Posted by eln on April 16, 2003, at 18:36:06
In reply to best med for atypical depression, posted by chad_3 on April 16, 2003, at 13:20:53
> Consensus among psychiatrists is that the best med for atypical depression is nardil (though they don't also believe nardil is best for Social Phobia which it is ... those 2 disorders are where Nardil outdoes other antidressants).
>
> For atypical depression - characterized (as in SP) - by rejection hypersensitivity (and oftetimes passivity as well) - Prozac is good, parnate supposedly is pretty good - but nardil is king.
>
> You mentioned hypotension on Parnate. This is less a problem with Nardil. You can also go low dose Nardil and add Ritalin - this may help that problem and also effective for atypical depression. Some thoughts anyway ... but if you haven't tried nardil you haven't tried the most eeffective med for atypical depression....
Thanks for the post, but it wasn't really hypotension I had the problem with but rather hypertension. My blood pressure was normal until I took the Parnate, when it spiked close to 150/100 after the second and third doses of the day. (I was taking 20 mg 3 times a day). I tried spreading out the doses with little help.
My understanding was that my risk of the same type of thing happening with Nardil was fairly high, as I seem to be very sensitive to these types of things.
The other weird thing on Parnate is that towards the end, my depression resembled regular depression rather than atypical depression.Now that I am at the one-week mark, I can start Nardil if I wanted to, but I'm not sure I can afford the time for a full trial of a medication that has a large probability of having unbearable side effects (the hypertension caused me to have to lay down in a dark quiet room for several hours a day -- not very good for productivity!)
Thanks,
E
poster:eln
thread:219739
URL: http://www.dr-bob.org/babble/20030411/msgs/219895.html