Posted by anita on October 15, 1999, at 17:37:00
In reply to dropping Parnate, posted by Elizabeth on October 14, 1999, at 1:36:15
Hey Elizabeth,
Watch out for Parnate withdrawal. Mine was terrible even tho I went down slowly, tho the lithium may protect you from that. IMHO I wouldn't wait more than the required time to start another AD.
For me, Remeron helped sleep. In fact, I took it for sleep. Seems to be worth a shot for depression, tho there's that weight gain problem (same with Marplan). Personally nortriptyline did nothing for me except give me dry mouth -- did any of the other tricyclics help you?
take care,
anita> I decided to take the plunge and find an antidepressant that won't muck with my sleep, so yesterday I went down to 20mg of Parnate with the intention to get down to zero in the next few days. I'm not sure what I'm going to do afterwards - my pdoc absolutely does not want me quitting antidepressants altogether, and I'm very much inclined to agree with him. The things we thought of are:
>
> -Marplan
> -nortriptyline (and possibly add Marplan after starting the nortrip.)
> -Remeron (starting on a high dose to (hopefully) minimize side effects)
>
> Might also add Ritalin or Dexedrine if it seems warranted.
>
> Does anyone have any thoughts/alternative ideas? I pretty much know the side effects (though I'm fuzzy on what to expect from Marplan since I don't know many people who've taken it). My pdoc says that he prefers the MAOI or MAOI-tricyclic idea because Remeron has been very hit-or-miss in his experience.
>
> I'm pretty nervous, but I really *have* to start getting some decent sleep. [2 words: organic chemistry]
poster:anita
thread:13117
URL: http://www.dr-bob.org/babble/19991016/msgs/13204.html