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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 40 to 64 of 64. Go back in thread:
Posted by AdamCanada2 on January 8, 2009, at 12:42:10
In reply to Re: Long response, Augmentation exp at bottom.... » AdamCanada2, posted by JadeKelly on January 7, 2009, at 11:24:52
The problem was that even before when I was on Parnate 10mg for about a month (sensitive to meds), along with weeks on other dosages before that I would have ongoing insomnia to the point where I couldn't be reliable when it came to doing photoshoots or visiting friends.
Higher doses gave me too many side effects and even kneeling down to grab the conditioner would make me dizzy for almost a minute to the point where I would almost fall down in the shower... That would be on 30-40mg Parnate.
So now on 15mg... I tried 5mg melatonin right before going to bed and omg 8-9 hours of sleep? No way. lol. Normally 6 hours of sleep on Parnate would be a ''good'' day.
I hope this amount of sleep continues.
> Hi AdamCanada,
>
> I'm afraid that in the beginning of treatment you are going to have to deal with some insomnia. My PDoc would probably give me something but I did well enough on the 6mg melatonin plus 1mg Klonopin. I Find also that if I am strict about my schedule my body will get used to that. Just know that in time yours will too. As for augmentations, we talked about lithium and lamictal I believe, but you'll want to talk to your PDoc first to find out when you'll get the most benefit from whatever you choose. Actually you CAN have protien shakes, but they need to be Whey, NOT SOY. Just check the ingredients carefully, ask if you're not sure. I drink the Whey but some ARE mixed with Soy so check 1st. Also, you can have coffee. They took that off the NO list. Best advice I can give you is patience. This isn't a quick fix. So do what you think is best for your sleep, but if you have insomnia, you will have it along with most others starting Parnate! I'm at 3 months+ and if I want to I can fall asleep at 7:30pm! Yours will mellow out too.
>
> ~Jade :*)
Posted by JadeKelly on January 8, 2009, at 17:47:08
In reply to Re: Parnate one of the best meds I've tried...., posted by Cseagraves on January 7, 2009, at 21:02:27
>Hi Courtney, I think I answered a post to you on another site, so if I repeat myself...
O.k. - i'm gonna jump into this one even though I haven't actually even started on parnate yet. (Am still weening off last week of Lexapro and then have to take my two-week break before starting the parnate). I've already posted a couple of questions concerning parnate because I am as concerned (probably overly) as the rest of you are who are new to this med. I research everything to the hilt and then some and I read every post.
The less surprises the better!
>
> Jade - one of the sites I went to was askapatient.com and looked at the reviews on parnate in addition to the other maoi's and parnate got the best of all reviews even with all of the interactions. Someone there also made a post about what his pdoc told him to do when it felt like the effects were wearing off. Something about not taking it for a period of time (cold turkey) and then starting back up again. I can't remember everything exactly, but I'm sure you could find the post on there easily and also read some of the other reviews. As for me, I'm sure I will be an even bigger pain than you on here with all of the questions I have. AND SCOTT YOU CAN JUMP IN ANYTIME!!!!AaahhH, did you just call me a big pain with my questions??!! Haha, you HAVE been following my posts! I'm not clear about your question. Do you want to know what to do at 40mg for 3 weeks and any effects you have thus far start to wear off? Personally, I would move on to 50mg and stay there for up to 3 weeks. If you mean consistant steady remission for years that finally wears down/off, I can't comment on that. If its a big concern, I would post that as a specific question. And talk to your PDoc.
>
> I still have so many questions and concerns, because I am already being treated for HBP, so I'm not real clear about how that is going to be handled.Me either, frankly. Did you say that you and your PDoc and cardiologist, or whoever you see for high BP have agreed on this line of treatment? As I think I mentioned before, Parnate is the least forgiving when it comes to BP problems. I would watch this VERY carefully with your Docs if they OK'd this.
I will be asking my pdoc about nifedipine.
Thats what I have.Can I still exercise to the degree that I used to (running five miles a day, weight training) I did this alot before the GAD got really bad and then I became agoraphobic. My hope is that I will be able to do this on the parnate at some point since all ssri's have failed. I just want my life back. I used to be fun, active, outgoing, very sociable and feared nothing (well except flying, but I was at least willing to get on the plane and try). Not now, you couldn't even get me to the airport at this point. Was in nursing school, had a career going, always doing things with my husband and kids. Have always been health conscious and tried every natural approach when the GAD hit a couple of years ago.
