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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by g_g_g_unit on November 3, 2009, at 0:19:27
today was the first take i didn't take any parnate (tapered down from 40mg, dropping 10mg every 3 days). i feel this weird tingling senstation throughout my whole body. it doesn't hurt, but isn't exactly pleasant either. sound normal? anything to worry about?
Posted by emmanuel98 on November 3, 2009, at 1:02:08
In reply to parnate withdrawal, posted by g_g_g_unit on November 3, 2009, at 0:19:27
Parnate is an irreversible MAOI, which means the neurotransmitters it effects stay high until your brain starts producing MAO again, about two weeks after you stop. So you wouldn't expect withdrawal effects after a day. You said you were hypersensitive to side-effects, so maybe you are anxious and hypersensitive to withdrawal effects.
You asked earlier about hospitalization. I've been hospitalized several times for suicidal depression and always found the docs very sensitive to what I wanted and didn't want to do in terms of meds. They won't force you to take something you don't want unless you're delusional and refuse all meds.
But staying in the hospital for the entire washout period and then until nardil starts working may be a problem. In the states, insurance companies won't pay for such a long hospitalization unless you're a danger to yourself. But you say you're not from the states, so it might be different in your country.
> today was the first take i didn't take any parnate (tapered down from 40mg, dropping 10mg every 3 days). i feel this weird tingling senstation throughout my whole body. it doesn't hurt, but isn't exactly pleasant either. sound normal? anything to worry about?
Posted by g_g_g_unit on November 3, 2009, at 3:12:22
In reply to Re: parnate withdrawal, posted by emmanuel98 on November 3, 2009, at 1:02:08
thanks for your response. this effect is very real however. i can feel a weird tingling throughout my head, as well as hands and feet (anxiety alone has never produced that effect in me). i searched the archives and gathered it might be from elevated blood pressure. i was just scared i might have tapered too fast (the whole 2-week MAO thing notwithstanding).
also, i spoke to my psychiatrist. he advises against hospitalization where i live, stating that public treatment ain't that great. i wasn't expecting to spend the washout there. just the Nardil titration. my family's agreed to basically stay by my side throughout the withdrawal, and we also came up with some ideas about what i should do next, though i won't bore people with the particulars.
Posted by Maxime on November 3, 2009, at 3:39:56
In reply to parnate withdrawal, posted by g_g_g_unit on November 3, 2009, at 0:19:27
I guess it's normal what you are feeling but I wouldn't worry about it. Sounds like normal withdrawal symptoms. If things get really bad you can always take a 10 mg pill of Parnate and see if that help.
Good luck.
Posted by Phillipa on November 3, 2009, at 9:59:37
In reply to Re: parnate withdrawal » g_g_g_unit, posted by Maxime on November 3, 2009, at 3:39:56
I never realized how hard it must be to go from a med to nothing for two weeks and then start something again. I really feel for you. Stay safe. Glad your family is with you. Phillipa
Posted by emmanuel98 on November 3, 2009, at 10:08:03
In reply to Re: parnate withdrawal, posted by g_g_g_unit on November 3, 2009, at 3:12:22
I know that when I came off SSRI's, I too had lots of tingling sensations. They're called parasthesias. Harmless but annoying. That might be what you're feeling.
> thanks for your response. this effect is very real however. i can feel a weird tingling throughout my head, as well as hands and feet (anxiety alone has never produced that effect in me). i searched the archives and gathered it might be from elevated blood pressure. i was just scared i might have tapered too fast (the whole 2-week MAO thing notwithstanding).
>
>
Posted by delna on November 5, 2009, at 5:20:06
In reply to parnate withdrawal, posted by g_g_g_unit on November 3, 2009, at 0:19:27
> today was the first take i didn't take any parnate (tapered down from 40mg, dropping 10mg every 3 days). i feel this weird tingling senstation throughout my whole body. it doesn't hurt, but isn't exactly pleasant either. sound normal? anything to worry about?
As already mentioned by another poster, this also happens when you come off other ADs.
It's common and pretty harmless so, no I would not worry.
Hope you are feeling okay otherwise though. I am nearly fully withdrawn from it- just a few days left!.
