Posted by g_g_g_unit on September 1, 2009, at 5:52:55
In reply to Re: How did the appt. go? » g_g_g_unit, posted by SLS on September 1, 2009, at 5:45:12
> > i am curious about the conservative dosing regime: 20mg at first, and then 30mg if that proves insufficient.
>
> It is conservative. For most moderate to severe cases of MDD or BD, 40mg seems to be the minimum dosage that one will respond to. How long is it until you see the doctor next?one month until our next appointment. what would 30mg be the equivalent to with Nardil in terms of effectiveness(roughly)? 45mg?
>
> > is there even much MAO inhibition at 20mg?
>
> Not enough to be consequential.
>
> I had to suffer through a protracted trial of desipramine because my doctor was unfamiliar with adding it to Parnate, and he was still afraid of Parnate and its potential to produce spontaneous hypertensive events. I could have arrived at my therapeutic dose (300mg) within two weeks. It took over two months to get to where I needed to be under his supervision. I can't blame him though. Were I in his position, I probably would have been conservative, too.
>
> Perhaps you can use a negotiating tool. Show him stuff regarding the safe and effective use of Parnate at dosages of 120mg and higher. Maybe he'll meet you half-way. :-)thanks for the citation. i'll see how i go on 20mg/30mg anyhow. even a little push for now would be really wecome.
poster:g_g_g_unit
thread:914776
URL: http://www.dr-bob.org/babble/20090826/msgs/915209.html