>
> Also went to several therapist hoping that they would be the "magic person" that would help. Was told that it probably stemmed from a highly abusive and stressful childhood. (Whatever!!!) I've seen people who have had worse childhoods than mine and they are not like this. Desperate and trying to get through school and raise two sons I gave in to trying ssri's (reluctantly). Tried them all pretty much with the same effect. Great for a couple of months, then would poop out. Had a very active life and don't understand what flipped the switch. Please know that I am not whining, just venting a little. I'm not depressed, just highly pissed. :-)
Courtney, not to cut you off, but if you're not depressed, (Parnate is generally prescribed for TR,depression), and you have high BP, why Parnate? You say you have GAD, Parnate is stimulating and seems an unlikely choice for your condition. Even Nardil is known to be a better MAOI for anxiety AND BP issues. I would re-think this choice, and maybe run a thread asking for best current meds for GAD for someone with High BP. Why do YOU think Parnate a good choice?
>
> I guess to, I'm just wanting everyone to now a little about me since I have been reading your post for quite some time and I will be posting here alot. Sorry. My point before I got on my wagon was that I'm the new parnate "virgin" here since I haven't started it yet and I'm sure I will be posting on a daily basis when I do. And at least I will know more of what to expect thanks to all of you who have already started this med or have taken it before. I am even amazed that my pdoc, knowing how much i was struggling, never suggested maoi's. I brought it up to him, which he was O.K. with, but he was not sure what to do when I asked him about me already taking meds for HBP. I had to call my GP for that one.
>
> I am learning quickly that I will have to be the informed one and seek out most of my answers. Please be ready because I am sure I will be bombarding you with questions over the next couple of weeks and then some. I am thankful for all of the people here and the advice given in your posts to others. Hopefully I can be of some help to others when they first start this med. Didn't mean to babble so long, but I have been on a rollercoaster all day coming off this lexapro. Head won't stop spinning. Think I'll go lay down now. Nice to meet everyone. I'm sure you will be hearing from me again soon. Namaste'
>
> CourtneyWelcome to Babble Courtney! Really hope you'll consider an alternative approach, and ask around about additional choices.
~Jade
Posted by JadeKelly on January 8, 2009, at 18:14:58
In reply to Melatonin 5mg helped sleep! Hope not a coincidence » JadeKelly, posted by AdamCanada2 on January 8, 2009, at 12:42:10
> The problem was that even before when I was on Parnate 10mg for about a month (sensitive to meds), along with weeks on other dosages before that I would have ongoing insomnia to the point where I couldn't be reliable when it came to doing photoshoots or visiting friends.
>
> Higher doses gave me too many side effects and even kneeling down to grab the conditioner would make me dizzy for almost a minute to the point where I would almost fall down in the shower... That would be on 30-40mg Parnate.
>
> So now on 15mg... I tried 5mg melatonin right before going to bed and omg 8-9 hours of sleep? No way. lol. Normally 6 hours of sleep on Parnate would be a ''good'' day.
>
> I hope this amount of sleep continues.
>
>
> > Hi AdamCanada,
> >
> > I'm afraid that in the beginning of treatment you are going to have to deal with some insomnia. My PDoc would probably give me something but I did well enough on the 6mg Melatonin plus 1mg Klonopin. I Find also that if I am strict about my schedule my body will get used to that. Just know that in time yours will too. As for augmentations, we talked about lithium and lamictal I believe, but you'll want to talk to your PDoc first to find out when you'll get the most benefit from whatever you choose. Actually you CAN have protien shakes, but they need to be Whey, NOT SOY. Just check the ingredients carefully, ask if you're not sure. I drink the Whey but some ARE mixed with Soy so check 1st. Also, you can have coffee. They took that off the NO list. Best advice I can give you is patience. This isn't a quick fix. So do what you think is best for your sleep, but if you have insomnia, you will have it along with most others starting Parnate! I'm at 3 months+ and if I want to I can fall asleep at 7:30pm! Yours will mellow out too.
> >
> > ~Jade :*)
Hi Adam!Hope you are doin well, glad to hear you are getting some sleep! You are probably the one person who took my advice about the Melatonin. I think when other prescibed meds aren't even working, its hard to consider that something so easily aquired, off the OTC shelf at any pharmacy, could be so effective. It gives you a good sleep too, doesnt it?
Melatonin:
I doubt its a coincidence, but you may want to play around with it a bit as you need it:
~3mg bedtime (1/2 hour before)
~3mg bedtime, 3mg again if I wake-up
~6mg bedtime, if I know I'm gonna have troubleMy PDoc said 6mg was fine-I buy the Melatonin-Plus, if you do this check to see that added ingredients arent contraindicated with your meds.It could be another 3mg would be ok, that would need an ok from PDoc.
Keep me "posted"!
~Jade
>
>
Posted by Cseagraves on January 8, 2009, at 19:59:21
In reply to Re: Parnate one of the best meds I've tried.... » Cseagraves, posted by JadeKelly on January 8, 2009, at 17:47:08
Jade,
LOL!!! Please know that I wasnt calling you a "pain". I think I read in one of your post, that "you weren't trying to be a pain". I was just stating that I will probably, be a bigger one because I am quite anal. Ha Ha!
