Posted by delna on October 23, 2009, at 23:40:59
In reply to Provigil dose » delna, posted by jane d on October 23, 2009, at 19:17:55
Hi
I think he means with the Parnate although there isn't any actually any FDA recommendation about the combination. So yes, that is confusing. The other bit that confused me was that in a thread (in pbabble tips, he says he gives around 60mg of Ritalin to Parnate patients. There is no way 200mg Provigil is equivalent to 60mg of Ritalin. 60mg Ritalin is high.About the 600mg, when I was in NYC I was seeing a pdoc. He wasn't happy to give me more than 400mg (with Geodon + Lexapro +Lamictal). So he sent me to his senior colleague ( a very learned pdoc) who said, in my case, with my history I could take 600mg max. He also warned me of the risks of increasing the dose to this level.
So 600mg is an okay dose but with the Parnate, who's to know. My pdoc here, in India, is happy to take risks (which is what I like about him in, a way) but sometimes he's just rash and makes things up with no medical backing or experience. There's absolutely no legal protection for patients here which means doctors can get away with anything! So I take everything he says with a pinch of salt and look things up.
Here's the link to Dr Goldberg's answer. I too was surprised....
http://en.allexperts.com/q/Bipolar-Disorder-2192/2009/10/Parnate.htm
Take care
D
poster:delna
thread:921755
URL: http://www.dr-bob.org/babble/20091021/msgs/922184.html