Posted by SLS on January 9, 2009, at 10:13:56
In reply to Switch from Parnate to (TCAs, Cymbalta)?Help ;-), posted by Vincent_QC on January 9, 2009, at 9:26:21
I couldn't read your entire post, my concentration is a bit off today.
Anyway, if you can't convince your doctor to go higher with Parnate, you can look for another doctor who will, have him consult with a doctor more familiar with MAOIs, or cover his desktop with literature supporting the need to go to 40-80mg.
In my opinion, adding augmenting drugs to Parnate 30mg is a waste of time. These other drugs do not reduce the need for a full therapeutic dosage of Parnate.
You can download the following document as supportive literature:
http://www.slschofield.com/medicine/parnate_high_dosage.doc
Also, see:http://www.dr-bob.org/tips/split/MAOIs-in-high-doses-and-wi.html
http://www.dr-bob.org/tips/split/TCAs-+-MAOIs.html
---------------------------------------------DO NOT add Cymbalta or any other SRI drug to Parnate! The reaction can be fatal. There are two tricyclic drugs that I have added to both Parnate and Nardil safely: desipramine and nortriptyline. Theoretically, trimipramine should be safe as well, but I am unaware of anyone who has tried it.
---------------------------------------------
Once upon a time:
Parnate 120mg
desipramine 300mg
d-amphetamine 20mg
bromocriptine ?mg
throxine ?mcg
- Scott
poster:SLS
thread:872941
URL: http://www.dr-bob.org/babble/20090104/msgs/872944.html