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How do I swap from Nardil to Parnate?

Posted by don_bristol on December 10, 2003, at 6:58:54

Hi all, please help me with some advice. How do I swap from Nardil to Parnate?

Can I do what I might call "hot swap"? In other words going from a low therapeutic dose of Nardil to a low therapeutic dose of Parnate. This would save the need to taper off the Nardil and then to build up the Parnate. I know this can be done with SRRIs (although it very rarely is) but can it also be done with MAOIs?

My current daily dose is 45 to 60mg of Nardil and I guess a low dose of Parnate would be about 10 to 15mg. Could I go straight over (within one day or two) to about 10 to 15 mg Parnate?

Do you have any advice or info?

----

By way of background .... I've been taking Nardil for 13 weeks at a daily dose of approximately 45 to 60mg. Nardil has kind of worked in general with some subtle improvements (anxiety especially and mood to some extent too) but the results have not been anything particularly noticeable.

I guess I might be sensitive to Nardil because it took a *full* 3 weeks to get to 3 to 4 tablets daily and I can't stay on a dose of 60mg or 4 tablets for more than a three or four days without getting troublesome side effects.

So next week, my p-doc is going to switch me from Nardil to Parnate at my request.

How do I prepare for that switch? Should I start to taper off the Nardil or will I be able to "hot swap"? If I have to taper off then at what sort of rate would I do it?

Thanks for any info.

Don.


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poster:don_bristol thread:288277
URL: http://www.dr-bob.org/babble/20031208/msgs/288277.html