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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by ace on July 27, 2003, at 22:49:12
Stop Nardil cold turkey today
Use 10mg nocte Zyprexa for insomnia/w/drawal sx from Nardil
Commence Parnate next Monday (7 days time)I'm friggin' depressed and confused right now.
Ace.
Posted by cubbybear on July 27, 2003, at 22:59:00
In reply to My plan: please advice....Parnate etc, posted by ace on July 27, 2003, at 22:49:12
> Stop Nardil cold turkey today
>
> Use 10mg nocte Zyprexa for insomnia/w/drawal sx from Nardil
>
>
> Commence Parnate next Monday (7 days time)
>
> I'm friggin' depressed and confused right now.
>
> Ace.I don't understand. You were raving about Nardil. Did it poop out? What happened?
Most important--do NOT stop any drug cold turkey. You will surely regret it. And when switching to another MAOI, you have to wait--it's either one week or two weeks before starting the Parnate. Check with the doctor.
Be very careful on this one.
Posted by SLS on July 27, 2003, at 23:31:23
In reply to My plan: please advice....Parnate etc, posted by ace on July 27, 2003, at 22:49:12
Hi Ace.
Out of curiosity, which mood-stabilizers have you been on? Are you sure that you are giving these things enough time to work? Perhaps you should start thinking in terms of weeks or months rather than days. (That's a lot easier said than done). Like I said in a previous post, the course of recovery from depression is not a steady slope. There are hills and valleys of brain activity as the system seeks a new balance in the presence of an altered, but *stable* environment.
Parnate is a good drug. I have found it easier to work with than Nardil because the side effects are less intense and the tendency towards serotonin syndrome when adding tricyclics is reduced. With Nardil, the only tricyclic I could get away with was desipramine. With Parnate, I could add imipramine and nortriptyline. (SSRIs and Effexor are contraindicated). Perhaps you will need high dosages of Parnate - like 120mg. I don't think you can draw any conclusions until you give a dosage like 60mg at least 4 weeks to work. Waiting sucks.
- Scott
This is the end of the thread.
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