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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by wsj on October 26, 2003, at 23:55:39
after about 6 weeks on lexapro 10-20mg i've decided to give up on ssri's & snri's and go to parnate. i'm picking parnate over nardil because i've always felt like i could use more energy. this board also shows better sexual response w/ parnate. my hope is that parnate will be my miracle drug that lets me live the second half of my life happy and successful.
i've read 2 weeks washout lexapro to parnate. i'm wondering if i need to taper the lexapro or just stop cold turkey > the sooner i can start the parnate the better. would like to have full effect by christmas.
Posted by cybercafe on October 27, 2003, at 16:45:10
In reply to *lexapro - to - parnate*, posted by wsj on October 26, 2003, at 23:55:39
> after about 6 weeks on lexapro 10-20mg i've decided to give up on ssri's & snri's and go to parnate. i'm picking parnate over nardil because i've always felt like i could use more energy. this board also shows better sexual response w/ parnate. my hope is that parnate will be my miracle drug that lets me live the second half of my life happy and successful.
> i've read 2 weeks washout lexapro to parnate. i'm wondering if i need to taper the lexapro or just stop cold turkey > the sooner i can start the parnate the better. would like to have full effect by christmas.
i was on a high dose of celexa... 60 mg... went down to 40 then 20 fast .. .was supposed to stay on 20 longer then go to 10 but i already felt depressed so i just stopped..... got mild dizziness (very mild) symptoms from stopping early, but they were much more tolerable than the depression that came when lowering my dose so for me personally it was worth going off fast...... heck i've done it with effexor so it should be no problem with a nice drug like celexa or (presumably) lexaproit's your personal choice... depending on how bad your depression is at each dose (or none) and how bad the side effects are ....
but i'm glad to see another person give an maoi a try.... i felt better after my first dose of parnate (placebo? maybe, but it's lasted a week so i'm happy)
good luck on parnate..... now you are cool, and can join the maois yahoo group :)
Posted by ace on October 27, 2003, at 20:14:05
In reply to *lexapro - to - parnate*, posted by wsj on October 26, 2003, at 23:55:39
> after about 6 weeks on lexapro 10-20mg i've decided to give up on ssri's & snri's and go to parnate. i'm picking parnate over nardil because i've always felt like i could use more energy. this board also shows better sexual response w/ parnate. my hope is that parnate will be my miracle drug that lets me live the second half of my life happy and successful.
> i've read 2 weeks washout lexapro to parnate. i'm wondering if i need to taper the lexapro or just stop cold turkey > the sooner i can start the parnate the better. would like to have full effect by christmas.Good choice! I'd personally stop cold turkey or half your dose for 2 days then stop...but we are all different. Good luck with the Parnate...make sure you keep us posted!
Ace.
Posted by cubbybear on October 27, 2003, at 23:02:37
In reply to *lexapro - to - parnate*, posted by wsj on October 26, 2003, at 23:55:39
> after about 6 weeks on lexapro 10-20mg i've decided to give up on ssri's & snri's and go to parnate. i'm picking parnate over nardil because i've always felt like i could use more energy. this board also shows better sexual response w/ parnate. my hope is that parnate will be my miracle drug that lets me live the second half of my life happy and successful.
> i've read 2 weeks washout lexapro to parnate. i'm wondering if i need to taper the lexapro or just stop cold turkey > the sooner i can start the parnate the better. would like to have full effect by christmas.Well, let's look at this way. If you stopped the Lexapro cold turkey today, Oct. 28 (something which I personally would never do, but that's up to you), then waited 2 weeks for the washout, you'd be able to start the Parnate around Nov. 12. Since it normally takes about 3-4 weeks to kick in, there's only a remote chance you'd be feeling better in time for Thanksgiving (at which time, you would almost assuredly be able to give thanks). But most likely you'll be able to really enjoy the Xmas holidays, and feel sufficiently galvanized to go on a shopping spree, and buy a few gifts for yourself.
Good luck, especially with a fast phaseout of the Lexapro.
Posted by wsj on October 30, 2003, at 18:50:22
In reply to Re: *lexapro - to - parnate*, posted by cybercafe on October 27, 2003, at 16:45:10
i know you have mentioned b/f but what dosages of parnate are you taking. also cubby have you gotten off klon > and can you sleep?
Posted by cubbybear on October 30, 2003, at 23:17:12
In reply to *lexapro - to- parnate* cubby? cyber?, posted by wsj on October 30, 2003, at 18:50:22
My maintenance dose of Parnate is 30 mg./day.
