Posted by Vincent_QC on December 23, 2008, at 9:45:49
In reply to Re: Whats your sleep med? If bad Med induced insom » Vincent_QC, posted by ParnateStarted2008 on December 21, 2008, at 16:40:45
> Hi Vincent, how are you, I dont think I answered all your questions.. and If I did they may be scrambeled all over in other messages or not strait foreward so here they are (for this post)
> - No I have no libido problems on Parnate. It actually is pro-libido. Nardil also gave me sexuale side effects and Paxil was the worst. Every SSRI/SNRI gave me delayed orgasmia. Paxil was the worst because I had absolutely 0 sex drive, none, zip. when I tried other ssris/snris I was a bit better but still really nervous about my ability so it really sucked. That was the main worst side effect of all the Ad's Ive had. I went back on paxil 2x after my first time and the libido side effects werent 'as' bad but still bad. Wellbutrin was too much! it was pro-libido but tooo much pro, if you know what i mean. I wouldnt have been able to last more then 20 seconds with a girl on Wellbutrin and it was horrible for anxiety , made me much worse. Parnate is pro/neutral, thats why I like it and am giving it a good full trial.
> - I take 40mgs around 7am and 30 mgs around 11 am. Both doses make my heart beat fast for about an hour. I find I get a better responce to Parnate if I eat it with food, even tho it says you dont have to. It somehow makes the NE/Epinephrine work like a stimulant better when I take the dose with food. you can try all 30mgs in the morning at once, it "may" help with insomnia. that didnt help me. I would stick dosing before 1200pm if you have insomnia.. that just my opinion. If the drug really starts working (like it has for me) it doest matter when I dose, insomnia is forever the same. I believe tthis will get better with time. ya finding a proper sleep med is hard! with me and you both trying different stuff hopefully we can help each other with sleep..
> talk to you later..
> chowHi Mister ;-)
Well, Im so so today. I'm late in the post reading, sorry...I had a busier day yesterday... Im always wondering if you are the guy from the west of Canada??? My memory is so good!!! lolI'm now at 30mg/day since 3 days...and I find the Parnate effect to not being stable in my blood. Maybe the short half-life of this medicine makes this effect on me. Its also hypothetic that my Maos enzymes are not already completely destroyed, so its why I dont feel a constant effect of the Parnate. They say it has a rapid onset of action on the destruction of the enzymes, but its probably relative to the dosage.
For now, the major concern is about my blood pressure and the hypotension orthostatic (I wait to begin my Florinef pills; if it gets worse I will begin to take them).
I have hypotension problems especially when I climb stairs, not from the classic sit to standing position. If I climb stairs, Im being blind for a couple of seconds and I feel like I will faint or do syncope. I also do a little bit of tinnitus, thats happening often on Nardil but its less bad with the Parnate because I dont feel it always. Its more present since I up my dosage to 30mg/day 3 days ago. I just have to stick to the 30mg/day for a couple of weeks I think.
I already up my dosage more fast that what my psychiatrist wantedI see my family doctor the 7th January for others health problems, and I will have to ask to him a newer prescription because I will not have enough pills to continue at 30mg/day until I see the psychiatrist the 14th January. I think I will ask to my family doctor to prescribe it to me at a more higher dosage, like 60mg/daywith him it will be more fastthe new psychiatrist seem too slow for me, I liked his approach at first, but now that I feel something good from the Parnate, I want to explore the possibility of a remission more fast. I always want to go too fast, but I think that lost another 3 or 4 months on a too much low dose will not help me, if I ended up to not improve more than this on the Parnate, I need to know it sooner. I will be able to switch to something else faster
My blood pressure is higher since I start the parnate. I'm reach the acceptable limit of 140/90...and my pulse is a LOT more slow than usual around 50p/m. I'm not worried about the blood pressure, I know with time it will get better, but my slow pulse makes me feel tired and I can feel strong heart palpitations. Maybe Im not helping my cause by drinking a lot of coffee like I do but I need energy for the evening and its the way I found to help me. Last summer I stop my entire caffeine intake, even cola drinks and I had insomnia also, so caffeine is not a problem I think.
I know also that my health condition is not at his best. I don't eat well, I smoke a lot of cigarettes, I don't do exercises. I gain more than 40 pounds since 5 months, so that's not helping a lot but normally my blood pressure is low, 110/60 maximum, so I can tell that I see a difference and it's not just coming from my health condition, my body just need some times to adjust to the Parnate. In other hand, yeah I want to be in a more good health, I want do begin to do exercises, I want to stop smoking, but to be able to change something in my life, I need to feel more well and to feel more well I have to find the good medicine and I think I will be able to do something with the Parnate.
I understand that we are all different, I don't argue on that statement. I also understand we all need different dosage. Normally, I need a higher dose to find something effective or to see at least a small difference and amelioration of my state. I always take high dose of all the drugs I try. I don't abuse them; I just need higher dose. I think it's common to need a higher dose for social phobia and general anxiety problems when depression is not the main problem but just co-morbidity.
