Posted by Chairman_MAO on October 13, 2011, at 11:55:58
In reply to Re: Starting Marplan ... here I go into the unknown » Chairman_MAO, posted by SLS on October 13, 2011, at 7:54:17
With me, too, 90mg/day seemed to be the optimal dose. I might have been more _comfortable_ and/or felt better at 120mg/day for whatever reason while I was on 60mg/day of d-amphetamine. After I lost the Dexedrine, I eventually cut back to 90mg/day because I realized that the 120mg/day was doing nothing except making me even more hungry and retain even more water.
The thing with Marplan is that there are far fewer studies about it; moreover, I'm taking it primarily for social phobia which could require a higher dose. I'm sure my doctor would go up to at least 80 and perhaps higher if necessary, but I don't want to spend forever titrating that up because we cannot resume the psychostimulant (which will take more months to titrate back up to 60mg/day) until the dose of Marplan is set.
I wish that he could just hospitalize me and do this very aggressively. Unfortunately, these days, unless you are a wreck and/or suicidal, there is no admission to the hospital, so this whole process will probably take at least another half a year, if not longer.
I'm still grateful, though, because I really hit the lottery with regard to a doctor who someone on medicaid (or even charity care, it is a state-funded University Hospital behavioral health clinic) and willing to do this sort of treatment at all. I've often wondered what percentage of physicians have ever combined a psychostimulant with an MAOI in the course of their practice in the recent past. What, one or a handful of them in most states at best?
poster:Chairman_MAO
thread:999555
URL: http://www.dr-bob.org/babble/20111006/msgs/999616.html