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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 27. This is the beginning of the thread.
Posted by TylerJ on March 28, 2006, at 6:52:21
Well, it's been almost 2 mos. now and Parnate is still working great for me. I wake up every morning raring to go. Before Parnate, some days I couldn't hardly get out of bed. I Have had absolutely 0 depression since it kicked in. Also, the anxiety I used to live with on a daily basis is gone. I FEEL GOOD...I want to do things, go places, talk to people, etc. Before, I was quite content just watching T.V.in my bedroom, now I might watch American Idol and that's it. According to my wife I'm a lot more loving and caring towards her and my boys, and a hellava lot more helpful around the house. In a nut shell, my life went from bearly tolerable 2 mos. ago, to something I really enjoy and love now! My biggest complaint is why didn't I try the MAOI's many, many years ago. I really feel as if I have wasted a good part of my life with other meds that either didn't work, worked a little, or made me worse. But, I'm not going to dwell on that, I'm just going to enjoy every great day I have on Parnate!
Tyler
P.S. I am currently taking 120 mgs all in morning. Sleeping very well with th help of 200 mgs of Traz at bedtime. No sexual side effects. A healthy yet reduced appetite..I've lost a much needed 10 lbs. And oh yea, the MAOI diet is Easy to live by, the only thing I miss is Chedar Chse. Big Deal! :)
Posted by SLIPAWAY on March 28, 2006, at 8:32:50
In reply to Still doing great on Parnate..., posted by TylerJ on March 28, 2006, at 6:52:21
HI TYLER,
GREAT TO HER YOU STILL DOING GREAT ON PARNATE!
I have recently spoken/written to you about my problems with paxil and zoloft~~increased anxiety/
insomnia etc. I just started remeron last night
15 mg.( i have been on nothing for the last few weeks) will remeron make a person feel groggy,dizzy, lethargic,all day long or does it go away once you've woken up and gotten going?
also, do you think remeron was a good med for anxiety/ocd by itself? i see you said that you took it with paxil and also with cymbalta.
i actually suggested it to my pdoc yesterday, he originally wanted to go with cymbalta but i said
i'd like to try remeron. it's disturbing how they will just go along with what you say and write a script. it'd be nice for them to have a method to their madness so to speak but i guess it's all just hit or miss with what will work for any given patient?
oh by the way my post name was "need help please"
but i forgot the password,
talk 2 u later
Posted by TylerJ on March 28, 2006, at 9:19:15
In reply to Re: Still doing great on Parnate..., posted by SLIPAWAY on March 28, 2006, at 8:32:50
> HI TYLER,
> GREAT TO HER YOU STILL DOING GREAT ON PARNATE!
> I have recently spoken/written to you about my problems with paxil and zoloft~~increased anxiety/
> insomnia etc. I just started remeron last night
> 15 mg.( i have been on nothing for the last few weeks) will remeron make a person feel groggy,dizzy, lethargic,all day long or does it go away once you've woken up and gotten going?
> also, do you think remeron was a good med for anxiety/ocd by itself? i see you said that you took it with paxil and also with cymbalta.
> i actually suggested it to my pdoc yesterday, he originally wanted to go with cymbalta but i said
> i'd like to try remeron. it's disturbing how they will just go along with what you say and write a script. it'd be nice for them to have a method to their madness so to speak but i guess it's all just hit or miss with what will work for any given patient?
> oh by the way my post name was "need help please"
> but i forgot the password,
> talk 2 u later
>Yea...that groggy, dizzy and lethargic feeling you're having should pass with time...it did for me. And yes, I think Remeron is a very good drug for anxiety and OCD. Give it some time, get the dosage up and I predict you will be feeling better very soon. I'm glad you chose remeron over cymbalta..my personal exp. w/cymbalta was that it was kind of weak. Remeron is powerful. Later, only if needed, Lamictal 100 mgs plus with remeron can be helpful. Also, eventually adding another AD may be very helpful. For me it was Paxil, for you it might be Prozac, Luvox, or Lexapro..many to choose from. I wish you the very best!
Tyler
P.S. I hope your doc has you taking remeron at bedtime. When your dose gets higher it should help a lot with insomnia.
