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Dr. Bob is Robert Hsiung, MD,
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Posted by g_g_g_unit on October 18, 2009, at 0:43:08
In reply to Re: parnate - ready to throw in the towel, posted by bulldog2 on October 17, 2009, at 10:24:42
>
> Some docs have gone as high as 120 mg or even higher on trd.
> Have you tried Marplan which is supposed to be a gentler version of nardil?no, it's not available where i live unfortunately. my issue isn't so much with respect to the dose i'm on - my doc said he's willing to keep going higher. i just wondered if there's a dose i should try sleep-wise before giving up. i don't care about the depression so much, since i'm used to it, but i just need decent sleep
Posted by g_g_g_unit on October 18, 2009, at 0:47:04
In reply to Re: parnate - ready to throw in the towel » g_g_g_unit, posted by Maxime on October 17, 2009, at 10:52:57
> This is my second time on Parnate and I am tired all the time, except I can't sleep at night. It wasn't like this the first time I was on Parnate.
>
> When do you take your last dose? Have you tried taking the entire dose in the morning?
>
> Have you tried Ambien for sleep?
>
> Sorry that you are having such a rough time. At least you know you are not alone. Hang in there.thanks. i take my first 20mg at 11am and then 20mg again at 1pm. i was scared of having a hypertensive crisis, but maybe i'll try taking all 40mg together.
i sleep fine on Imovane - i mean, it's okay, but not restful. i just don't want to take it forever - partly due to addiction and partly because i am (i don't believe irrationally?) worried about the effects disrupted sleep architecture might have on my development
Posted by g_g_g_unit on October 18, 2009, at 0:54:20
In reply to Re: parnate - ready to throw in the towel, posted by kirbyw on October 17, 2009, at 12:41:04
> In my case, I have always had to deal with some insomnia while taking Parnate during over 25 years. Taking it in the morning helps, but definitely none after 2 pm. Right now I am on 30 mg.
>
> I have noticed that as I have gotten older that exercise during the day or early evening will make me tired by 11 pm. How much exercise would probably depend on your age and physical condition. What I have been doing recently at about 10 pm, is walking up and down stairs several times to get myself tired. Stairs are great at getting one tired. I have done as many as ten to 15 times up and down the stairs within a half hour period, which for me is a fair amount. Or a long walk (or run if you can) early in the evening.
>
> Sometimes I just go with the flow. If I can't sleep I read, watch TV, or do any number of things on the internet. Since I am less depressed these activities can be enjoyable until I finally get tired.
>
> Also on a day when Parnate has kept me awake the night before, I am a little tired during my activities, but then the following night I can go sleep early and sleep great. So I just try to get through the day, even though I am tired.
>
> Occasionally I will also skip the 3rd parnate pill, if I know that I really need to get a good night's sleep because of my activities the following day. But this is not good as I may notice the difference in terms of mood.
>
> And I do get some relief by taking 1 mg Klonapin about 3 hours before bedtime.
>
> Perhaps the difference is in the age factor. I am 61. How old are you if you don't mind saying?
>
> (Also I assume you don't drink coffee or tea or coke, all of those seem to be additive with Parnate)
> Rick in Costa Ricathanks for the advice. i'm 24. conventional sleep hygiene methods don't seem to help unfortunately; i've tried exercising, avoiding caffeine, etc. but regardless of what i do during the day, without Imovane i literally lie awake all night until 6/7am, when i drop off for 3 hours.
sorry, i hate complaining. it probably makes me sound less depressed than i am.
Posted by delna on October 18, 2009, at 3:55:51
In reply to Re: parnate - ready to throw in the towel » kirbyw, posted by g_g_g_unit on October 18, 2009, at 0:54:20
What have you decided?
Sorry I can't be of help. Insomnia is not something I have ever looked into....
Hope u feel better and update us on what you are planning on doing.Love
D
Posted by Maxime on October 18, 2009, at 11:38:04
In reply to Re: parnate - ready to throw in the towel » kirbyw, posted by g_g_g_unit on October 18, 2009, at 0:54:20
I feel your pain. :( Last night I took 200 mg of Trazodone and I still didn't sleep. I feel like absolute crap. Getting some sleep would make all the difference in the world.