I was refering you to that web-site because you were talking about those great days you experienced on parnate and then they went. I just remember seeing a post on there from someone who had been on parnate for awhile and when it stopped working as well, his doc told him what to try. Not real sure where I was going with that one.
Anyhoo, I suggested parnate to my pdoc because I have pooped out on ssri's and he mentioned possibly apathy syndrome (which I read about here also). I asked about parnate because nardil causes weight gain (which I know should not be a huge concern when peace of mind should be a priority), but I had also seen so many more positive reviews on parnate vs. nardil and I am tired of feeling like a guinea pig.
I saw several post of people trying nardil and then having to switch to parnate anyway. I have been reading some posts about sari's. Want to do some research on those, maybe they might be something to try before trying the parnate. I JUST WANT SOMETHING TO WORK!!!! Want my life back.
Just so you know, reading your posts have helped alot. If I should decide on parnate, you'll be the first to know. You're a sweety!!! Thanks for all the info. Think I'll start a thread and ask about info on sari's.
CS
Posted by JadeKelly on January 8, 2009, at 22:22:18
In reply to Re: Parnate one of the best meds I've tried...., posted by Cseagraves on January 8, 2009, at 19:59:21
> Jade,
>
> LOL!!! Please know that I wasnt calling you a "pain". I think I read in one of your post, that "you weren't trying to be a pain". I was just stating that I will probably, be a bigger one because I am quite anal. Ha Ha!OMG-no, its fine!. If you HAVE been following my posts, you'll see that having a sense of humor is a survival mechanism for me, not everyone appreciates it. I can be just as miserable as the next guy and something will just seem funny to me, I don't know. FYI-I'm not sensitive, but some are, you'll have to judge for youself I geuss.
I was a little taken aback with this post. You sound alot like I was.
>
> I was refering you to that web-site because you were talking about those great days you experienced on parnate and then they went. I just remember seeing a post on there from someone who had been on parnate for awhile and when it stopped working as well, his doc told him what to try. Not real sure where I was going with that one.Oh, well in that case, why didn't you say so!! I'll check that out tonight. The 10 days I had felt like what remission would feel like. Not the rush you get on and off on some meds. I just felt like myself. It was a little disappointing to have it do a disappearing act after 10 days, right when I was sure I was in remission. But if thats a taste of whats coming, I'm gonna be on this Parnate for a while.
>
> Anyhoo, I suggested parnate to my pdoc because I have pooped out on ssri's and he mentioned possibly apathy syndrome (which I read about here also). I asked about parnate because nardil causes weight gain (which I know should not be a huge concern when peace of mind should be a priority), but I had also seen so many more positive reviews on parnate vs. nardil and I am tired of feeling like a guinea pig.
At some point in my depression, not sure when, I became severely apathetic, suffered from anhedonia big time, and was generally just numb. Strange thing is, it was a relief. I didn't care about anything. I have a friend on here and she was freaking out about something I did or said, and I told her "I don't care". I had to tell her that alot. Of course I'm not saying don't care what you post, I'm pointing out how I felt at the time and wonder if its like that for you too. It was like I had no feelings so I didn't have to worry about anything. A dullness. I miss those days, sick huh? But we do have to get back to our lives. I think Parnate pulled me out of that stage, and I have to keep going until I'm myself again. Also, just wondering, did your depression or GAD come on kinda suddenly (mine was provoked by situational events) and you were normal/happy before that? Is this your first "episode"?
>
> I saw several post of people trying nardil and then having to switch to parnate anyway. I have been reading some posts about sari's. Want to do some research on those, maybe they might be something to try before trying the parnate. I JUST WANT SOMETHING TO WORK!!!! Want my life
back.Boy am I familiar with that refrain. haha! I thought I invented it. How dare some disease come and steal my life away!! One day I was me, and now this. I just want to be me again.
>
> Just so you know, reading your posts have helped alot. If I should decide on parnate, you'll be the first to know. You're a sweety!!! Thanks for all the info. Think I'll start a thread and ask about info on sari's.Do what you think is best, if thats Parnate, you'll get lots of support here. Just have a plan for your BP please. I'm sure you read somewhere about the problem early on I had with hypertension. Thats probably why it concerns me. If your Doc says its ok, I'm sure it is. I wonder too about your diagnosis. I see here Apathy. Makes sense to use Parnate for that. I thought you were taking it for an anxiety disorder, its generally not great for that. Wondering if our symptoms are similar.
Glad my posts have been of help, feel free to pass around the board what a "sweety" I am. LOL
I'll look for ya on the board!
~Jade
>
> CS
Posted by Cseagraves on January 9, 2009, at 13:31:07
In reply to Re: Parnate one of the best meds I've tried.... » Cseagraves, posted by JadeKelly on January 8, 2009, at 22:22:18
Jade -
Hey ya!
