Posted by Tori on October 2, 2000, at 4:36:27
Hi there,
Dx manic depressive/major depressive disorder or whatever it is called March 00, have been depressed for years but the manic part didn't kick in until my mom did three years ago really young from cancer (40).
First, a lowdown on my current meds:
started Parnate on 25 Sept, 10 mg bid.
Lamictal (Lamotrigine) 150 bid
Clonazepam prn
Restoril 30 - 60 - 90 mg prn
multi-vitaminI have been on Parnate now for a week. It kicked in on day four; unbelievable; the day before I was 8/10 on wanting to commit suicide three times that day (it took a hell of a lot out of me to get those thoughts out of my head) and the next day -- NOTHING!!! :-) :-) :-) NO THOUGHTS AT ALL!!!! The three weeks beforehand I went through horrible, horrible W/D from the celexa 40 mg and wellbutrin 300 mg; I was off work for two weeks because of it. I'm going back to work this morning. ((crap!!!))
I take it at 7 a.m. and 7 p.m. I was taking it at 2 p.m. before. I can't sleep. Tonight for example I had a hard time sleeping the night before but got up at 10 anyways (4 hours sleep), walked for 30 minutes, did errands, had lots of energy which was a blessing as I had been on a combo for months that left me lethargic and exhausted.
Went to bed at 9:30 tonight; took 4 mg clonazepam and 30 mg restoril. Woke up two hours later; ate some cereal, back to bed. Woke up at 2:11; took 60 mg Restoril (man I'm building a tolerance to this stuff). Still wide awake as I type this.
QUESTION -- can I just take the full dose in the morning. Why the spanned dosage during the day? I have heard of possibilities of hypertension when increasing dosages but I don't think that moving the 10 mg to an earlier timeslot would kill me. I have been keeping track of my BP and it has caused some hypotension but I haven't really noticed anything negative.
Any suggestions? And also, when should the dosage be increased if required? If it works at 20 should I stick to that?
I have a great GP who has a lot of knowledge of all AD"s and a shrink that doesn't .... and before with SSRI's and the like I would fiddle with them myself but with MAOI's I'm not even going close to modifying them on my own without prior approval. I haven't read anything here or on ASDM or on the net about insomnia......anybody with any guidance in this area?
Greatly appreciated if anybody could help. Thanks!!!!!!!
poster:Tori
thread:45633
URL: http://www.dr-bob.org/babble/20000926/msgs/45633.html