With the Klonopin, my tapering is going very slowly but pretty well. I'm now down to .75 mg./day and making decreases of only .125 mg every 10 days or so. I can predict that, with each decrease, I'll get a couple of nights of insomnia and/or some irritability. If I don't run into problems at the very low doses, I estimate that I'll be finished once and for all in about 2-3 months.
Posted by cybercafe on October 31, 2003, at 2:42:06
In reply to *lexapro - to- parnate* cubby? cyber?, posted by wsj on October 30, 2003, at 18:50:22
> i know you have mentioned b/f but what dosages of parnate are you taking. also cubby have you gotten off klon > and can you sleep?
i am taking a mere 30 mg of parnate
Posted by cybercafe on October 31, 2003, at 2:43:04
In reply to Re: *lexapro - to- parnate* cubby? cyber?, posted by cubbybear on October 30, 2003, at 23:17:12
> My maintenance dose of Parnate is 30 mg./day.
hey cubby, how much were you taking before your maintenance dose ?
>
> With the Klonopin, my tapering is going very slowly but pretty well. I'm now down to .75 mg./day and making decreases of only .125 mg every 10 days or so. I can predict that, with each decrease, I'll get a couple of nights of insomnia and/or some irritability. If I don't run into problems at the very low doses, I estimate that I'll be finished once and for all in about 2-3 months.
Posted by cubbybear on October 31, 2003, at 7:44:27
In reply to Re: *lexapro - to- parnate* cubby? cyber?, posted by cybercafe on October 31, 2003, at 2:43:04
> > My maintenance dose of Parnate is 30 mg./day.
>
> hey cubby, how much were you taking before your maintenance dose ?
>
It's always been 40 mg. as start up dose to knock out the depression then down to 30 mg. maintenance. For a brief period in '97, I had to go to 50 mg. to get the stuff moving along and my depression was very bad then. But last year, even with depression that had me immobilized, I was happy to see it fade at just 40 mg. I guess I feel the way I do about Parnate the way Ace feels about Nardil.
Posted by cybercafe on November 1, 2003, at 19:29:21
In reply to Re: *lexapro - to- parnate* cubby? cyber?, posted by cubbybear on October 31, 2003, at 7:44:27
> > > My maintenance dose of Parnate is 30 mg./day.
> >
> > hey cubby, how much were you taking before your maintenance dose ?
> >
> It's always been 40 mg. as start up dose to knock out the depression then down to 30 mg. maintenance. For a brief period in '97, I had to go to 50 mg. to get the stuff moving along and my depression was very bad then. But last year, even with depression that had me immobilized, I was happy to see it fade at just 40 mg. I guess I feel the way I do about Parnate the way Ace feels about Nardil.
sounds really good.... you're not bipolar at all, are you?
Posted by cubbybear on November 2, 2003, at 0:59:37
In reply to Re: *lexapro - to- parnate* cubby? cyber?, posted by cybercafe on November 1, 2003, at 19:29:21
>> > > hey cubby, how much were you taking before your maintenance dose ?
> > >
> > It's always been 40 mg. as start up dose to knock out the depression then down to 30 mg. maintenance. For a brief period in '97, I had to go to 50 mg. to get the stuff moving along and my depression was very bad then. But last year, even with depression that had me immobilized, I was happy to see it fade at just 40 mg. I guess I feel the way I do about Parnate the way Ace feels about Nardil.
>
>
> sounds really good.... you're not bipolar at all, are you?Not at all. . .the last time I had a DX was about 17 yrs ago, when I started getting depressive episodes and my pdoc called it Major Depression. But I know that my depression doesn't neatly fit the screwy categories of the DSM. I get nearly all th symptoms of Major Depression (incl.early awakening, loss of appetite and weight) but also bad anxiety and heart palpitations. So what is this? Atypical depression or not? Whatever it is, the Parnate knocks out all the symptoms.
Posted by cybercafe on November 3, 2003, at 16:28:35
In reply to Re: *lexapro - to- parnate* cubby? cyber? » cybercafe, posted by cubbybear on November 2, 2003, at 0:59:37
> Not at all. . .the last time I had a DX was about 17 yrs ago, when I started getting depressive episodes and my pdoc called it Major Depression. But I know that my depression doesn't neatly fit the screwy categories of the DSM. I get nearly all th symptoms of Major Depression (incl.early awakening, loss of appetite and weight) but also bad anxiety and heart palpitations. So what is this? Atypical depression or not? Whatever it is, the Parnate knocks out all the symptoms.
sounds like melancholic depression (less sleep, less appetite, weight loss, no mood reactivity) ... atypical is more like more sleep, more appetite, weight gain, mood reactivity
maybe that's why my doc won't let me increase my parnate dose, because i'm bipolar, hmmmmmmm.... but this mood stabiliser is doing so well
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