Posted by jclint on December 5, 2004, at 10:59:30
In reply to Parnate, Nardil and dietary restrictions?!, posted by Ted_Brosnan on December 5, 2004, at 10:18:42
Hi Ted, I'm in a similar position to you, I have found a pdoc willing to prescribe MAOIs and am currently washing out from effexor.
Lol, the food restrictions...
Firstly you must bear in mind that the original restrictions were significantly overstated and based on anecdotal evidence. Since 1996 there have been numerous studies that have suggested more liberal restrictions. There's plenty about that on this site, I believe Dr Bob even has a page specifically on it. Bear in mind that your doctor may not be aware of contemporary research into this issue and may need some education from yourself - there's plenty of credible clinical studies to bring along.I am treating symptoms similar to yours - I am going to start on Nardil. My reasoning for this is:
- Nardil has unique effects on GABA receptors which some researchers link with SA
- There is little clinical research into Parnate's effeciacy in SA, but quite a lot into Nardil's
- Parnate is apparently less forgiving in terms of dietary restrictions
- Parnate generally causes more insomnia than NardilParnate has the upper hand in terms of weight gain and sexual side effects, but I'm going to see how I do on Nardil before deciding they are too much. After all, there are many to whom these side effects aren't an issue / disappear after a while.
I think anxietynetwork is pretty much the only site that recommends Parnate over Nardil. They cite Parnate's stimulating effect for this. If stimulation is something you think you need, then perhaps it is preferable, but the GABA effect of Nardil gives it preference in most doctor's eyes. You might want to look at what www.socialfear.com has to say (I'm sure you've seen it before :). I have certainly seen more accounts of success with Nardil over Parnate for SA, but that's not to say there aren't some for whom Parnate is more effective.
Good luck to you, there seems to be several people on here who are looking to start MAOIs in the near future, including myself :)
J
poster:jclint
thread:424658
URL: http://www.dr-bob.org/babble/20041201/msgs/424677.html