Posted by JaclinHyde on March 28, 2006, at 11:41:35
In reply to Re: Still doing great on Parnate... » SLIPAWAY, posted by TylerJ on March 28, 2006, at 9:19:15
Remeron is used as a sleep agent when used in small doses so being groggy and sleepy at a theraputic dose makes sense. I think Remeron is considered the last line of defense before going with an MAOI, don't you think Tyler? Remeron is the only drug that I HAVEN'T taken but from what I have read the biggest complaint about it (other than the grogginess) is a lot of weight gain.
Hope it helps!
JH
Posted by JaclinHyde on March 28, 2006, at 11:46:21
In reply to Still doing great on Parnate..., posted by TylerJ on March 28, 2006, at 6:52:21
Hey buddy, greetings from Parnateville. Wanna hear something weird? Remember the feeling you had when it first kicked in? Kind of like that flipping of a switch that someone mentioned? Well I have been on it now for about as long as you and this morning I woke up with that feeling. I had it when it kicked in and have been great (other than that color change I went through :-) since then but just this morning I woke up with it again saying "Lets get this day started, damn it's great to be alive"
And it really is great to be here!!!!!! :-)
JH
Posted by Rocket Jackson on March 28, 2006, at 14:31:35
In reply to Still doing great on Parnate..., posted by TylerJ on March 28, 2006, at 6:52:21
Nice job, Tyler (and parnate, of course :)). Keep up the good work. I'm so happy for you!
Just curious- what have you tried in the past, particularly for social phobia? Has parnate been your first major success as far as meds are concerned? Did you ever try nardil? It's always nice to see people finding what finally works for them. Especially when it doesn't conflict with American Idol. :)
I've pushed my dose up to 60mg/day (20mg tid) with no problems thus far. I imagine I'll probably get up closer to your dose range eventually. Social phobia seems to always require higher doses of whatever the med is, and I'll go up as high as I need to (avoiding brain bleeds or cardiac explosions, of course).
Take care!
RJ
Posted by JaclinHyde on March 28, 2006, at 15:00:47
In reply to Re: Still doing great on Parnate... » TylerJ, posted by Rocket Jackson on March 28, 2006, at 14:31:35
Actually MAOI's are pretty cardiac friendly.
And I was always a Project Runway fan myself. I can do with American Idol ;-)
JH
Posted by linkadge on March 28, 2006, at 15:42:08
In reply to Re: Still doing great on Parnate..., posted by JaclinHyde on March 28, 2006, at 15:00:47
MAOI's can increse your blood pressure. Parnate definately increased mine to unsafe levels. It is something you want to keep your eye on.
In addition, parnate can cause spontanious hypertensive crisis even in the seeming absence of dietary tryramine. I was hospitalized because of this, no tyramine in the diet but still had BP spike.
Linkadge
Posted by JaclinHyde on March 28, 2006, at 16:35:49
In reply to Re: Still doing great on Parnate... » JaclinHyde, posted by linkadge on March 28, 2006, at 15:42:08
Yep, no arguement there. But it isn't the norm and is one of the reasons everyone on this med should carry a pill that will lower your pressure if need be (Seroque works), should wear a med bracelet and have a blook pressure machine at home.
JH
Posted by scatterbrained on March 28, 2006, at 16:44:29
In reply to Re: Still doing great on Parnate... » JaclinHyde, posted by linkadge on March 28, 2006, at 15:42:08
what are you on now and is it helping?
Posted by JaclinHyde on March 28, 2006, at 17:15:08
In reply to Re: Still doing great on Parnate... » linkadge, posted by scatterbrained on March 28, 2006, at 16:44:29
Parnate and yes, it is a miracle drug.
Although for some reason I couldn't type the word BLOOD or SEROQUEL in my post, lol!
JH
Posted by linkadge on March 28, 2006, at 21:48:00
In reply to Re: Still doing great on Parnate..., posted by JaclinHyde on March 28, 2006, at 16:35:49
I would personally not consider Seroquel a reliable antihypertensive agent. Lowered BP may be a side effect. I don't think that it would be fully protective against the effects of an emerging hypertensive crisis. You may want to get some atenolol, or similar antihypertensive.
Linkadge
Posted by linkadge on March 28, 2006, at 21:49:12
In reply to Re: Still doing great on Parnate... » linkadge, posted by scatterbrained on March 28, 2006, at 16:44:29
Nothing, (and no its not helping) (well I guess thats makes sence :) )
Linkadge
Posted by Phillipa on March 28, 2006, at 22:25:11
In reply to Re: Still doing great on Parnate... » scatterbrained, posted by linkadge on March 28, 2006, at 21:49:12
Soon to follow your ranks but i thougt you were doing better on nothing? Love Phillipa
Posted by linkadge on March 29, 2006, at 11:03:48
In reply to Re: Still doing great on Parnate... » scatterbrained, posted by linkadge on March 28, 2006, at 21:49:12
I am doing better on nothing. Still not where I'd like to be, but it is easier to get through the day.
