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Re: Choosing Parnate or Marplan (or Nardil) » timidly

Posted by don_bristol on October 15, 2003, at 2:21:46

In reply to Re: Why am I walking and talking SLOWLY on Nardil?, posted by timidly on October 14, 2003, at 21:51:16

--------QUOTE -------
Yes and no. About a month or so after I started Nardil my pdoc started me on Ritalin to combat the slowness and fatique. The combination has worked quite well for me for many years. Even though that was 30 years ago it is still very vivid in my mind. My situation now is very different than yours. After 30 years the Nardil is no longer enough to keep me going. There are no new classes of antidepressents on the horizon, and none of the existing ones help me. My pdoc has told me to prepare for permanent disability. All the extra meds are his last ditch attempt to postpone the inevitable. He said the Provigil was his last shot, and there was nothing more he could do. Parnate is much more activating/stimulating than Nardil. I had severe side effects with Parnate, and it aggrevated my anxiety problems. Both Parnate and Nardil are MAOI antidepressents. Nardil has the advantage that it helps with quite a few other things, for me these included constant anxiety, social anxiety, panic attacks, paranoia, OCD, etc. There are a lot more options now than I had 30 years ago. Talk to your pdoc about which options make sense in your case.
-------- END QUOTE -------

Timidly, thank you for your information. I am in the UK and I have just started Nardil for atypical depression and dysthmia.

I have begged and bowed to get my pdoc and my GP to prescribe ritalin or any other minor stimulant but they are adament that they can not give me such a thing. The frequent therapeutic use of the sorts of meds are still relatively new in the UK (we ares till struggling to recognise things like ADHD). So, sadly, that is not an option for me.

I suspect I will have to change from Nardil. The results I have been getting from Nardil are nothing like as good as you have had.

You may or may not know that we in the UK still have Marplan. I get the feeling it is closer to nardil than it is to Parnate. QUESTION 1: do you or anyone else here know if that is true as I see my pdoc *tomorrow* and would like to propose a change.

On the other hand, if I get something stimulating then maybe it will be good for me and help to energise me although I suspect will have to medicate myself with sleeping tablets.

QUESTION 2: Do you think that if Nardil did not work well for me (it worked a little although I guess it is early days) then maybe I should go for Parnate as it is supposed to be somewhat different.

BTW we also have Moclobemide which you guys don't. That was a really good med for me although it pooped out after only a few months. Maybe you can import either Marplan or Moclobemide if Parnate is not going to be a good alternative for you.

Thanks to you or anyone else for amy info.


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poster:don_bristol thread:267762
URL: http://www.dr-bob.org/babble/20031010/msgs/269568.html