Just wanted you to know after I read your post I started looking up info and reviews on trazodone. I called a friend of mine who is a nurse and she agreed that seemed to fit my situation better. Had heard of trazadone in school,(for insomnia) but not under the term SARI's. All I can think of is that the medical field must have just given this category of drugs a label. Tried to google sari's, got nothing as far as med).
I agree, I think I would feel better giving this a try as it seems to work on sleep AND anxiety AND agoraphobia. Called pdoc today and requested to give this a try, so I will definatley keep you posted as hopefully I will be starting it tonight.
Also wanted to mention that probably one of the contributors to my situation is that I had polycystic ovarian disease since I was a teenager, which finally resulted in a radical hysterctomy 5 years ago. So basically my hormones have always been on the low side which sent my body into adrenal stress syndrome. (I wouldn't take artificial hormone therapy. Didn't make sense to me to take horse hormones).
When I had my hormone levels tested about a year ago, I was in the negative on estrogen and progesterone. I was blown away when I googled low-estrogen effects. Anxiety, depression, panic disorders among several other things all came up. I wish I could stress to females who are 35 and older, (and my GP totally agrees)who start feeling these things, should have a full hormonal work-up.
Most of these symptoms will resolve themselves, once you get your hormones leveled. I started on bio-identical hormones about 6 months ago, hope they help, but will take time to build up and get body back straight. I also developed osteoporosis because of the inability to absorb calcium and vitamin D. (Couldn't figure out why I kept breaking so many bones so easily). Sucked!!
I guess you could say when I thought I had most things figured out and how to fix them, the GAD and agorophobia set in. (if its not one thing its another, lol). My pdoc says it was a combination of my health, a highly stressful childhood, watching my mom pass away from pancreatic cancer, being with my sister as she goes through cervical cancer (we are very tight) and just the high levels of stress that we put ourselves through on a daily basis, finally just came to a head.
But, I have a game plan, as I WILL get out of this place. I just need to find a med that can stabilize the anxiety enough so that I can re-train my brain.
Wanted to thank you again for bringing it up. Like I said, in med school I only remembered it as a med for insomnia. Wish we could meet, seems like we would hit it off well.
Good luck with all that you are going through and I'll be close by for support. Remember to try and stay true to who you are. This condition DOES NOT define who you are. I try to believe that everything that happens to us is a blessing (although it may not seem that way), but it teaches something about ourselves and we become stronger.
Courtney
Posted by JadeKelly on January 10, 2009, at 19:22:00
In reply to Re: Parnate one of the best meds I've tried...., posted by Cseagraves on January 9, 2009, at 13:31:07
Hi Courtney,
We WILL get outa this da*n place!! Haha. I, too, along with my family, got slammed with so many losses and hard times, all at once, that it sure isn't a surprise I'm depressed I geuss. It just really caught me off guard because I've never been depressed before, and frankly? I didnt know a person could feel so bad. And for so long. I thought it would pass as a situational thing. I now believe if I dont hit this hard, with the right A/D, it'll do anything but get worse.
So you are gonna go another route for now? Is that based soley on BP issues? Whatever you decide I HOPE it works for you. Let me know. I'm assuming you'll start this treatment soon? Excuse me if I've missed anything I'm a little tired (thats my default excuse when I'm feeling cognitively impaired, try it, it works pretty well) haha. Anyway, I hope your sister is doing well, thats a pretty treatable form of cancer, isn't it? I pray for a good outcome for her and some peace for you while you go through it with her. I, too, am very close to family, seeing them in pain, or losing someone is devastating.
So actually, that we both seem to be able to keep a sense of humor, you seem to stay cheerful? is that the word? And I stay sarchastic, well, whatever gets us through, eh?
Btw-I had an emergency "female" surgery just before all the other stuff happened, the only real things I've done was one follow up, for labs that came back normal, (low end normal for thyroid) and OB-gyn told me to continue my bc pills for the estrogen and that would cover it. I tried adding thyroid and estrogen, both made me very irritable so I stopped. I'm clueless. If you know anything please share!! Babblemail me if you want to talk about the "girl" stuff. I'm curious to know what you know.
Keep in touch and let me know what works for ya. You'll probably have just as many questions about your new medication(s) as you did Parnate. So I will "talk" with you soon!
~Jade
Posted by JadeKelly on January 16, 2009, at 21:16:54
In reply to Re: Parnate one of the best meds I've tried.... » SLS, posted by Phillipa on January 6, 2009, at 12:30:28
> I know about a year ago a past babbler looked for one for me from his doc who is elsewhere and only one in whole area that is quite large. Mine now kindda laughed when I mentioned a lot of people seemed to be on Mao's. She had one patient been on them so many years she'd forgotten her. She was prescribing at the time also as is quite old and wouldn't use them again. She was the one who gave me sample of EMSAM and then said no it was too stimulating for me. So I doubt that's my opinion they will come back. Especially with this economy and all the job losses so many in bad shape. Phillipa
Gosh, I'm sorry your PDoc lives 8 hours away, seems like you must live in farm country! Lucky you! So she laughed about the medication that I take, Parnate? The one that has officially pulled me out from he*l and given me my life back? Wow. I'm really sorry Phillipa, are you sure you are getting proper care? Don't settle for less. I got lucky today, I'm quite thrilled actually, I have an appt. with a Johns Hopkins PDoc (MAOI expert) who has quite a reputation for keeping his patients in remission. I think they call it "thinking outside the box". This way, should I have any problem, I'll have the best care.
