Posted by bulldog2 on August 22, 2009, at 14:49:41
When I started parnate I was under the impression that parnate was a fast acting ad.Also read that the therapeutic range was 40-60.
I used parnate monotherapy. I started at 10 mg and increased parnate by 10 mg every 7-10 days.
I finally reached 60 mg and stayed there 2 weeks. I would say after each dose increase I would get a short ad response and than response got less. The insomnia went away and I slept okay.Anxiety decreased and I needed less klonopin.There was some hypotension with each dose increase. All in all the sides weren't bad at all.
After being on 60 mg for two weeks I gave up because I thought I was a the dose max and my response wasn't worth staying on the drug.I was on parnate eight weeks total.Since stopping the drug I have read that parnate isn't always fast acting. I read of one doc who actually gave his patient 200 mg!!. Some p-docs use nortriptyline with the drug.
Well after my hip replacement surgery in Sept I am thinking of restarting the parnate. My p-doc always used nardil or emsam monotherapy so he wasn't well versed in parnate usage.
1. Max dose doesn't have to be 60 mg.
2. There are some tcas that can be used safely with parnate and give it a boost.I think Coloradosnowflake's doc said you have to committ to six months.
So being that I thought the sides were mild I'd like to give parnate a whirl again.Seems like one has to be flexible and willing to stick it out with this med.Have to present my p-doc with studies showing these trials are safe.
After surgery will be on morphine with a pump and back to percocet. Don't if that combo can be used with parnate or I have to get totally off to start.
poster:bulldog2
thread:913502
URL: http://www.dr-bob.org/babble/20090818/msgs/913502.html