Posted by AMB on March 22, 2013, at 10:31:07
In reply to Atypical Depression?, posted by damnthislife on March 21, 2013, at 10:35:15
I am similar to you in that my high or low moods/depression tends to be reactive and therefore really unpredictable. Overall, I have a sense of lethargy paired with anxiety that made it difficult to get anything other than the bare essentials in life done.
MAOI's have been the most effective meds I have ever taken, and I've taken a lot (ssri's, snri's TCAs and wellbutrin...). Parnate is more activating than Nardil and for me was a powerful tool that enabled me to finally function. While it didn't cure everything, for the first time in ages I enjoyed things and felt inspired.
Although it is technically containdicted with maoi's, I also took ritalin with it and it was a great. I know many pdocs won't prescribe this combo, but some who are more up on cutting edge treatments and recent literature will. But to start, if you look for a new pdoc you might want to seek out one who is experienced with treatment resistant depression and state of the art med combos. There is a certain amount of creativity needed on the pdoc's part to really find an effective treatment plan.
The reason I no longer take Parnate is I just couldn't handle the weight gain/blood sugar issues. A lot of people don't have these side effects on Parnate though, so it may not be an issue if you do go that route.
poster:AMB
thread:1040809
URL: http://www.dr-bob.org/babble/20130322/msgs/1040874.html