Linkadge
Posted by JaclinHyde on March 29, 2006, at 12:44:15
In reply to Re: Still doing great on Parnate... » JaclinHyde, posted by linkadge on March 28, 2006, at 21:48:00
Thanks for the suggestion however Seroquel was given to me by my doctor for the reason noted. No offense but I think she knows better than you do.
JH
Posted by TylerJ on March 29, 2006, at 13:18:06
In reply to Re: Still doing great on Parnate..., posted by linkadge on March 29, 2006, at 11:03:48
> I am doing better on nothing. Still not where I'd like to be, but it is easier to get through the day.
>
> Linkadge
Good, I'm Happy for you. If I could do well without meds I certainly would prefer that route. But, it doesn't work for me...tried it too many times to remember always with severe negative results. Best wishes to you.Tyler
Posted by linkadge on March 29, 2006, at 13:18:45
In reply to Re: Still doing great on Parnate... Linkadge, posted by JaclinHyde on March 29, 2006, at 12:44:15
No offence taken, although Seroquel is not an antihypertensive agent. It is an antipsychotic.
Although low blood pressure *may* be a side effect, I wouldn't trust my life to it.I would ask for a second opinion. If she knows better than me, then so will the next doctor or pharmacist.
I would personally have some nifedipine on hand.
Linkadge
Posted by linkadge on March 29, 2006, at 13:21:21
In reply to Re: Still doing great on Parnate... » linkadge, posted by TylerJ on March 29, 2006, at 13:18:06
There is no shame in using medications to treat a medical disorder.
Linkadge
Posted by MARTY on March 29, 2006, at 21:15:18
In reply to Re: Still doing great on Parnate... » TylerJ, posted by linkadge on March 29, 2006, at 13:21:21
I'm on Nardil and my Pdoc refused (3 times) to prescribe me an 'antidote' for Hypertension. She doesn't even want to give me Thirozine(!?) She said she consult the other Pdocs of the clinic and have been tell that it could be dangerous and discourage the patient to go to the hospital thinking he's safe with his antidote.What do you think of that ? I have the feeling it's a 'convention' in Canada not to give antidote with MAOI.. I find this stupid and dangerous; there is numerous highly respected literature that recommend the prescription of an antihypertensive.. heard of Merck Manual ? can't believe that.
Is there anything I could find that could help ? is there something I could ask her for X reason but that would be good as an antihypertensive ?
Marty
Posted by TylerJ on March 29, 2006, at 21:40:04
In reply to Re: Still doing great on Parnate..., posted by MARTY on March 29, 2006, at 21:15:18
>
> I'm on Nardil and my Pdoc refused (3 times) to prescribe me an 'antidote' for Hypertension. She doesn't even want to give me Thirozine(!?) She said she consult the other Pdocs of the clinic and have been tell that it could be dangerous and discourage the patient to go to the hospital thinking he's safe with his antidote.
>
> What do you think of that ? I have the feeling it's a 'convention' in Canada not to give antidote with MAOI.. I find this stupid and dangerous; there is numerous highly respected literature that recommend the prescription of an antihypertensive.. heard of Merck Manual ? can't believe that.
>
> Is there anything I could find that could help ? is there something I could ask her for X reason but that would be good as an antihypertensive ?
>
> MartyHey Marty,
That's weird because when I asked my Pdoc for an antihypertensive he said he usually doesn't prescribe them. I see him this Friday and I'm going to be more aggressive this time, I'll let you know what he says. If he refuses, I'll just ask my family doc for some and I'm sure he'll comply. How strange!Tyler
Posted by linkadge on March 30, 2006, at 15:53:53
In reply to Re: Still doing great on Parnate... » MARTY, posted by TylerJ on March 29, 2006, at 21:40:04
I would definately be persistant. In my case it could have been fatal. The big thing with a hypertensive crisis is *time*. The longer your BP remains elevated the greater the chance of an event.
The wise thing would be to have something on hand, and then still go to the hospital anyway.