I'm sorry if sometimes I don't express myself very well, I mean that my English is not top notch...I do my best ;-) This paragraph don't fit with the rest...but well, thats me, no structure at all in my life..lol
For the over the counter antihistamines question, I can answer "yes", they loose their effectiveness very fast on me, in fact they tend to make me feel more anxious and agitated now, it's why I want to try the "Unisom2" with Doxylamine succinate, since I never try it but I read a lot about it and it seem to be a good choice. But I have to wait, I have no money left in my pocket and I will not be able to buy them until the beginning of January.
The two doctors I see will never prescribe to me the Trazodone as a sleep aid, they are strict on this!!! I understand they don't want to be responsible if I have a serotonin syndrome, but I also think this dangerous interaction is overrated...and I also think it's not dangerous to take them together, at a low dose of course. I have to forget for now the Trazodone option, but the Seroquel regular version not the XR will maybe help me more. Maybe with it, I will encounter the day sleepiness I get with the Seroquel-XR version???? Do you think??? Since its half-life in the blood of the regular version is shorter than the XR version, do you think I will be in the fog the day after? 25 mg of regular seroquel can help no?
For now, it does seem that I have insomnia one night on two. Two nights ago, I sleep 6 hours in a row, so yesterday I felled energise and optimist...but with the regular loose of energy especially in the evening. Last night, I sleep 3 hours, so this morning I feel tired and I have this regular headache again and a negative feeling about the day to come, like I already know in my head that I will be tired all day long and not in a good shape. It's why I told you at the beginning of this message that I find the Parnate to not be stable for now. Maybe it's not the Parnate at all...I was like this before I begin it.
Well it seem that I answer a lot of my questions alonelol
Pro-libido...ok...you're lucky!!! Are you like this normally or the Parnate that make you like this? (I know, its a personal question).
I never had a big libido but I think it's more related to my "body" image, the fact that I had morbid obesity and a lot of extra skin all over my body , its a leftover from my gastric surgery I had back in 2001...I can't look at me nude so I will not let others people see me nude also...sorry to be crude like this...lol BUT, well in order, I can say that Paxil was the worst of all the drugs I try. I was on it for 4 years, 50 mg day, one blue pill and one pink...It was crazy, I was not able to reach orgasmia, Zoloft, Prozac and all the others SSRI's are the same but less problematic, I was able to reach orgasmia but it was long before it happened. On Effexor-xr, I never had this problem and on Wellbutrin-xr it was ok...but I also totally hate wellbutrin-xrI was working in a supermarket at the time and I was over anxious with the clients I hiding myself in the back-store often
The others drugs like TCA's are not very good for libido...on my experience...Elavil especially. Anticonvulsive drugs (Lyrica, Gabapentin) are ok also, no problem on them...Nardil was killing me...I had a lot of difficulty with sex on it. In fact, I think my sexual life stop with the Nardil experience back in the beginning of 2007...Ok, I have 2 hands (you understand what I mean...lol) but Im talking of sex with someone else... Since then, I never had an active sexual life and I don't feel the need to have one (with someone else)...alone it's another thing. On the Parnate, some day it's ok for the libido....others day I have no sex drive at all, thats not consistent. For now, my libido is not a big deal; I just hope to feel better in my skin and more useful in life.
I divide my dose like you do for Sunday and Monday 20mg in one shoot around 7-8AM...and I take the other 10mg before 12PM. Today I try the complete 30mg at one shoot, I take it 3 hours ago, I can feel my heart racing a little bit and a strange sensation in my head, but maybe its in my imagination, because I know its a stimulant drug I imagine all of thatmaybe notI have to take my blood pressure to seeI hope I will get use fast. Tomorrow will be another dayand probably bettereven if its my SUPER family Christmas dinner and I hate it!!! lol
I can already say that the Parnate is the most effective drug I try in years for now, even if it's not constant in my blood. I feel more sociable, I also improve a lot in my benzo drugs intake. Sometimes, I completely forgot to take my valium pills. I normally take 20mg/day divided in 4 doses but now with only 10-15mg/day Im okI take it only because I can feel the craving of it from my brains, you know, the strange effect in the head, like youre brain moveLike I already write before, its freaking me out a lot!!! I wonder if thats really true the thing about the seizures problem when someone stops cold turkey benzo drugs after many years on them. I succeed to reduce a lot my benzo consummation, I switched from powerful benzo drugs like Xanax or Rivotril to less strong benzo drugs so often, and I never do a seizureeven if I withdraw fast of thembut I never stop them completelyValium was use every time I come off of themBut I Want to stop the valiumSomeone can answer to this question (seizure risk)? Do you think I will have to withdraw very slowly, like reducing my Valium intake by 1mg week??? Ashton book recommend itI know, I can see a lot obsess with this problem, but thats killing meI will never understand why doctors continue to prescribe benzo drugsthey are so powerful and addicting. People dont realize their dangerous effects. They slow down the electric impulse in the brains, when in other hands the AD makes the electric impulse and exchange between different neurons more effective, thats a non sense for me.
I don't think the Parnate worst my insomnia condition, because it was there before it. I'm just tired to do insomnia because I do it since a long time now, more than 4 years.
Well thats all for now folks! Thanks for your answer to all my questions, you are very nice to help me like you do. I hope that everything is fine with you for now and I hope also you will have a fun and nice Christmas ;-)
Take care of you and keep posting update okI will do the same!!!
Ciao!
poster:Vincent_QC
thread:866872
URL: http://www.dr-bob.org/babble/20081223/msgs/870448.html