Take care
D
Posted by g_g_g_unit on November 5, 2009, at 15:45:08
In reply to Re: parnate withdrawal » g_g_g_unit, posted by delna on November 5, 2009, at 5:20:06
> Hope you are feeling okay otherwise though. I am nearly fully withdrawn from it- just a few days left!.
> Take care
> Dthanks. i actually feel a lot happier than when i was on Parnate! i know it's just a rebound effect though, and am dreading the depression returning.
i hate to sound like a hypochondriac but one other side-effect is that my vision is really blurry. and no this isn't anxiety-related - i actually have trouble seeing in long distances ... you know that sensation where you kinda just wanna rub your eyes to clear things up, like you're half asleep? my vision never seems to clear up. again... scary.
hope you're feeling okay too delna. just trying to ponder my next step. you've definitely got me interested in Geodon ...
Posted by FredPotter on November 9, 2009, at 19:25:42
In reply to Re: parnate withdrawal » delna, posted by g_g_g_unit on November 5, 2009, at 15:45:08
I've just givem up Parnate as well as I was always exhausted and my joints hurt etc. This is my 4th day without it. I am taking nortriptyline 75mg at night though and plan to introduce Zoloft after a while (30 days?)
Posted by Phillipa on November 9, 2009, at 21:33:02
In reply to Re: parnate withdrawal, posted by FredPotter on November 9, 2009, at 19:25:42
Fred I must admit you really stuck in there and gave it more than a fair trial. Don't forget to update. Love Phillipa
Posted by bulldog2 on November 10, 2009, at 10:22:14
In reply to Re: parnate withdrawal, posted by FredPotter on November 9, 2009, at 19:25:42
> I've just givem up Parnate as well as I was always exhausted and my joints hurt etc. This is my 4th day without it. I am taking nortriptyline 75mg at night though and plan to introduce Zoloft after a while (30 days?)
Are you getting any results from the nortriptyline. Less depression and less pain? Once you start zoloft will you stay on the nortriptyline? There's one p-doc and on his website he states he likes zoloft and nortriptyline.
Posted by delna on November 10, 2009, at 16:22:37
In reply to Re: parnate withdrawal, posted by FredPotter on November 9, 2009, at 19:25:42
> I've just givem up Parnate as well as I was always exhausted and my joints hurt etc. This is my 4th day without it. I am taking nortriptyline 75mg at night though and plan to introduce Zoloft after a while (30 days?)
30 days? Why so long? I gave it 2 weeks and just started Effexor. Hmm...I wonder if its safe but I read that it was 2 weeks.
Is the nortriptyline zonking you out the next day? I found the sedation from that worse than the Parnate's. But I do hope it 'covers' you from the depression while you wait it out.
I wish you luck with the withdrawal.
TC
D
Posted by FredPotter on November 10, 2009, at 21:13:09
In reply to Re: parnate withdrawal » FredPotter, posted by delna on November 10, 2009, at 16:22:37
Thanks for the encouragement everyone. Yes 14 days washout before I start sertraline. The plan is I continue on nortriptyline 75mg every night and add in the sertraline. I don't feel very drowsy the next day on nortrip. I'm pretty sure the Parnate was doing that, along with an inner agitation which I found unbearable. I mentioned doxepin for sleep 10-20mg. I believe it's an anti-histamine too with sleep-inducing effects that can last into the next day.
So in a few days I'll get sexual dysfunction. Not ideal for starting a relationship at my age (63). What's more a relationship would probably be more effective as an anti-depressant than sertraline
Oh well I'll wait and see. Any tips for overcoming it, like bromocryptine, Periactin?
Parnate didn't interfere with sexual feeling, but I felt half-dead anyway. Remember folks this is just me. Other people react differently
Fred
Posted by Phillipa on November 11, 2009, at 20:12:09
In reply to Re: parnate withdrawal, posted by FredPotter on November 10, 2009, at 21:13:09
Fred that's extemely young for a male. No females on the horizon hummm. Love Phillipa ps now this my opinion only men seem to age and become distinguished looking.
This is the end of the thread.
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