Posted by tom2228 on March 29, 2014, at 14:45:36
In reply to Re: What do I do about this leftover depression?, posted by SLS on March 28, 2014, at 17:08:26
> > Drop everything but the lithium and go on Parnate? Depression is much more debilitating than ADD in my experience.
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> That's an interesting idea.
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> What about the OCD? I have heard of Nardil being helpful to treat it, but not Parnate. This might be an artifact of bias in study designs, though. Nardil has been chosen to study more often than Parnate. However, I would probably choose Parnate first, as it is usually more forgiving with regard to side effects. There is no reason why amphetamine or methylphenidate could not be employed in conjunction with a MAOI. Desipramine and nortriptyline can be used as well.
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> - ScottSay that to my new pdoc, whose best defense against the slew of literature I brought her validating the safety of (selected) TCAs with MAOIs was "You can find literature for everything."
On a week wash-out from Marplan and starting notriptyline on Monday. I know it takes more time to adjust but not sure I like being off an MAOI at this point. I was able to fill a refill for Marplan so I have about 4 months' worth if I were to resume it at 20mg with the nortrip and without her knowledge.
poster:tom2228
thread:1063319
URL: http://www.dr-bob.org/babble/20140328/msgs/1063393.html