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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by malcolm664 on May 22, 2007, at 14:08:39
Hi: I've been on Parnate since toward the 23rd of April and I've been steadily increasing the dose to the 60 mgs I'm on currently.
But...nothing.
My doc is not comfortable with me being on much more than 60 mgs and I've read here that it takes a much higher dose in some people before the effect starts to kick in.
My question is: what's the max dose of Parnate you can safely be on? And how do I go about convincing him that I need to be on something higher than 60 mgs?
Are there any reliable websites that anyone knows about where dosages are higher than 60 mgs before anyone notices any effect from the med? Or is around 60 mgs in fact the max safe dose for this MAOI? My doc may be willing to go up by maybe 10 mgs max (to 70 mgs daily), but probabably not much more than that. It's very frustrating, b/c I seem to have read in here that people have been on almost double that dose before they notice any effect.
The anxiety alone from waiting for the med to work is of course not helping things at all.
BTW, I'm also on Klonopin (for sleep) and Xanax XR, I THINK they are helping, but it's not a dramtic enough difference that I can say for sure.
Posted by Sigismund on May 22, 2007, at 14:43:30
In reply to Parnate at 60 mg and still...nothing, posted by malcolm664 on May 22, 2007, at 14:08:39
Malcolm
When you say nothing, I take it you mean no AD effect, rather than nothing at all.
You have no negative effects?
Is that right?
Posted by Phillipa on May 22, 2007, at 17:01:04
In reply to Re: Parnate at 60 mg and still...nothing, posted by Sigismund on May 22, 2007, at 14:43:30
Wonder where willee is? Love Phillipa or ace.
Posted by malcolm664 on May 23, 2007, at 12:48:44
In reply to Re: Parnate at 60 mg and still...nothing, posted by Sigismund on May 22, 2007, at 14:43:30
> Malcolm
> When you say nothing, I take it you mean no AD effect, rather than nothing at all.
> You have no negative effects?
> Is that right?Sorry, what I meant to say was no AD effect. I was definitely experiencing the afternoon fatigue and insomnia I did on Nardil. Although I spoke with my doc last night and he wants me to start taking the Parnate in the late evenings and before bedtime. I did last night for the first time, and I didn't have any trouble sleeping (but it's only one night, I'll have to see what happens tonight and for the next few nights).
Which is strange, b/c with other MAOI's (such as Nardil, which worked wonderfully for a few weeks before pooping out on me), I got extremely fatigued during the day, but also had insomnia at night. Strangely, that was also the case with Parnate, but not last night, b/c I slept great.
Go figure. These are strange meds indeed.
Posted by kaleidoscope on May 23, 2007, at 15:09:15
In reply to Parnate at 60 mg and still...nothing, posted by malcolm664 on May 22, 2007, at 14:08:39
Hi Malcolm,
Few people need more than 60mg, despite what you may read on babble. I think you need to be patient (not easy I know). Give the Parnate another four weeks at 60mg before you start wondering whether or not it's going to work. Parnate doesn't always work quickly.
Ed
Posted by Maxime on May 25, 2007, at 21:50:13
In reply to Parnate at 60 mg and still...nothing, posted by malcolm664 on May 22, 2007, at 14:08:39
Are you experiencing any side effects?
I had to be on 100-120 mg. I found it worked quickly in that it was like a stimulant and then once I reached my therapeutic dosage it relieved the depression.
Do you find it gives you extra energy? You should feel something by now, but hopefully it will kick in soon. Maybe you are a Nardil person. People tend to be one or the other (based on anecdotal evidence).
Maxime
> Hi: I've been on Parnate since toward the 23rd of April and I've been steadily increasing the dose to the 60 mgs I'm on currently.
>
> But...nothing.
>
> My doc is not comfortable with me being on much more than 60 mgs and I've read here that it takes a much higher dose in some people before the effect starts to kick in.
>
> My question is: what's the max dose of Parnate you can safely be on? And how do I go about convincing him that I need to be on something higher than 60 mgs?
>
> Are there any reliable websites that anyone knows about where dosages are higher than 60 mgs before anyone notices any effect from the med? Or is around 60 mgs in fact the max safe dose for this MAOI? My doc may be willing to go up by maybe 10 mgs max (to 70 mgs daily), but probabably not much more than that. It's very frustrating, b/c I seem to have read in here that people have been on almost double that dose before they notice any effect.
>
> The anxiety alone from waiting for the med to work is of course not helping things at all.
>
> BTW, I'm also on Klonopin (for sleep) and Xanax XR, I THINK they are helping, but it's not a dramtic enough difference that I can say for sure.
>
Posted by Maxime on May 25, 2007, at 21:51:52
In reply to Re: Parnate at 60 mg and still...nothing » malcolm664, posted by Maxime on May 25, 2007, at 21:50:13
Sorry, I didn't read your other post first where you wrote about your experience with Nardil.
Maxime
This is the end of the thread.
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