"So I doubt thats my opinion they will come back"
I'm a little slow this eve....what?
And the coorelation of "job losses and so many people in bad shape" to decline in use of MAOI's is?
Thanks, hope you have time to clarify!
Love, Jade
Posted by JadeKelly on January 16, 2009, at 21:28:13
In reply to Re: Parnate one of the best meds I've tried.... » JadeKelly, posted by Phillipa on January 7, 2009, at 20:00:02
> I'm sure some do but not all. Like my brother in law just lost his and my Husband's twin is his wife and she needs insurance as constant back surgeries unable to work now and they just bought a farm and built stables to keep horses and were also buying and selling horses now the people can't afford. He's not depressed. And he also has thyroid issues like me. Depends on the person. Love Jan
You know you are so right! Some people just suck it up and do what they have to do without a lot of complaining. Now those people have some things they could go on and on and on about, and thyroid issues to boot. But they aren't depressed? I geuss you probably talked with them about that being family and all. Well I say more power to em.
And I so agree, Phillipa, it always depends on the person, too ;-)Love, Jade
Posted by JadeKelly on January 16, 2009, at 22:48:59
In reply to Re: Parnate one of the best meds I've tried...., posted by Phillipa on January 6, 2009, at 21:10:06
> One last note job losses doesn't always equal depression. As many neighbors have and their kids some are going back to school, some will ride it out and wait, some say they will rent their houses and scale down. A lady 2 years to retirement just says what are you gonna do? So some depressions are situational and these real people aren't depressed maybe upset but not in distress. Some look to God or whatever their belief is. So many ways to look at a lost job. Love Phillipa
Gosh, sorry Phillipa, I didn't know you had done a house to house interview with your neighbors and used your extensive psychiatric nursing skills to determine that none of your neighbors are depressed. Since you can diagnose, I was wondering, does that mean you can dispense as well? All so confusing, haha. Have a good evening. Big day tomorrow, gotta run.
Love, Jade
Posted by Deputy 10derHeart on January 17, 2009, at 3:18:11
In reply to Re: Parnate one of the best meds I've tried.... » Phillipa, posted by JadeKelly on January 16, 2009, at 22:48:59
> Gosh, sorry Phillipa, I didn't know you had done a house to house interview with your neighbors and used your extensive psychiatric nursing skills to determine that none of your neighbors are depressed. Since you can diagnose, I was wondering, does that mean you can dispense as well? .
>So wait, I'm confused, she sees a psychiatrist and a therapist and she has to drive a long eight hours? is that for each or both? Oh, wait, sorry Phillipa, thought you meant the poster.
>Wow, I'm starting to think I should come to you for medication advice, haha.
http://www.dr-bob.org/babble/20090104/msgs/874419.html
>Oh, I'm sorry Phillipa. I thought that post was addressed to me. Oh, wait! It was! Silly you. Answering before other people have a chance to.
http://www.dr-bob.org/babble/20090104/msgs/874437.htmlPlease don't be sarcastic post things that could lead others to feel put down. Since you have been asked to be civil several times before, including twice this week, I am going to block you from posting for one week. I am sorry I find it necessary to do this, as I know you are still relatively new here. However, it is important to the supportive environment of Psycho-Babble to familiarize yourself with the civility guidelines and make an effort to follow them. If you haven't yet done so, it might help a lot to read over the guidelines for posting: http://www.dr-bob.org/babble/faq.html#civil
Follow ups regarding these issues should be directed to Admin, and should of course, be civil. Dr. Bob has oversight over deputy decisions, and he may choose a different action. If you wish to contact him directly, his email is at the bottom of each page.
--10derHeart, acting as deputy for Dr. Bob
Posted by bulldog2 on January 17, 2009, at 9:42:06
In reply to Re: Parnate one of the best meds I've tried.... » SLS, posted by Phillipa on January 6, 2009, at 12:30:28
> I know about a year ago a past babbler looked for one for me from his doc who is elsewhere and only one in whole area that is quite large. Mine now kindda laughed when I mentioned a lot of people seemed to be on Mao's. She had one patient been on them so many years she'd forgotten her. She was prescribing at the time also as is quite old and wouldn't use them again. She was the one who gave me sample of EMSAM and then said no it was too stimulating for me. So I doubt that's my opinion they will come back. Especially with this economy and all the job losses so many in bad shape. Phillipa
My p-doc prescribes maois and likes them for treatment resistant depression. He recently went to a seminar where a doc gave a lecture on maois and how effective they are. He would like to see them utilized more for that reason. I had a primary once who used them.
