Posted by Vincent_QC on November 24, 2008, at 6:26:13
In reply to Re: Parnate VS Nardil + Anxiety and social phobia, posted by desolationrower on November 22, 2008, at 17:18:41
I just wanted to say thanks for everyone who answer to my questions, I really appreciate that ;-)
I'm going to my appointment this morning. What I can say is that Parnate make me feel so much anxious and nervous, to the point that I can't sleep and I do several panic attacks. I understand why they generally give it with an anxiolytic for anxious people and also why it work more well on depressive people with a lack of energy. In that respect, I don't belong to that group, mean that I'm a little bit depress but not because i'm a depressive person but because i'm tired of having social phobia that's paralyse my life since all that years.
I think the best idea will be to ask for Nardil, at least give it another try, but at a more low dosage than the one I had before (90 mg). Maybe I will avoid the hypotension orthostatic problem I had with it back in 2007.
I'm also happy to see that I will be able to do a "proteine" diet on Nardil, since my weight is a big part of my social phobia and anxious problems. Being more fat make me feel worst. I hate my body image, so I stop going outside of the house because I fear the judgment of the other, at the same time I feel guilty because I eat more and I gain weight, so my anxiety level is more high because I put a lot of pressure on my minds about the fact that I have to lost weight...You see, it's a big circle that never endind...Since some people write that Nardil generally cause weight gain, I know that I will have no choice to be back on a strict diet. I also know that after the diet with proteine shake, I will have to go slow on food, avoid all sugars and things like that since it's very easy to regain the weight very fast after. I do more than 6 times a strict diet like this before and I always return to the same weight a couple of months after, adding at the same time extra pounds. They only thing I will have to check often is my blood pressure, since a 600 calories diet is very strict, and Nardil lower the blood pressure, I will have to take salt more often during the day to be sure my blood pressure will not be to low and avoid at the same time hypotension generally present when you do a proteine diet...
Nardil increase gaba, so I will ask for it, since I have a problem with benzo abuse in the past, I don't want to increase my intake of valiums for now.
I just take 5 days of Parnate at 10-20mg day and I already see an augmentation of my intake of valiums, so I can't imagine going on a highest dose of Parnate for now. I also react really fast to all "antidepressants" drug, and most of the time, if I feel bad side effects on them at day 1, the side effect never fade away, even if I wait 2 months. So asking to switch from Parnate to Nardil after 1 week will not be a big issue I think. I hope my psychiatrist will understand why I give up so fast on Parnate and why I want Nardil now...
For the person who write that in Canada they give more Reversible MAOI like Manerix, I want to say that's true!!! Yeah, they are more safer than irreversible MAOI but the are less effective also. For depression, i'm sure it work well, but for social phobia and anxiety??? not sure...A lot of studies show a same rate of remission with Manerix than the one reach with regular SSRI's or SRNI's for anxiety and social phobia...and a higest remission rate with Nardil compare to Manerix.
I'm not interrested to loose my time again on something who will not work on me. I already loose too much time like this, it's time to give another try to Nardil, even if it take more than 2 months before I see some positive results, I will not give up this time. Going on a slow increase of the dosage will be a better idea than increase the dose to 90 mg/day in less than 4 weeks and having severe hypotension.
At the same time, someone here know if a 75 mg/day is an effective dose to treat social phobia with Nardil, or I will have to increase it to 90 mg/day? I know I ask the question yesterday...but I just want to be sure to make it right this time.
So again thanks everyone ;-) I will post an update about my situation soon.
poster:Vincent_QC
thread:864607
URL: http://www.dr-bob.org/babble/20081123/msgs/864985.html