Posted by Karen44 on July 23, 2006, at 0:45:58
In reply to Re: staying awake on parnate, posted by Tymoney on July 22, 2006, at 23:42:04
> > > Thanks Kim.
> > > I am making some progress taking 10 mg about every 2 or 3 hours. In the process of increasing to 50mg (with the approval of my doctor).
> > > I am getting less sleepy but still experience odd fatigue. I work out pretty steadily and what I was doing before the parmate is now more of a challenge than before.
> > > hanging in there
> >
> > Parnate worked fairly well for me with depression, and I am now wishing I had not stopped it. I am now in the process of trying Lamictal. Anyway, I was on 30 mg. of Parnate, all taken in the a.m. and went up to 40 mg. of Parnate all in the a.m. I was sleepy in the p.m. but then would have problems with not being able to sleep at night if any dosage was taken in the p.m. I think I did best in terms fo some compromise between depression and sleepiness at the 30 mg. level. I was not completely free from depresson but did not get so tired during the day. Going off of it has thrown me into a severe depression, and there was nothing to do but wait out the washout period before tryingin something else. My psychiatrist decided we should try Lamictal and 5 mg. of Moban at night. I just started this and am so depressed. This is the downside of an MAOI. If you end up needing to switch, it is a awful going through the washout period and starting something else and waiting to see if it works.
> >
> > Karen
>
> If im hearing you correctly you are statng that you are /or have switched from Parnate to Lamictal.Well of course my statement doesent overide your docter,however normaly Lamictal in accordance with Parnate fist......
>
> Is normaly used in conjunction with it,not instead of it,or as a alternative,but of course its a viable option.However a lot of mood stablizers like Lamictal have been known to go well in combo with parnate.
>
> Second,even if it were to be used alone,which again i can see viable,what i dont see is why a washout would be needed,if they can be used safetly togther why would he have you suffer a washout.
>
> Sorry if i misunderstood anything,but if i dident,it sounds rather odd to me,as a parnate/lamictal combo is actualy fairly common.Initially, there was some thought to trying something else other than Lamictal, why the washout period. You are absolutely correct, and this was also discussed at one point--adding Lamictal to the Parnate. I think perhaps this was lost in the shuffle of other issues being discussed. The doctor who prescribes my medications is also my therapist.
Karen
poster:Karen44
thread:661326
URL: http://www.dr-bob.org/babble/20060717/msgs/669577.html