Posted by kagome on March 6, 2012, at 16:44:16
In reply to Re: More Parnate Questions » kagome, posted by SLS on February 29, 2012, at 5:58:00
> Please continue to post. I am very interested to see you get better. You have a few options to choose from to augment Parnate in case you don't respond well to it. The first thing is to see how well you tolerate a dosage of Parnate between 40 - 80 mg. If this is your first time on Parnate, you might find that dizziness becomes a limiting factor to rapid dosage escalation. This seems to get better with time, though.
Thanks, Scott, I can't tell you how nice this was to read. Wish I had forced myself to check messages earlier, but I've had a tough week of dragging myself from the bed to the couch and back again, with no other activity besides reading and watching tv. I've had a little dizziness on the Parnate but I think I'm more affected by the tiredness, and sleeping waaay too much. Hopefully that gets better with time also. Interestingly, my pdoc hasn't heard of going above 60, and I seem to remember you writing something elsewhere about it only beginning its neurotransmitter action around 80? Do you know of any articles I could show her?
I don't know why I'm not titrating up any faster (still on 30mg!) besides the fact that my pdoc doesn't know Parnate well and seems a little wary of it. Because I'm still doing so badly she added Abilify (it was between that and Zyprexa, and since I'm sleeping all the time I thought the more stimulating of the two would be better). So here's hoping that helps.
> One step at a time.
Yup. Just wish the steps were faster and less painful!> I am currently taking:
>
> Parnate 80 mg
> nortriptyline 150 mg
> Lamictal 200 mg
> Abilify 10 mg
> lithium 300 mg
> prazosin 6 mg
>
> I am responding to this treatment. If I attempt to discontinue any one of these drugs, I deteriorate. I am only partially improved, but the trend is towards recovery.I'm so glad to hear your combo is working out! I hope everyone here gets the break they need, but especially after all your hard work, good attitude, and helpfulness to everyone else (I've been reading up!) it does my heart good to see you getting some of the relief you so deserve.
> The addition of prazosin has made all the difference.
It's interesting I hadn't heard of prazosin before this but I'm going to mention it to my pdoc. It's pretty likely my childhood abuse is affecting my depression so something for PTSD would probably be good. I do have a lot of nightmares but my solution is usually just to go back to bed and hope for a better dream!
> Good luck.
You too, and thanks again!
poster:kagome
thread:1011223
URL: http://www.dr-bob.org/babble/20120302/msgs/1012513.html