Your p-doc is entitled to her opinions but that is not necessarity the opinion or a consensus of how others feel about them. I would think a well attended seminar on the use of maois shows there is some interest in them.
I find it insulting that you have posted on more than one occassion how your p-doc laughs about their use. Some have found the maois to be miracle meds for them and they shouldn't be mocked. The statement is insulting to those who have worked so hard and bravely to get better.
Posted by bulldog2 on January 17, 2009, at 9:58:36
In reply to Re: Parnate one of the best meds I've tried.... » Phillipa, posted by JadeKelly on January 16, 2009, at 22:48:59
> > One last note job losses doesn't always equal depression. As many neighbors have and their kids some are going back to school, some will ride it out and wait, some say they will rent their houses and scale down. A lady 2 years to retirement just says what are you gonna do? So some depressions are situational and these real people aren't depressed maybe upset but not in distress. Some look to God or whatever their belief is. So many ways to look at a lost job. Love Phillipa
>
> Gosh, sorry Phillipa, I didn't know you had done a house to house interview with your neighbors and used your extensive psychiatric nursing skills to determine that none of your neighbors are depressed. Since you can diagnose, I was wondering, does that mean you can dispense as well? All so confusing, haha. Have a good evening. Big day tomorrow, gotta run.
>
> Love, Jade
>
>Hey Jade please email me as I have some interesting news for you...Looking forward to fearing from you my sweet Jade.
Love
bulldog2
Posted by shasling on February 1, 2009, at 0:52:22
In reply to Re: Parnate one of the best meds I've tried...., posted by bulldog2 on January 17, 2009, at 9:42:06
I totaly agree,and to repeat it is insulting also.
Perhaps this doc that finds the use of parnate so amusing should take a glance at this group of LIVE PEOPLE and see how many parnate threads are here.A good doc should not put limitations on what he or she will use with treatment resistant cases,instead they should work close with the patient and since its treatment resistant be willing to think out of the box,blowing off any medication always made me feel very low,it took many docs to find one who never does that,even if he is aganist the requested med,he shows respect,explains why he feels its not a good day.
Ive been to the ones who look down at the paper and ignore your requests,and they are not p docs you want for helping you tackle treatment resistant depression
Posted by JadeKelly on February 1, 2009, at 20:15:06
In reply to Re: Parnate one of the best meds I've tried...., posted by shasling on February 1, 2009, at 0:52:22
>
> [Pdocs] should take a glance at this group of LIVE PEOPLE and see how many parnate threads are here.
>
> A good doc should not put limitations on what he or she will use with treatment resistant cases,instead they should work close with the patient and since its treatment resistant be willing to think out of the box,blowing off any medication always made me feel very low,it took many docs to find one who never does that,even if he is aganist the requested med,he shows respect,explains why he feels its not a good day.
>> Ive been to the ones who look down at the paper and ignore your requests,and they are not p docs you want for helping you tackle treatment for resistant depression -Shasling
-------------------------------------------------->Some have found the maois to be miracle meds for them....... to those who have worked so hard bravely to get better. -BullDog2
Shasling,Well said. I think of the Doc I had before and I cringe. I felt he did not care about his patients enough to see us as individuals. It was 10-15 minutes and you were out. This is the only life we get, suffering for 6 months, a year, 6 years, because some of us trusted a misguided Doctor. Its deplorable.
Thank you for reminding whoever reads this that a PDoc who won't make a "connection" with you and go the extra mile, get creative with the prescription pad WHEN the need calls for it, and give you *Hope* that he/she will stay vigilent and alert to your symptoms and condition, is not the Doctor for you.
I know people don't like to hear this. PDoc "bashing" in general is frowned upon. Thats not what this is. However, there are incompetent Doctors in every field. This is no different.
BullDog2,Thank you for recognizing the strength it takes for a person to overcome fears, other's negative remarks, and knowing you will be in for an unknown journey when starting an MAOI. I can only speak for myself but I was in hell when I started Parnate and I saw it as my only way out. Its a leap of faith to some degree.
So thank you for recognizing that we (MAOI) users ARE BRAVE, not reckless. It is not for the fainthearted. And we DO work hard, this isn't the easiest of medications to take, at least for some of us.
I had a long paragraph written up about choosing a good PDoc. Instead, I will give you my experience with PDoc #1 and PDoc #2, I've only had 2.PDoc #1- I was referred to for ADD, many years ago, in 15 minutes I was out the door with script for Ritalin and ADD dx. Luckily, ritalin was a good fit for me, I've never had any problem with abuse or addiction. I saw him for 10-15 minutes, every 3 months, script in hand. He would send the script in the mail the other 2 months.
