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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 2 of 2. This is the beginning of the thread.
Posted by James H on May 1, 2011, at 21:30:48
In reply to Parnate vs Effexor for Social Phobia, posted by bearfan on November 3, 2009, at 16:03:14
Parnate is cosiderably more powerful, probably the most powerful AD in psychiatry. Effexor is practically only an SSRI until you get to very high doses, and then is only a slight NRI. Parnate increases serotonin, norepinephrine, and dopamine in the brain. Parnate is not associated with significant weight gain or sexual side-effects. Do not let the "old wives' tails" scare you, a trial of Parnate would be perfectly safe, as long as you stop any contraindicated meds and heed the food restrictions. I take Parnate and it's not hard at all. And remember, if you take meds that are not compatible with MAOI's, you must wait two weeks (five weeks for Prozac) after you discontinue the drug before you may begin the MAOI.
Posted by mtdewcmu on May 1, 2011, at 23:17:59
In reply to Re: Parnate vs Effexor for Social Phobia, posted by James H on May 1, 2011, at 21:30:48
I realize this is not a scientific sample, but when working in the hospital, I was given a patient who had had a stroke and was on either Parnate or Nardil. He was in bad shape. It made me wonder if all of the triggers for hypertensive crises have been accounted for and can be prevented, or if there is a lingering risk. I would not want to end up like that.
This is the end of the thread.
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