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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Maxime on May 25, 2005, at 12:31:47
Hey Scott. I was wondering why you combined Nortrip with the Parnate. What does it do for you that the Parnate doesn't?
Thanks.
Maxime
Posted by Phillipa on May 25, 2005, at 18:51:54
In reply to SLS .... Why the Nortrip?, posted by Maxime on May 25, 2005, at 12:31:47
Hi Maxime, Isn't the Parnate working as well? It seems as if we're all having a bad time right now doesn't it? Fondly, Phillipa
Posted by SLS on May 25, 2005, at 23:32:48
In reply to SLS .... Why the Nortrip?, posted by Maxime on May 25, 2005, at 12:31:47
Hi Maxime.
> Hey Scott. I was wondering why you combined Nortrip with the Parnate. What does it do for you that the Parnate doesn't?
For the moment, Parnate helps me by giving me more mental energy - sort of stimulant-like. Nortriptyline adds a sort of mood-brightening effect and some added motivation. Combined with Lamictal, I get about 15% improvement (BFD). I do not profit from the cocktail unless an MAOI is combined with a tricyclic.
I can attest to the safety and efficacy of combining MAOI + TCA. When I was 27, a combination of Parnate + desipramine brought me into full remission. However, for reasons I don't want to get into here, my doctor at the time discontinued the combination and never went back to it, but, rather, played around with other things. Now, the combination no longer works.
- Scott
Posted by Maxime on May 26, 2005, at 14:56:07
In reply to Re: SLS .... Why the Nortrip? » Maxime, posted by SLS on May 25, 2005, at 23:32:48
I was hoping that would be your answer :-) I can only add about 25 mg of desipramine because at 75 mg I lactated. I am going to try it. I know it's safe as I have read of other people trying it as well. It's funny how so many things are contraindicated, yet you can still take them.
I hope 25 mg of Desipramine is enough to make a bit of an improvement. I feel the same way you do just on the Parnate.
Have you ever taken Nardil and what did and didn't you like about it?
Thanks Scott.
Maxime
> Hi Maxime.
>
> > Hey Scott. I was wondering why you combined Nortrip with the Parnate. What does it do for you that the Parnate doesn't?
>
> For the moment, Parnate helps me by giving me more mental energy - sort of stimulant-like. Nortriptyline adds a sort of mood-brightening effect and some added motivation. Combined with Lamictal, I get about 15% improvement (BFD). I do not profit from the cocktail unless an MAOI is combined with a tricyclic.
>
> I can attest to the safety and efficacy of combining MAOI + TCA. When I was 27, a combination of Parnate + desipramine brought me into full remission. However, for reasons I don't want to get into here, my doctor at the time discontinued the combination and never went back to it, but, rather, played around with other things. Now, the combination no longer works.
>
>
> - Scott
Posted by SLS on May 27, 2005, at 8:03:04
In reply to Re: SLS .... Why the Nortrip?, posted by Maxime on May 26, 2005, at 14:56:07
> I was hoping that would be your answer :-) I can only add about 25 mg of desipramine because at 75 mg I lactated. I am going to try it. I know it's safe as I have read of other people trying it as well. It's funny how so many things are contraindicated, yet you can still take them.
>
> I hope 25 mg of Desipramine is enough to make a bit of an improvement. I feel the same way you do just on the Parnate.
>
> Have you ever taken Nardil and what did and didn't you like about it?
Regarding Nardil, there isn't much about it that I didn't like - aside from that it didn't work for very long. I did gain weight on it the first time I took it. I developed cravings for carbohydrates that went uncontrolled. The next few times I was on it, I was also taking desipramine. I did not gain any weight, but I was more restrained in my food intake. The initial inability to have orgasms often disappears within a few months. If the stuff works, that ain't much of a trade-off. Orthostatic hypotenstion usually appears at some point. Again, this is a side effect that can wane with time. If it doesn't, and the stuff is worth staying on, you can add Bethanecol to help prevent the hypotension.Nardil is very tolerable for some people, but not others. I think it has a greater potential to be a "mood brightener" that does Parnate. It is better at relieving anhedonia and increasing interest and enjoyment in engaging in activities.
With Nardil, I would probably limit my choices of a TCA to combine with it to desipramine. Even nortriptyline might be too serotonergic such that a serotonin syndrome might develop. This has been my experience.
- Scott
Posted by Maxime on May 27, 2005, at 19:32:15
In reply to Re: SLS .... Why the Nortrip? » Maxime, posted by SLS on May 27, 2005, at 8:03:04
Well I am sticking with Parnate since I had a bad reaction to Nardil. So I will try adding 25 mg of Desipramine and see what happens. I wish I could add more, but that about all I can tolerate. I will let you know if see in any diffence. I need some mood brightening effects happening as well here ... big time.
Thanks Scott
Maxime
> Regarding Nardil, there isn't much about it that I didn't like - aside from that it didn't work for very long. I did gain weight on it the first time I took it. I developed cravings for carbohydrates that went uncontrolled. The next few times I was on it, I was also taking desipramine. I did not gain any weight, but I was more restrained in my food intake. The initial inability to have orgasms often disappears within a few months. If the stuff works, that ain't much of a trade-off. Orthostatic hypotenstion usually appears at some point. Again, this is a side effect that can wane with time. If it doesn't, and the stuff is worth staying on, you can add Bethanecol to help prevent the hypotension.
>
> Nardil is very tolerable for some people, but not others. I think it has a greater potential to be a "mood brightener" that does Parnate. It is better at relieving anhedonia and increasing interest and enjoyment in engaging in activities.
>
> With Nardil, I would probably limit my choices of a TCA to combine with it to desipramine. Even nortriptyline might be too serotonergic such that a serotonin syndrome might develop. This has been my experience.
>
>
> - Scott
>
>
Posted by ed_uk on May 28, 2005, at 10:31:42
In reply to Re: SLS .... Why the Nortrip? » SLS, posted by Maxime on May 27, 2005, at 19:32:15
Dear Maxi,
>I wish I could add more, but that about all I can tolerate.
I wonder if the desipramine lactation would be a temporary side effect??? ........anyway, I imagine it would be difficult to put up with for even a short time, I don't think I could put up with it.
Love Ed xxxx
Posted by Maxime on May 28, 2005, at 20:08:34
In reply to Re: SLS .... Why the Nortrip? » Maxime, posted by ed_uk on May 28, 2005, at 10:31:42
It really is very painful. :-)
xxxx
Maxime
> Dear Maxi,
>
> >I wish I could add more, but that about all I can tolerate.
>
> I wonder if the desipramine lactation would be a temporary side effect??? ........anyway, I imagine it would be difficult to put up with for even a short time, I don't think I could put up with it.
>
> Love Ed xxxx
This is the end of the thread.
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