Then I suffered some of lifes losses and tragedies in a remarkably short time. Over and over in a 2-3 year time span. I never saw him for longer than 10-15 minutes, nor did he suggest it. I thought I was going insane with what I now know was suppressed grief. He didn't care. He threw some A/D's at me and would forget what I'd taken already. He rarely looked me in the eye. He never called me by name. Finally, after research, including this sight, I asked for Emsam. Well,blah, blah, blah. I told him to give it to me, I was dying and he was watching. The @#$%&.
I responded almost immediately. I then told him I wanted to switch to Parnate, well blah, blah etc.
In 10 minutes I had Parnate, no instructions except follow the food list which he didn't give me. He could have saved me an enormous amount of trouble had he simply taken an extra 15 minutes to explain this drug.As a result of my research, I am now on my way to full remission. Btw-I wasn't responding so I asked him for an augment, he wouldn't do it. So while I DON'T recommend this, I augmented it myself and got 10 days of 100% remission from depression. I was just myself. Ah, relief.
PDoc #2- I couldn't keep this up as it wasn't safe to play PDoc so I researched, and researched some more. A poster here told me what the "litmus test" was for a Doc if I was staying on MAOI's. I added that. Then I found the one I have now. He spent 1 1/2 hours listening, asking questions, being horrified at how I was living with out serious ongoing care. (My old dx "maybe bi-polar2?"-I kid you not) New dx MDD. Dopamine deficiency. He said I got the 10 days because I augmented. Just not enough. We're now titrating up on the same augment and I'll see him, WHAT?, every two weeks until I am completely well and functioning (25 minute sessions, his mimimum). He looks me in the eye and says he has a plan for me and I must not play Doc anymore, but do just as he says. I agree and I will. I agree also to get therapy every two weeks in his office so that he can coordinate both treatments. WHAT? I have *HOPE*. Then I start responding again.~jade
Posted by JadeKelly on February 1, 2009, at 20:19:46
In reply to Re Parnate PDocs Shasling and Bulldog2 » shasling, posted by JadeKelly on February 1, 2009, at 20:15:06
Posted by Defective on May 18, 2011, at 14:51:50
In reply to Re: Parnate one of the best meds I've tried.... » AdamCanada2, posted by JadeKelly on January 6, 2009, at 10:03:37
Hi, I saw your messages on the Dr. Bob board and I was wondering if you could please answer a quick question. I started Parnate 13 days ago, day 1 I took 20 mg, day 2-8 I I took 30 mg, day 10-11 I took 40 mg, and the last two days I've been on 50 mg. I haven't felt anything yet and I was instructed to go up to 60 tomorrow. Based on your experience and others on the message board, when would you expect me to feel an anti-depressant response? Thanks in advance for any advice you may have to share with me.
Best,
Defective
Posted by Defective on May 18, 2011, at 14:53:39
In reply to What was or is your PARNATE experience?, posted by JadeKelly on January 2, 2009, at 18:52:13
Hi, I saw your messages on the Dr. Bob board and I was wondering if you could please answer a quick question. I started Parnate 13 days ago, day 1 I took 20 mg, day 2-8 I I took 30 mg, day 10-11 I took 40 mg, and the last two days I've been on 50 mg. I haven't felt anything yet and I was instructed to go up to 60 tomorrow. Based on your experience and others on the message board, when would you expect me to feel an anti-depressant response? Thanks in advance for any advice you may have to share with me.
Best,
Defective
Posted by Defective on May 18, 2011, at 14:58:25
In reply to Re: What was or is your PARNATE experience? » JadeKelly, posted by Phillipa on January 3, 2009, at 12:31:35
Hi Phillippa,
I saw your messages on the Dr. Bob board and I was wondering if you could please answer a quick question. I started Parnate 13 days ago, day 1 I took 20 mg, day 2-8 I I took 30 mg, day 10-11 I took 40 mg, and the last two days I've been on 50 mg. I haven't felt anything yet and I was instructed to go up to 60 tomorrow. Based on your experience and others on the message board, when would you expect me to feel an anti-depressant response? Thanks in advance for any advice you may have to share with me.
Best,
Defective
Posted by Defective on May 18, 2011, at 15:30:11
In reply to Re: What was or is your PARNATE experience?, posted by bulldog2 on January 3, 2009, at 17:23:54
Hi, I saw your messages on the Dr. Bob board and I was wondering if you could please answer a quick question. I started Parnate 13 days ago, day 1 I took 20 mg, day 2-8 I I took 30 mg, day 10-11 I took 40 mg, and the last two days I've been on 50 mg. I haven't felt anything yet and I was instructed to go up to 60 tomorrow. Based on your experience and others on the message board, when would you expect me to feel an anti-depressant response? Thanks in advance for any advice you may have to share with me.
