Psycho-Babble Medication Thread 912601

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Scott I need advice

Posted by Parnate Help on August 17, 2009, at 13:10:54

Parnate has been a wonder drug for me. I have been on it for 6 months. At first, it knocked me out, then my pdoc agreed to give me 200 mg Provigil. I have been on 60mg since May. I had my life back with energy. Now all of a sudden I am very tired again. I told my Pdoc I wanted to increse to 80 mg and 2 provigil. He refuses to augent with anything else. I need more stimulation.I do not want to go back to how I was.
Any suggestions.

 

Re: Scott I need advice » Parnate Help

Posted by SLS on August 17, 2009, at 15:19:09

In reply to Scott I need advice, posted by Parnate Help on August 17, 2009, at 13:10:54

> Parnate has been a wonder drug for me. I have been on it for 6 months. At first, it knocked me out, then my pdoc agreed to give me 200 mg Provigil. I have been on 60mg since May. I had my life back with energy. Now all of a sudden I am very tired again. I told my Pdoc I wanted to increse to 80 mg and 2 provigil. He refuses to augent with anything else. I need more stimulation.I do not want to go back to how I was.
> Any suggestions.

It's always something, isn't it? I'm sorry you have to go through this crisis.

One of the things you can do is lobby your doctor to go to 80mg of Parnate by bringing him some medical literature suggesting the use of high-dose tranylcypromine (Parnate). There are a few people on Psycho-Babble that need 80mg. 60mg just doesn't do it for me. I don't consider Parnate as being given as a high-dose strategy until you get to dosages of 120mg and above, so 80mg is certainly well within the normal range. I tried 150mg once. If you can't get your doctor to go with adding amphetamine, maybe he would go along with the higher dosage of Parnate.

Here are a few things to take a look at. I hope all the links work. The most important study is the one published by Jay Amsterdam. He has been using high-dose Parnate for many years.

http://www.dr-bob.org/tips/split/MAOIs-in-high-doses-and-wi.html

http://www.ncbi.nlm.nih.gov/pubmed/2710808

http://www.ncbi.nlm.nih.gov/pubmed/8139763

http://clinicaltrials.gov/ct2/show/NCT00296686

http://www.ncbi.nlm.nih.gov/pubmed/7931218?log$=activity

http://www.ncbi.nlm.nih.gov/pubmed/7931218?ordinalpos=11&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

http://www.ncbi.nlm.nih.gov/pubmed/15868067?ordinalpos=10&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum


- Scott


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