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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by ms. misery on April 28, 2005, at 18:43:47
I currently take dexedrine 10 mg, Strattera 50 mg, Trileptal 150 mg in morning (300mg at night) (B.P-II) Tranxene SD 22.5mg, for mild dissociative fugue and anxiety.
I have read Parnate is both activating and sedating. I have been talking with my nuerologist about this, he refers this topic to my psychiatrist. Discussing over MAOI's is complicated, but if he thinks its not for me, i agree.
Anyways, i just got home from work, im tired, i wanted to ask about this topic.
Bad Day
Catrina
Posted by chemist on April 28, 2005, at 21:10:30
In reply to How effective is Parnate?, posted by ms. misery on April 28, 2005, at 18:43:47
> I currently take dexedrine 10 mg, Strattera 50 mg, Trileptal 150 mg in morning (300mg at night) (B.P-II) Tranxene SD 22.5mg, for mild dissociative fugue and anxiety.
>
> I have read Parnate is both activating and sedating. I have been talking with my nuerologist about this, he refers this topic to my psychiatrist. Discussing over MAOI's is complicated, but if he thinks its not for me, i agree.
>
> Anyways, i just got home from work, im tired, i wanted to ask about this topic.
>
> Bad Day
>
> Catrina
>
hello there, chemist here...parnate is one of the only antidepressants i would consider ingesting ever again (the other being fluvoxamine, and actually labeled for OCD)...as diagnoses have changed over the years, BPI/II was in the picture, and parnate (30 mg/day) and a rather tame dose of clonazepam (0.5 mg b.i.d.) were very satisfactory. parnate was activating yet not overly so, and i was fortunate in that there were not untoward side effects that were above and beyond the ``usual'' transient mild jitters (tempered by the clz.), some increased sweating, and so forth.your current cocktail sounds like a rollercoaster ride, and if an MAOI is to be considered, you will likely find that the straterra and dexedrine will be lowered if not discontinued. i was treated for a while with trileptal (300 mg b.i.d.), dexedrine (20 - 30 mg day, front-loaded in the a.m.), and diazepam (10 mg qd): this combination did not work for long, as trileptal's real/perceived efficacy for me was not sufficient (i am a hypomanic to manic person in my normal state)....the most successful regimen to date - and this statement is very likely due to my overactive imagination - is dexedrine and alprazolam, and with increased dexedrine (to 40 mg/day if needed), alprazolam need waned from up to 4 mg/day (divided) down to perhaps 1-1.5 mg/day. you might collect some other stories and research the medications you are taking, as there is a not insignificant upwards push countered with one of the benzos used with decreasing frequency, and further, given the amnesia associated with benzos/derivs, i wonder why is it being scripted for dissociative fugue....just my thoughts, and yes, i found parnate to be very effective indeed. all the best, chemist
Posted by ixus on April 29, 2005, at 3:33:04
In reply to How effective is Parnate?, posted by ms. misery on April 28, 2005, at 18:43:47
> I currently take dexedrine 10 mg, Strattera 50 mg, Trileptal 150 mg in morning (300mg at night) (B.P-II) Tranxene SD 22.5mg, for mild dissociative fugue and anxiety.
>
> I have read Parnate is both activating and sedating. I have been talking with my nuerologist about this, he refers this topic to my psychiatrist. Discussing over MAOI's is complicated, but if he thinks its not for me, i agree.
>
> Anyways, i just got home from work, im tired, i wanted to ask about this topic.
>
> Bad Day
>
> Catrina
>Parnate is activating and worth to try if you want to replace both dexedrine and strattera. Its activating effect diminishes in evenings when it stops working. If you consider anxiety it can be both anxiogenic and anxiolitic. One may feel excellent one day and depressed the day after. Seems strange but this is my feeling that is confirmed by what I read.
Fatigue is usually caused by residual anxiety and depression. It can work in the opposite way too (I don't think this is quite often however).
/ixus
Posted by alienatari on April 29, 2005, at 20:19:23
In reply to How effective is Parnate?, posted by ms. misery on April 28, 2005, at 18:43:47
Parnate was very effective for me but I got the worst fatigue from it. On the Yahoo MAOI board I remember talking to a few others that have the same problem. At about 4pm I would have to go to bed for a while I just couldnt stand up any longer.
> I currently take dexedrine 10 mg, Strattera 50 mg, Trileptal 150 mg in morning (300mg at night) (B.P-II) Tranxene SD 22.5mg, for mild dissociative fugue and anxiety.
>
> I have read Parnate is both activating and sedating. I have been talking with my nuerologist about this, he refers this topic to my psychiatrist. Discussing over MAOI's is complicated, but if he thinks its not for me, i agree.
>
> Anyways, i just got home from work, im tired, i wanted to ask about this topic.
>
> Bad Day
>
> Catrina
>
Posted by BIGDaddyachmed69 on April 30, 2005, at 3:33:34
In reply to How effective is Parnate?, posted by ms. misery on April 28, 2005, at 18:43:47
> I currently take dexedrine 10 mg, Strattera 50 mg, Trileptal 150 mg in morning (300mg at night) (B.P-II) Tranxene SD 22.5mg, for mild dissociative fugue and anxiety.
>
> I have read Parnate is both activating and sedating. I have been talking with my nuerologist about this, he refers this topic to my psychiatrist. Discussing over MAOI's is complicated, but if he thinks its not for me, i agree.
>
> Anyways, i just got home from work, im tired, i wanted to ask about this topic.
>
> Bad Day
>
> Catrina
>Wish I knew what mild dissociative fugue is...as far as your anxiety's concerned, look elsewhere. Nardil, another MAOI, is much better, as far as what I've read, for generalized anxiety disorder.
Parnate tends to help situations in which the depression is the primary issue. It tends to have more of a kick...probably because it has more of an influence on dopaminergic transmission than Nardil. I think I read that somewhere...
Posted by Chairman_MAO on May 2, 2005, at 10:03:40
In reply to How effective is Parnate?, posted by ms. misery on April 28, 2005, at 18:43:47
It is extraordinarily effective; the only AD I've tried (besides buprenorphine, which isn't classified as an AD, really, though it should be, because it's really mediocre-to-horrible for pain) that actually worked for me is Parnate. I am actually giving Nardil a try tomorrow, because the buprenorphine is helping so much I don't think I need something with as much of a "kick" as the Parnate has anymore. Parnate left me feeling overstimulated sometimes at the end of the day, plus with horrible insomnia that never went away. Other than that, it is a godsend. Try Nardil or Parnate; either way you go, I guarantee you will wonder why you ever wasted time with crap like strattera. My advice: go on the Nardil and drop the trileptal. Keep the stimulant. Drop the strattera.
This is the end of the thread.
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