Best,
Defective
Posted by Defective on May 18, 2011, at 15:30:28
In reply to Re: What was or is your PARNATE experience?, posted by bulldog2 on January 3, 2009, at 17:23:54
Hi, I saw your messages on the Dr. Bob board and I was wondering if you could please answer a quick question. I started Parnate 13 days ago, day 1 I took 20 mg, day 2-8 I I took 30 mg, day 10-11 I took 40 mg, and the last two days I've been on 50 mg. I haven't felt anything yet and I was instructed to go up to 60 tomorrow. Based on your experience and others on the message board, when would you expect me to feel an anti-depressant response? Thanks in advance for any advice you may have to share with me.
Best,
Defective
Posted by deepreason on May 19, 2011, at 13:28:25
In reply to Re: What was or is your PARNATE experience?, posted by bulldog2 on January 3, 2009, at 17:23:54
> > > > "You might try neurontin or lyrica in place of klonopin. In my experience neurontin is more pro-social than klonopin and has ad and anti-anxiety effects for me."
> > >
> > > But I'd still have to w/d from Klonopin, right? I take it for nerve pain and not sure I even need it anymore. No psych dependence at all. I like the idea of neurontin as it treats nerve pain if it turns out I did need something. It helps with sleep? Or do you have to take during day to get all benefits?
> > >
> > > Thanks
> > > ~Jade
> > >
> > >
> > I take it during the day high dose 3600 and it stimulates me...Sometimes makes me drowsy and I take coffee to wake me up...I usually take 2 milligrams klonopin on days I don't take neurontin...On days I take neurotin I take .5 or 1 milligram and sometimes none at all(klonopin)...You can wean off klonopin while taking neurontin.....
> > You can start at a lower dose like 600 or even 300 three times a day for an ad and anti anixety dose.
> > I don't take it everyday as people say you will build a tolerance to it...ive taken it as much as 6 days in a row and it worked...usually only three times a week tops....Just a nice adjunct like having a few drinks but nicer and cleaner and a little stim feeling.
> >
> >
>
> The stim effect is good in a way...It makes you feel good until the real ad effect kicks in.
> I was thinking of trying it...But i'm 60 with treated hypertension...So I don't know if this is to dangerous for me.
> I think nardil might be safer in terms of hypertension...It has a rep for causing weight gain...I like the parnate but would have to go low dose like 30 mg and take separate doses...
>Nardil has dropped my blood pressure by about 20-30 points so that should more than compensate for any increase due to weight gain. If anything I'm having problems with hypotension.
Posted by Defective on June 18, 2011, at 18:39:12
In reply to Re: What was or is your PARNATE experience? » JadeKelly, posted by Phillipa on January 3, 2009, at 12:31:35
> Jade can you take lithium with parnate? Bloodwork done? Love Phillipa
Hi Phillipa, Ive seen you in a few different places on the message board and just decided to ask here. If you are still around, I would really appreciate a quick answer to a Parnate question. I first started feeling better after 4.5 weeks on Parnate at a dose of 70 mg. That feeling lasted for about 4 days and hasn't returned and it's now a week later. Did you have a similar experience once you started feeling better on Parnate?
Best,
Defective
Posted by vnessg90 on November 17, 2012, at 18:10:15
In reply to Re: What was or is your PARNATE experience?, posted by Defective on June 18, 2011, at 18:39:12
I've taken parnate on and off for 40 yrs. Tried "safer" drugs always failed and sometimes went into major depression. Happy with current dose 40mg w 30 mg oxazepam every 12 hrs along w 6 mg invega & 30 mg oxazepam at bedtime. Splitting the parnate dose evens my daily moods. Can't believe some of you go into this without seeing a dietitian who can explain the food restrictions. Diet is not so hard to keep. What is hard is convincing every Dr & Pharm you see to check every other drug against parnate before you get it. Have had serotonin crisis from bad interaction.
Posted by jedi on November 18, 2012, at 2:23:53
In reply to Re: What was or is your PARNATE experience?, posted by vnessg90 on November 17, 2012, at 18:10:15
> I've taken parnate on and off for 40 yrs. Tried "safer" drugs always failed and sometimes went into major depression. Happy with current dose 40mg w 30 mg oxazepam every 12 hrs along w 6 mg invega & 30 mg oxazepam at bedtime. Splitting the parnate dose evens my daily moods. Can't believe some of you go into this without seeing a dietitian who can explain the food restrictions. Diet is not so hard to keep. What is hard is convincing every Dr & Pharm you see to check every other drug against parnate before you get it. Have had serotonin crisis from bad interaction.
I've been on Nardil + clonazepam for most of 14 years. Time off for other trials, including two trials of Parnate. I wanted Parnate to work so bad. I gained a lot of weight on Nardil before taking most of it off. I just could not take Parnate. Had a couple of rare, spontaneous hypertensive reactions. Nardil has saved my life. It sure isn't perfect, but beats the HELL out of major depression! MAOIs are the only antidepressants I have seen work long term on this board. I'm talking over a decade.
Be Well,
Jedi
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