Posted by SLS on January 12, 2011, at 20:27:37
In reply to Thanks Scott, posted by Elanor Roosevelt on January 12, 2011, at 19:53:15
> Thanks for that info Scott. I do not want to stay on parnate but it would be nice not to have to wash out before starting the Nortriptyline. I will discuss with my doctor next week.
If your doctor is comfortable with co-administering Parnate and nortriptyline, I would take advantage of the opportunity to try full therapeutic dosages of both drugs together. If you improve on the combination, then you can attempt to discontinue the Parnate as an experiment. If you tolerate lithium, I would consider adding low dosages (300-600mg) as an antidepressant augmenter. Some people have described responding to lithium at dosages as low as 150mg. However, if lithium is used as an anti-manic / mood stabilizer, higher dosages are indicated (900-1500mg). Of course, lithium at such dosages needs to be titrated using blood tests so as not to produce toxicity.
What is your reason for wanting to discontinue Parnate? It would be a shame to drop it and jump from drug to drug with the idea that you will find a single drug to be effective as monotherapy. Then, later, you would have to return to Parnate and nortriptyline once "less aggressive" treatments are exhausted.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.
poster:SLS
thread:976641
URL: http://www.dr-bob.org/babble/20101231/msgs/976649.html