Posted by shrimp on June 20, 2003, at 18:51:03
In reply to Re: stayed at parnate, added Mirapex/Provigil » SLS, posted by indivmed on June 19, 2003, at 23:28:00
> > > Actually, I'm not doing so well on the Parnate anymore...I'm going to ask to switch over to Nardil tomorrow--it was awesome for a week, but the past couple of days I have wanted to isolate, not get out of bed, argue with my friend and parents (well, that's not THAT new), etc.
> >
> >
> > Hi Rick.
> >
> > How long have you been taking Parnate? What dosage are you at and how long have you been there?
> >
> > I would not dare to give you any guarantees, but the ascent from depression is often not a steady climb. For many people, the improvement over time includes some setbacks or "retreats". One of my doctors called it a sort of brain "reset". Robert Post, M.D. of the NIMH describes this course of remission as a saw-tooth pattern. Each improvement tends to reach a higher point than the one previous. Likewise, the following retreat is less low. Even over the long-haul, some people experience brief dips. It is scary as hell, but it might be worth riding this one out to see if you follow this pattern. It would be a shame to overlook an effective treatment. Nardil will always be there.
> >
> > Get well.
> >
> >
> > - Scott
> >
>
> Thank you very much Scott--I have had an AWFUL day today. I ran out of meds and can't afford to get them until tomorrow. I didn't realize how accustomed I was to already taking the Parnate daily.
>
> I'm on week three of taking the parnate and it was just odd to be doing REALLY well that first week and then it all kind of spiraled back down into depression--I'm probably just really bitter and hypervigilant about seeing these things--my brain is notorious for things working in the beginning and then me taking a major turn for the worse (usually with subsequent hospitalization). I think it is that expectation, the subsequent let-down that make people believe that there is indeed no hope. But like my friends have always said, I am a fighter and am not going to let this beat me.
>
> I saw my pdoc today and he suggested I take Parnate (60 mg/day)--which I'm taking now, STOP the Wellbutrin (it might be making me irritable and anxious, and to add Provigil (400 mg) and Mirapex (3 mg) to counteract some of the more heinous Parnate side effects. Being the saint that he is, he also gave me a few Xanax to get through those moments when I'm completely distraught and am in pure panic mode. I'm assuming these will dissipate as the other meds kick in.
>
> Does anyone have any info on this combo? From other listings, this is not that normal and I'm going to have to be monitored quite closely.
>
> I will say that your theory concerning the recovering from depression is what I needed to hear...I'm just so deathly afraid of visiting "that place." It is just so incredibly intense and awful
>
> Finally, this is somewhat off the subject, but my first depressive episode was in college and it was SO intense, that the thoughts of EVER experiencing that pain, despondence, or morbidity ever again, scares the hell out of me. It's almost like I have PTSD concerning this first episode and it has played itself out over and over because it's my worst fear being realized on a continual (bi annual basis).
>
> Any thoughts? Again, Thank you Scott!
> Rick
>
> Most importantly:
>
> 1) When have you seen Parnate used (what types of depression?
> 2) When have you seen Mirapex used and at what dosages (after initial nausa)
> 3) Is Provigil and issue to use with the Parnate since it really doesn't affect any of the main three neuros?Rick, Scott explained it better than i did, i felt amazing on Parnate for a few days, but like he said it is a gradual process, which i myself need to remember, because i had a bad day yesterday and started totally panicking because i thought that i was going to have to start a new med, and of course that none could really work, and i would be some zombie imcompetent depressive forever. I'm also really impulsive, and like a true depressive, i only see negative horrible repurcussions, i didn't even consider that it was part of the getting better process. Thanks Scott, that will be helpful when i have some bad days.I think the W with the P could be too much, the P is more activating than N. I'm am not familiar with Mirapex, and all i know about Provigil is that it is a stimulant, i don't believe with any addictive properties, that is used to treat narcolepsy. so i am assuming you have a new doctor.
Do you like her? Are you comfortable with her? Do you trust her? Wait, now i'm confused, if each hich is higher than the previous high, why do most people feel so euphoric for a few days, or even a week at the beginning of therapy? That has always happened to me, with every med, and it happened to you with the parnate. Does that mean your next parnate high will be even better?
poster:shrimp
thread:232905
URL: http://www.dr-bob.org/babble/20030619/msgs/235555.html