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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Damiaan on October 28, 2014, at 4:29:33
Hi,
I have a question.
During 1,5 month I build up Parnate to 50 mg.
Morning 30mg , lunchtime 20 mg
One big problem is is the tiredness that starts after app. 3 hours after teken my first dose in the morning. Energy, conentration and motivation flow away the rest of the day. I hope this will be 'starting side effect'.
I read about taking Wellbutrin/bupropion. But my doc don't want to give me that, because I have had a heart attack for 4 years ago.
Are there any alternatives?
e.g splitting the dose during the day or taking alternative products
I have a low blood pressure
Thanks,from Damiaan
Posted by oceansun on October 28, 2014, at 20:34:02
In reply to Parnate and tiredness, posted by Damiaan on October 28, 2014, at 4:29:33
Usually Parnate is activating. At least it was for me, very much so. I'm wondering...maybe your dose is too high, and you're having a paradoxical effect? Has it made you tired at every dose?
I'm afraid I don't know anything about which meds you could take after a heart attack. I do know many antidepressants can lower blood pressure or cause orthostatic hypotension, so that might eliminate some from consideration.
Posted by babbler20 on October 29, 2014, at 16:03:04
In reply to Parnate and tiredness, posted by Damiaan on October 28, 2014, at 4:29:33
Hi, I was on Parnate for a couple years and had the same experience as you. Every time I would go up and dose I was exhausted and had awful hypotension for about 10 days. Once you hit your target dose it goes away. My hypotension and fatigue was so bad I couldn't work or even walk around my house. I barely left my house and had to crawl to get around so I didn't fall over. Good times.
Posted by Damiaan on October 29, 2014, at 16:23:58
In reply to Re: Parnate and tiredness (nm), posted by Damiaan on October 29, 2014, at 16:19:55
Ah well, that's 'good' to hear. Indeed, every time I go up with the dose it's so hard to handle....
Posted by oceansun on October 29, 2014, at 18:43:31
In reply to Parnate and tiredness, posted by Damiaan on October 28, 2014, at 4:29:33
Hmm, maybe the tiredness is simply due to the low blood pressure? If it's really low you could take Florinef while your body adjusts, it's a steriod that increases blood pressure. It helped me a lot with the hypotension from Nardil.
Posted by kirkglen on November 18, 2014, at 9:13:23
In reply to Parnate and tiredness, posted by Damiaan on October 28, 2014, at 4:29:33
Damiian
I tried Parnate and could't get over being tired all the time. I switched to Gavis Nardil and now have all the energy I need.
Started at 45mg /day. After one week went to 90mg/day for eight weeks before it kicked in. Then I reduced to 60mg/day over a one week period.
Posted by Damiaan on November 18, 2014, at 15:42:57
In reply to Re: Parnate and tiredness, posted by kirkglen on November 18, 2014, at 9:13:23
Hi kirkglen,
Thanks for your reply.
May I ask. Did you bring down the Parnate to 0 mg and started to raise the Nardil? Or did you do a 'hard-switch'?
I was talking today about this with my Psychiatrist and he had to check it out.
And : It's quite a long time , 8 weeks before it started to work , pfff.Anyway very fine for you that it works!
Greetings, Damiaan
Posted by kirkglen on November 18, 2014, at 15:58:33
In reply to Re: Parnate and tiredness, posted by Damiaan on November 18, 2014, at 15:42:57
Parnate did have it's days when I felt great. Then the next day I couldn't get out of bed. Totally depressed and tired.
As to Nardil I started it a right after Parnate. I was using Greenstone Nardil and it didn't help at all. After 2 years I changed to Gavis. I started at 45 mg/day and within a week I was at 9omg/day. It took 8 weeks to kick in. Then I reduced to 60mg/day. 8 weeks sounds like a long time but 2 years is quite a bit longer
This is the end of the thread.
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