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Re: ColoradoSnowflake Parnate Dosing

Posted by ColoradoSnowflake on August 12, 2009, at 23:12:01

In reply to Re: ColoradoSnowflake Parnate Dosing » ColoradoSnowflake, posted by SLS on August 12, 2009, at 7:07:09

> Two ways to dose Parnate are most used.
>
> 1. Spit into two equal doses; taking one at breakfast and the other no later than 3:00pm. I prefer this method now that I no longer experience hypotension.
>
> 2. Take one pill every few hours. You can take more at breakfast if necessary. This is good if you have problems with hypotension. With this method, I used to take my last dose at 7:00pm. You might find that taking it too late will disturb your sleep, so try to be somewhat flexible with dosing. Take 2 pills every few hours if necessary to make your last dose no later than 3:00pm. Also, having caffeine at 4:00pm helps to raise blood pressure at a time of day when blood pressure is normally at its lowest.
>
> If you seem to plateau with your treatment, you still have quite a bit of room to raise the dosage of nortriptyline.
>
>
>
> - Scott


Hi Scott:

Thanks for the information!!

I think it helps to take the Parnate with a little bit of a Nuvigil pill or a little bit of a caffeine pill, or a cup of coffee.

I think I'll try your #1 suggestion. That's sort of what I do now only simpler. Should I cut a Parnate in half and take 2 1/2 in the AM and 2 1/2 at 3pm? Or take 3 at once and then 2 at once??

Then I take the Nortriptyline about 7pm (or later if I get home later.

Last night I took 25mg nortrip at about 6pm and then 25mg at 11pm. I was tired this morning, but I had a big meeting at my house last night and I would have been tired anyway. I took nortrip to sleep better "for sure" and it did do that. So maybe it's not good for me to take nortrip that late. When I try 50mg again I'll do them both earlier. Is that right?

I am still feeling better!!! I can't believe it!!
I had a group of women at my house for a meeting last night and normally I would have been a walking, talking panic attack, but I was FINE....just regular. WOW

Thanks so much, Scott, for all your help!

I sure hope you're feeling better!!!! Remember what you told me about it not being up and up!! Maybe it's just a settling in period and you will feel really good again, soon.
I HOPE SO!!

Thanks again for all your help!

gayle


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poster:ColoradoSnowflake thread:910037
URL: http://www.dr-bob.org/babble/20090810/msgs/911861.html