Posted by Ilene on March 24, 2004, at 22:12:42
In reply to MAOI question, posted by Mr. Scott on March 24, 2004, at 21:13:53
> I generally experience anxiety, agitation, restlessness and other akathesia/mania/anxious/panic type side effects upon taking antidepressants. ALL OF THE ANTIDEPRESSANTS, and Wellbutrin is THE WORST. This phenomenon requires me to take larger doses of benzodiazepines and consider adding in all kinds of stuff like Lithium or Anticonvulsants.
>
> I experience this as well on Parnate. Would you MAOI takers tolerate this or move on to an alternative diagnoses and or treatment. It's been a week at 10mg.
>
> Thoughts appreciated.
>
> Scott
Parnate is the most activating of the three MAOIs available in the US. I've read it can have amphetamine-like effects. Nardil is the most sedating. Marplan is in the middle.If I were you, I'd discuss a change to one of the other two with your pdoc. It will probably require a wash-out period.
Benzos are safe to mix with MAOIs.
If you experience mania when you take an AD, then shouldn't you be taking a mood stabilizer? (As you said, lithium or an anticonvulsant.)
I'm getting better results now that I've added lithium to the mix (also taking Risperdal, Neurontin, and Klonopin, and Florinef for dysautonomia/low blood pressure). I don't know if this boost is permanent, though, and if you've read some of my other posts you might have noticed my thyroid seems to have gone south.
poster:Ilene
thread:324697
URL: http://www.dr-bob.org/babble/20040319/msgs/328007.html