Linkadge
Posted by MARTY on March 30, 2006, at 17:12:21
In reply to Re: Still doing great on Parnate... » TylerJ, posted by linkadge on March 30, 2006, at 15:53:53
Hi Linkage --
About your Hypetensive crisis.. How much time between the time you sens something was wrong and the time it became very painfull, and how many time after that for the thing to become dangerous ? Total time from start to you taking your antidote ?
The thing about Hytensive crisis for the MAOI newbie like me is that we aren't tell those kind of things.. so we don't really know what we facing..
btw, would you take an MAOI if you we're not allowed to have an antidote ? I scared to hell to not been able to have one.. how am I supposed to imagine myself live all my life on my MAOI knowing that I will surely risk my life big time 2, even 3 times ..
Marty
> I would definately be persistant. In my case it could have been fatal. The big thing with a hypertensive crisis is *time*. The longer your BP remains elevated the greater the chance of an event.
>
> The wise thing would be to have something on hand, and then still go to the hospital anyway.
>
> Linkadge
Posted by linkadge on March 30, 2006, at 20:47:13
In reply to Re: Still doing great on Parnate... Linkage » linkadge, posted by MARTY on March 30, 2006, at 17:12:21
No I see what you are saying. I think that if you ask you might find a doctor who is willing to prescribe something to help.
My case was like this. I got up and ate a tyramine free breakfast (at least it I thought it was tyramine free). Anyhow, I noticed that my heart started to rise, and that my home BP monitor was registering an increasing BP. It may have been about an 1/2 hour till I called a canadian health hotline which told me to skip noon dose and get to doctor. I went to doctor, who said it was a panic attack and sent me off with some benzodiazapine. The bp went up still, and I got myself to a hospital where they said it was a hypertensive crisis where they gave me something (can't recall what).
I don't quite recall but it all happened in within 2 hours or so, but don't know when peak was.
It did involve chest pain, and when the pulse got too high, my heart started to do a stange double beat (dr said it was trying to reset itself).
Whatever they gave me in the hospital worked.
They took me off the drug which was a mistake, and made me stay in the hospital for a few weeks till they started me back on an SSRI.
From what I've read, parnate can sometimes do that (ie. cause spontanious hypertensive crisis) it is supposedly rare though.
I would just keep asking doctors. It seems strange to me that they would not give something like that out. Theres got to be some way..
Linkadge
Posted by MARTY on April 1, 2006, at 3:22:32
In reply to Re: Still doing great on Parnate... Linkage » MARTY, posted by linkadge on March 30, 2006, at 20:47:13
Wow.. thank you for the details of you Bp crisis. I now got an idea of what it COULD look like to get one. Not having any example make me started to imagine that I could go from fine to dead in about 10-20 minutes ;) My guess is that it could have happen with this level of violence to some, but who maybe were old, sick, got already high bp, hearth disease etc ..Really sounds like you're one of the unlucky who got the chance to experiment the 'suddent crisis' for no reason at all. You should be on Parnate I guess then.
So they put you back on those infamous SSRI .. hmm I'll remember to ask you on another thread what is your cocktail now and if you would take back an MAOI (or if you already do)...
Regards,
Marty> No I see what you are saying. I think that if you ask you might find a doctor who is willing to prescribe something to help.
>
> My case was like this. I got up and ate a tyramine free breakfast (at least it I thought it was tyramine free). Anyhow, I noticed that my heart started to rise, and that my home BP monitor was registering an increasing BP. It may have been about an 1/2 hour till I called a canadian health hotline which told me to skip noon dose and get to doctor. I went to doctor, who said it was a panic attack and sent me off with some benzodiazapine. The bp went up still, and I got myself to a hospital where they said it was a hypertensive crisis where they gave me something (can't recall what).
>
> I don't quite recall but it all happened in within 2 hours or so, but don't know when peak was.
>
> It did involve chest pain, and when the pulse got too high, my heart started to do a stange double beat (dr said it was trying to reset itself).
>
> Whatever they gave me in the hospital worked.
>
> They took me off the drug which was a mistake, and made me stay in the hospital for a few weeks till they started me back on an SSRI.
>
> From what I've read, parnate can sometimes do that (ie. cause spontanious hypertensive crisis) it is supposedly rare though.
>
> I would just keep asking doctors. It seems strange to me that they would not give something like that out. Theres got to be some way..
>
>
>
> Linkadge
>
>
>
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