Posted by Chairman_MAO on February 17, 2004, at 16:19:49
In reply to Re: Nardil (Phenelzine) vs Parnate (Tranylcypromine) » Chairman_MAO, posted by zeugma on February 17, 2004, at 10:30:08
This is what I have, heh, and I could rant on for at least 10 minutes straight about how frustrated I am that my doctor will not prescribe an MAOI, because aside from controlled substances, which I cannot have, they're really the only game in town for this (Wellbutrin is getting worse--at only 150mg--with the agitation every day, despite 900mg Trileptal).
Marplan is the "middle-of-the-road", but I am not familiar with it. However, if you can get benzos, just take Klonopin with Parnate. Parnate I'm sure is by far the best for ADD/anergic depression, and the Klonopin will help out the social phobia.
Contrary to popular belief, you CAN add a NE reuptake inhibitor to an MAOI, so another option would be Strattera + Nardil. This should help with energy somewhat and the Nardil will KILL the social phobia. If your ADD is mostly time management issues/memory and your focus is manageable when you are not depressed, you could try Nardil + acetylcholinesterase inhibitor (Aricept or Reminyl come to mind). A drug like this has a good chance of mitigating urinary retention as well as cognitive impairment.
A killer combo might also be Parnate + Klonopin + Reminyl (galantamine), because they found in eastern europe that galantamine reverses the sedation and cognitive impairment of benzodiazepines. As a matter of fact, I am quite sure that if you tried this you would be IMPRESSED. It would take at LEAST three months to get all of the dosages right, if not six or more.
Oh lord won't you get me an MAOI ...
poster:Chairman_MAO
thread:314394
URL: http://www.dr-bob.org/babble/20040215/msgs/314789.html