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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by cubbybear on May 3, 2003, at 5:25:33
I'm interested in hearing from people who have had real success with Parnate (knocking out their depression)--particularly in regard to how effective they consider it in counter-acting anxiety--i.e. when anxiety was also a symptom or counterpart of the depression.
For me, Parnate has always been the only AD I've had true success with, and yet I'm wondering what others think of its anxiolytic qualities.
Posted by cybercafe on May 3, 2003, at 12:27:38
In reply to Parnate and Anxiety, posted by cubbybear on May 3, 2003, at 5:25:33
> I'm interested in hearing from people who have had real success with Parnate (knocking out their depression)--particularly in regard to how effective they consider it in counter-acting anxiety--i.e. when anxiety was also a symptom or counterpart of the depression.
>
> For me, Parnate has always been the only AD I've had true success with, and yet I'm wondering what others think of its anxiolytic qualities.i found it much more effective than effexor or paxil in counter acting anxiety ..
Posted by MelD on May 3, 2003, at 17:57:08
In reply to Re: Parnate and Anxiety, posted by cybercafe on May 3, 2003, at 12:27:38
I have found that Parnate relieves the anxiety that went hand-in-hand with my depression. It surprised me, because i had expected to experience increased anxiety, but instead i got more energy. Im loving this med.
Posted by cubbybear on May 4, 2003, at 7:09:47
In reply to Parnate and Anxiety, posted by cubbybear on May 3, 2003, at 5:25:33
I didn't mention these facts in my original post: I'm taking 40 mg. Parnate as well as 2.75 mg/day of Klonopin at bedtime to help me sleep. I've been sleeping fine, don't feel as if I have depression symptoms, but have been feeling anxious during the day. Do you think I should a) increase the dose of the Parnate (to 50 mg.), b) increase the dose of Klonopin, or c) just leave this one for my pdoc to decide? This is all very disturbing. . .Parnate has always been my salvation in both areas.
Posted by DissTired on May 4, 2003, at 15:39:01
In reply to Re: Parnate and Anxiety--Now What?, posted by cubbybear on May 4, 2003, at 7:09:47
I had success but then poop-out on Parnate. But when I had success it was great! However, I had to lower my dose becuase of somethong like anxiety--kind of like I couldn't get certain thoughts out of my mind, a problem I had not had before nor since. Is it possible you need to LOWER your dose of parnate? 30 mgs n=might be fine if you are not depressed right now.
A question for you. I think I saw in an old post that you had restarted parnate after some time away from it. Why did you stop and resart? Was it poop-out and then it worked again later?
I have been off of parnate for years, and nothing really works for me like parnate used to work. Effexor can be OK if I can stand no sex drive, a fuzzy head, and 10 hours of sleep a night. Right now I can't tolerate those side-effects.
I wsa just wondering if I might retry parnate with a chance of success.
Thanks, and good luck!
> I didn't mention these facts in my original post: I'm taking 40 mg. Parnate as well as 2.75 mg/day of Klonopin at bedtime to help me sleep. I've been sleeping fine, don't feel as if I have depression symptoms, but have been feeling anxious during the day. Do you think I should a) increase the dose of the Parnate (to 50 mg.), b) increase the dose of Klonopin, or c) just leave this one for my pdoc to decide? This is all very disturbing. . .Parnate has always been my salvation in both areas.?
Posted by cubbybear on May 5, 2003, at 2:45:32
In reply to Re: Parnate and Anxiety--Now What?, posted by DissTired on May 4, 2003, at 15:39:01
. Is it possible you need to LOWER your dose of parnate? 30 mgs n=might be fine if you are not depressed right now.
I hadn't thought of that but would be very hesitant to try it (unless pdoc suggests it) because all the ingredients that would trigger a relapse of my depression are there now--my life circumstances, which involve strong frustrations about having to do a job I hate, not having enough money to return to the U.S. now, etc.I'm just praying the drug is not pooping out on me. It never did in the past.
> A question for you. I think I saw in an old post that you had restarted parnate after some time away from it. Why did you stop and resart? Was it poop-out and then it worked again later?
You remember well--it was back in the early part of last year, the Parnate was doing fine but I had to return to the U.S. every year for a new supply. So I decided to discontinue it and try one of the newer generation ADs (Remeron) that's available where I live (Thailand). That's when my troubles started. I should never have gone off the Parnate then, had I known all I know now about other ADs and what severe depression feels like.
>
>
Posted by MelD on May 5, 2003, at 19:11:19
In reply to Re: Parnate and Anxiety--Now What? » DissTired, posted by cubbybear on May 5, 2003, at 2:45:32
It sounds as if your circumstances with your job and all would cause anxiety in anyone. Lets hope that is the case, because i am like you and rely on Parnate as a life-saver. Maybe you could take a smaller dose of the Klonopin in the am to take the edge off your daytime anxiety?
Posted by cubbybear on May 6, 2003, at 0:39:46
In reply to Re: Parnate and Anxiety--Now What? » DissTired, posted by MelD on May 5, 2003, at 19:11:19
> It sounds as if your circumstances with your job and all would cause anxiety in anyone. Lets hope that is the case, because i am like you and rely on Parnate as a life-saver. Maybe you could take a smaller dose of the Klonopin in the am to take the edge off your daytime anxiety?
Mel--Why a SMALLER dose of Klonopin to take edge off anxiety.? I would think that one of my options would be to increase the Klonopin (take the 2.75 mg. before bed as usual, then a little during the day). Pls. explain your thinking. Another thing you should know is that, in the process of decreasing from 3+ mg., Klonopin, I ran into some trouble with withdrawal effects about 3 weeks ago and had to resume the higher dose. It's all very complicated.
Also, I will send separate reply to DissTired on his suggestion about reducing the Parnate dose.
Posted by cubbybear on May 6, 2003, at 0:46:40
In reply to Re: Parnate and Anxiety--Now What?, posted by DissTired on May 4, 2003, at 15:39:01
> I had success but then poop-out on Parnate. But when I had success it was great! However, I had to lower my dose becuase of somethong like anxiety--kind of like I couldn't get certain thoughts out of my mind, a problem I had not had before nor since. Is it possible you need to LOWER your dose of parnate? 30 mgs n=might be fine if you are not depressed right now.
You know, at first, I was skeptical about lowering the dose of Parnate, as you know. but then you got me thinking. I looked at the package insert and it says, "Parnate may aggravate coexisting symptoms of anxiety in depression" and --more to the point, "Anxiety and agitation might be evidence of excessive therapeutic action. Lower the dose or add phenothiazine tranquilizer concomitantly."
So I guess perhaps the 40 mg. dose may be overstimulating me, and what I've been calling anxiety is really an agitation of sorts. Very hard to sort this out. I'm about to start with a new pdoc, so this will certainly give her something to think about.
>
>
Posted by MelD on May 11, 2003, at 18:01:58
In reply to Re: Parnate and Anxiety--Now What? » MelD, posted by cubbybear on May 6, 2003, at 0:39:46
Im sorry my original comment was unclear. What i meant was to add Klonopin in the daytime. I assumed you were taking the higher dose only at bedtime and none during the day. Good Luck with everything. I too take Parnate and Klonopin, and find it is the right combo for me.
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