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another parnate question... fatigue

Posted by superman on June 30, 2005, at 5:02:45

Ok, so its I've been on Parnate a month and a half now. I've gotten over the insomnia I think, although the quality is rather sporatic (barely sleeping one night, deep with vivid dreaming another, etc). I feel like I've lost the activating effects I was origionally enjoying (ie. waking up energetic, etc). Do I need to increase the dose?

The major problem now seems to be a daily "slump" of fatigue. I've read of others having this same problem. For me it seems to come 1-3 hours after my morning dose, and I've pretty much noticed it since day one. Not only is this sudden lack of energy I feel everyday unproductive, it nearly always leads me to go lie down, but not to sleep. There I get extremely stuck in my usual dysthymic thoughts, which compounds the depression I've been fighting. Ahhh! I thought this was the one.

Anyway, maybe someone can tell me more about this, or share their experience. Why am I fatigued when plasma levels of the parnate are suppose to be greatest? I thought it was suppose to be stimulating? And why am I not noticing the stimulating effects anymore? Anyone here a biochemist?

Should I see about augmenting with anything to deal with the fatigue? Or will only time help, as people seem to have suggested in the past?

Thanks in advance for any responses.

... Oh, on the psycopharmacolgical tips, DR.Bob suggests benzos and MAois dont mix well (especially Klonolpin). Not contradicted, but apparently its unhelpful with the depression, or perhaps other problems. I wanted to take Klonopin for social anxiety (already take as needed). I've actually already had it perscribed, but am curious about other ppls experiences combining it with a Maoi. Thanks,

-T

PS. Thanks for the advice I've gotten so far here on babble (ie. tazodone as needed for the insomnia, emergency hypertensive med, etc all great advice). I'm going to come here for info from now, since its clear u guys are more knowledgeable than my doctor with the med advice. ha!


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poster:superman thread:521418
URL: http://www.dr-bob.org/babble/20050627/msgs/521418.html