Posted by bulldog2 on October 18, 2009, at 12:25:07
In reply to Re: parnate - ready to throw in the towel » g_g_g_unit, posted by Maxime on October 18, 2009, at 11:38:04
> I feel your pain. :( Last night I took 200 mg of Trazodone and I still didn't sleep. I feel like absolute crap. Getting some sleep would make all the difference in the world.
When I was on parnate I initially had insomnia and than it just went away after six weeks and than I could sleep okay.
Posted by metafunj on October 18, 2009, at 14:42:53
In reply to Re: parnate - ready to throw in the towel, posted by bulldog2 on October 18, 2009, at 12:25:07
Any way to get Remeron? Its the most powerful antihistamine out there. Way more potent than trazodone
Posted by Maxime on October 18, 2009, at 15:40:36
In reply to Re: parnate - ready to throw in the towel » bulldog2, posted by metafunj on October 18, 2009, at 14:42:53
> Any way to get Remeron? Its the most powerful antihistamine out there. Way more potent than trazodone
It's contraindicated with Parnate.
Posted by g_g_g_unit on October 18, 2009, at 18:42:32
In reply to Re: parnate - ready to throw in the towel » bulldog2, posted by metafunj on October 18, 2009, at 14:42:53
hmm, maybe i'll try raising to 50mg for a week and see how i go. if not, at least i know i tried my best. thanks for all your responses.
Posted by Maxime on October 18, 2009, at 19:01:57
In reply to Re: parnate - ready to throw in the towel, posted by g_g_g_unit on October 18, 2009, at 18:42:32
I'm glad you are sticking with it. It would be a shame to give up before it has a chance to do its magic.
Keep us posted.
Posted by Maxime on October 18, 2009, at 19:02:32
In reply to Re: parnate - ready to throw in the towel » g_g_g_unit, posted by delna on October 18, 2009, at 3:55:51
Delna, did you decide to stick with it or have you given up?
Posted by g_g_g_unit on October 18, 2009, at 19:44:39
In reply to Re: parnate - ready to throw in the towel » g_g_g_unit, posted by Maxime on October 18, 2009, at 19:01:57
> I'm glad you are sticking with it. It would be a shame to give up before it has a chance to do its magic.
>
> Keep us posted.thanks Maxime. i hope you see some results soon. what dose are you currently at?
i'm starting CBT this week soon, so hopefully that should help, especially if i have to withdraw. coming off Nardil, even after 12 weeks, was hell.
Posted by delna on October 19, 2009, at 1:46:48
In reply to Re: parnate - ready to throw in the towel » delna, posted by Maxime on October 18, 2009, at 19:02:32
> Delna, did you decide to stick with it or have you given up?
Sticking with it. I didn't take it for 2 days so am back down to 20mg but today I will up it to 30mg.
Hypotension is bad- it appeared 7 hours after dosing and knocked me out. How weird. But my pdoc days it will go.....Thanks for asking..
Posted by Sunbath on October 19, 2009, at 1:53:03
In reply to Re: parnate - ready to throw in the towel » metafunj, posted by Maxime on October 18, 2009, at 15:40:36
> > Any way to get Remeron? Its the most powerful antihistamine out there. Way more potent than trazodone
>
> It's contraindicated with Parnate.Hi Maxime,
that's true but so is your trazodone!
They are both so damn weak sris, mirtazapine might be even weaker ..
Sorry that you are feeling so bad :( I really hope it's helping you soon!!!
Wow 200mg of trazodone isn't helping you at all?
Did it help you in the past when you didn't take parnate with your insomnia?I know a few people by person who don't get sedated at all with trazodone..
I also had insomnia before taking parnate and trazodone helped me really much before and now on parnate tooIf it was helping you in the past, how long is it since you took it at last?
Take care, keeping my fingers crossed for you!
Posted by Maxime on October 19, 2009, at 14:25:52
In reply to Re: parnate - ready to throw in the towel » Maxime, posted by Sunbath on October 19, 2009, at 1:53:03
Hi, I was taking Trazodone in August to help me sleep. 200 mg would always do the trick. I tried 200 mg again last night and once again, I did not sleep. I am tempted to try 300 mg and see what happens.
