is one of the few doctors to actually listen to me. I got sick and tired of the unsympathetic robotic ghouls which were my previous pdocs.
>
> This doctor seems creepy though. It would scare me to be in the same room with him for too long. But he kind of listens. kind of. And actually was willing to prescribe me dexedrine after hearing me out. then it just didnt work the same so dex is out.
>
> I wish there was something to make me feel alive again. i am getting fed up. Nothing is enjoyable much. Just mildly here and there. I have little interest in anything. I am a zombie person.
Posted by KaraS on December 9, 2004, at 15:35:43
In reply to It is indeed parnate. And an update, posted by adam canada on December 8, 2004, at 22:41:51
> But paxil is not enough. And I cannot go off it or I will suffer through the hardest mental pains imaginable. Stopping it and trying something else is not an option.What do you mean that you will suffer mental pains? Is this something you have that Paxil alleviates or are the pains a result of trying to go off of Paxil itself? There are other medications you can take that will help the withdrawal process. Prozac is wonderful for that.
Also, find out if you can add a stimulating TCA like desipramine or nortriptyline to the Paxil. They may not mix and others here would know that - but if they can be combined, those meds are stimulating and might offer the kind of help you're looking for.
K
Posted by cybercafe on December 10, 2004, at 3:51:37
In reply to Re: Paxil with Parnate. Will it work?, posted by adam canada on December 8, 2004, at 23:02:12
> yes this is a toronto doctor. He is one of the few doctors to actually listen to me. I got sick and tired of the unsympathetic robotic ghouls which were my previous pdocs.
>
> This doctor seems creepy though. It would scare me to be in the same room with him for too long. But he kind of listens. kind of. And actually was willing to prescribe me dexedrine after hearing me out. then it just didnt work the same so dex is out.
>
> I wish there was something to make me feel alive again. i am getting fed up. Nothing is enjoyable much. Just mildly here and there. I have little interest in anything. I am a zombie person.yeah i am in toronto also... my doctor put me on parnate and ritalin even though they are supposedly contra indicated blah blah blah.. although i know MAOI + SSRI is supposed to be MUCH more dangerous... like .. if i was not working i would probably be taking it in the emergency room, with a thermometer and a printout of how to treat serotonin syndrome/hyperpyrexia (i decided to take a risk and switch from celexa to parnate in a little less than 2 weeks so this is what i did)
anyway.... i havn't seen a pdoc for .. 9 months? .. i feel great but if your doc is free or you know of any decent docs it would be much appreciated (i am downtown toronto)
Posted by cubbybear on December 10, 2004, at 4:26:10
In reply to It is indeed parnate. And an update, posted by adam canada on December 8, 2004, at 22:41:51
> I went online and it seems that it should not be taken together. Quite frankly this just shows what I always thought of most pdocs... they are incompetent! I could go research a day on the internet regarding these medications and know more than some of these ''specialists''.I feel that you MUST (politely?) mention the contraindication to your doctor.He/she made a huge boo-boo by prescribing what he did.
>
> Anyway I guess I cant take it. Which is a shame. He did prescribe parnate. Yes i read it right. I didnt buy any yet. I been on paxil for a year and a half and it's what keeps me from ending up in the morgue.You could end up in the morgue a lot sooner if you combine the two drugs.
>
> But paxil is not enough. And I cannot go off it or I will suffer through the hardest mental pains imaginable. Stopping it and trying something else is not an option.Are you sure of this? are are you just assuming that you can't withdraw because of what other people have gone through?
> I need help
Can you switch doctors at this point?-- I mean get someone who really knows what he/she's doing? If so,you might find that there IS an option for you.
cubbybear
>
>
Posted by ace on December 12, 2004, at 19:32:51
In reply to Paxil with Parnate. Will it work?, posted by adam canada on December 7, 2004, at 21:23:31
> pdoc prescribed me today parnate. I will research on it tonight. Works on norepinephrine he says. But he says it has interactions with paxil and therefor i will have bloodtests from time to time.
>
> He wants to start me on 10mg and 25mg later on. I currently take paxil 5mg.
>
> I have been on over 15 medications with little hope in sight to feeling ''decent''. I have severe depression anda certain amount of anxiety. if it werent for paxil my anxiety would be beyond tolerable. Where every f----- moment I would be worried about something. I suppose it helps a bit for depression.
>
> Anyway aside from lack of motivation I sleep a lot and am sleepy a lot. Tired too. We discussed parnate and it seems it may add to that or perhaps not.
>
> Anyway my real question is will it more likely not negatively interact with Paxil? Will it be relatively safe? What should I expect?
>
> I am very sensitive to meds and 10mg paxil put me to sleep all the time. I was drowsy all the time etc. 5mg is the ideal dose of that medication it seems.
>
> I been taking vivarint (works on norepinephrine) but a tiny dose for 4 days. it seems to help with grim pains in my head. hot pains. I dunno. also it seems to make me more sexually interested. which is great. but the med cannot be found online for purchase anymore.
>
> I hope parnate will help.I would stay clear of ANY SSRI and an MAOI in combination....
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.