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Re: 100mg Parnate Not Helpful mrm48013601

Posted by chumbawumba on January 14, 2017, at 23:21:41

In reply to 100mg Parnate Not Helpful, posted by mrm48013601 on November 6, 2016, at 18:08:04

> My diagnosis has always been major depression and my primary symptom is a lack of energy.
>
> This is the third time I've been on Parnate and I'm on 100mg/daily. Ten years ago, and then seven years ago, I was also on Parnate, same dosage and it worked wonders.
>
> However, this time around I'm only aware of the medication if, for some reason, I miss a day, in which case I become teary eyed. I'll be speaking with my psychiatrist about augmentation and I'd ask for suggestions in this regard.
>
> Thank you very much.

Actually, I had a talk with my pdoc today about Parnate, since 80 mg is not quite getting me there. He said the amount of Parnate I need would be toxic in terms of hypotension and other side effects so he is recommending I switch over to EMSAM @ 12 mg day. And my sleep will be fubar but that will resolve in about 12 weeks and in the meantime I'll need Halcion or something to knock me out.

But regarding augmentation of Parnate, for energy Provigil is pretty good and compatable with an MAOI. I find a little LIthium as little as 300 mg can amplify everything. Turns the volume way up on the AD. Or low dose Seroquel, 50-100mg. At the very least it will help with Parnate insomnia. Tends to augment ADs nicely. And your TSH should be at the low end of the normal range so a little T3 or T4 could get you there.I'm actually using all four of these strategies with Parnate while I wait for approval on the EMSAM (crosses fingers).

And as always our mileage may vary.


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poster:chumbawumba thread:1092977
URL: http://www.dr-bob.org/babble/20161215/msgs/1093995.html