Posted by TH on July 31, 2019, at 20:31:25
In reply to Re: HELP PARNATE POOP OUT, posted by rose45 on July 28, 2019, at 9:40:01
I met with the psychiatrist yesterday. He was agreeable and the consultation went well. The treatment plan going forwards is more or less what you would expect given my situation. The dosage of Parnate will be increased stepwise until an ideal dose is found, up to 60mg, at which point augmentation with either lithium or nortriptyline would be considered.
In the event that none of this is effective (god forbid), he seems willing to consider other options that are anecdotally effective but generally unpopular with other psychiatrists, such as higher dose Parnate, augmentation with stimulants, or referral to colleagues who have experience working with ketamine.
I will begin increasing the dose of Parnate in a few days.
poster:TH
thread:1105323
URL: http://www.dr-bob.org/babble/20190728/msgs/1105542.html