Posted by Maxime on October 19, 2009, at 14:27:39
In reply to Re: parnate - ready to throw in the towel » Maxime, posted by g_g_g_unit on October 18, 2009, at 19:44:39
> thanks Maxime. i hope you see some results soon. what dose are you currently at?
>
> i'm starting CBT this week soon, so hopefully that should help, especially if i have to withdraw. coming off Nardil, even after 12 weeks, was hell.
>I went up to 40 mg today. I've been titrating it slowly as per pdoc's instructions, but now I am taking matters into my own hands and I am going to go up 10 mg every 3-4 days.
Doing CBT is a good idea. I hope it helps.
Posted by Sunbath on October 19, 2009, at 17:38:39
In reply to Re: parnate - ready to throw in the towel » Sunbath, posted by Maxime on October 19, 2009, at 14:25:52
Sorry Maxime that I even tried to motivate you not to take the 200mg the first night :(
What's the maximum recommended dose for immedate release trazodone anyway?300mg sounds like really really much..
What would you say to mirtazapine as a sleep aid? Too much weight gain?Good luck Maxime, I really hope you find something that let's you sleep! Insomnia is sooo terrible!
Feeling for you,
Sunbath
Posted by Maxime on October 19, 2009, at 18:21:46
In reply to Re: parnate - ready to throw in the towel » Maxime, posted by Sunbath on October 19, 2009, at 17:38:39
600 mg is the maximum recommended dose for trazodone as an antidepressant. I think I will try 300 mg tonight and see what happens. If it doesn't work, then I am not going to bother trying anymore with the trazodone. I've been awake for 4 days now. :(
Posted by emmanuel98 on October 19, 2009, at 20:04:23
In reply to Re: parnate - ready to throw in the towel » Sunbath, posted by Maxime on October 19, 2009, at 18:21:46
I was awake for two nights in a row on parnate but my doc started me on 100mg of seroquel at bedtime and that seems to help. Have you tried seroquel?
Posted by Maxime on October 19, 2009, at 20:45:46
In reply to Re: parnate - ready to throw in the towel, posted by emmanuel98 on October 19, 2009, at 20:04:23
Seroquel doesn't sedate me unfortunately. I can take up to 400 mg and not feel a thing. Thanks for the suggestion though.
Posted by Metafunj on October 19, 2009, at 21:40:13
In reply to Re: parnate - ready to throw in the towel » Maxime, posted by Sunbath on October 19, 2009, at 1:53:03
Remeron isn't an SRI but it may be contraindicated for other reasons. Might be worth talking to your dr about.
Posted by MAxime on October 20, 2009, at 10:53:39
In reply to Re: parnate - ready to throw in the towel » Sunbath, posted by Maxime on October 19, 2009, at 18:21:46
300 mg did nothing. ARGH!
Posted by metafunj on October 20, 2009, at 14:17:49
In reply to Re: parnate - ready to throw in the towel » Maxime, posted by MAxime on October 20, 2009, at 10:53:39
Have u tried sleeping during the day. I've found that if for some reason I miss nights sleep I have trouble sleeping the next night. But even if I get a little sleep during the day I can get back to my usual routine of sleeping at night after staying up all night.
Its like your body gets in a mode of not sleeping so it stops, but there are usually windows when you are not thinking of it when you get tired during the day and can sleep. Take advantage of those and you may find yourself able to sleep at night again.
Posted by MAxime on October 20, 2009, at 16:24:50
In reply to Re: parnate - ready to throw in the towel » MAxime, posted by metafunj on October 20, 2009, at 14:17:49
No, I've been avoiding sleeping during the day because I thought it would make things worse. Maybe I will try it tomorrow. Thanks for the suggestion.
Posted by g_g_g_unit on October 21, 2009, at 19:30:18
In reply to Re: parnate - ready to throw in the towel » metafunj, posted by MAxime on October 20, 2009, at 16:24:50
yeah i raised the dose to 50mg without my doctor's orders. the higher the go, the more anxiolytic it gets, which is good. i've been napping during the day. unfortunately, i tried cutting out sleep meds and just haven't slept for 2 nights.
when you were on 80mg did you need a sleep aid maxime?
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Dr. Bob is Robert Hsiung, MD,
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