Posted by JadeKelly on December 19, 2008, at 23:38:33
In reply to Re: TRD/PARNATE LETHARGY HELP!!!! SCOTT + D/R, posted by SLS on December 18, 2008, at 23:50:46
> > I'm at 10 weeks of Parnate, 3 days at 60mg.
>
> Try to stick with it. Caffeine helps. Eventually, this side effect will pass. I used caffeine pills just like any other drug. Use as little as will produce the desired effect so as not to grow tolerant of stimulation. 100-200mg taken in late morning is all I usually need to get a kick that lasts the whole day.
>
> See if Robert Post, MD still has a private practice in Chevy Chase. Also, I would highly recommend Kay Redfield Jameson, MD, PhD. at Johns Hopkins University. Even if these people are unable to take you on as a patient, I am sure they will direct you to ones that will. Impress upon them your desire to combine Parnate with nortriptyline or desipramine. That should be the "litmus test" for finding a doctor.
>
>
> - ScottScott, thanks for the names, my son sees a neurologist at Hopkins, my family goes there for everything, so I'll start there. I was able to get 120 5mg ritalin today. Strange, I took one and didn't really feel it. Walgreens, so I'm sure its ok. But no adverse reaction so I'll stick with the program for now. I am getting really worried that this fatigue/lethargy isn't going away. BE HONEST: when is it time to say this isn't going to work? I have the best combo (according to that NY DOC): Parnate, Ritalin, and I even found a script for lithium Carb ER, 450mg. Should I take it? how much? Especially want to know when a Parnate trial is officially over.
Hope to hear from you,
~Jade-i'm an idiot, I just realized it was Jeff's Doc in New York. Just need dosages from him, unless you know them. Also have months supply of Lamictal.
poster:JadeKelly
thread:868231
URL: http://www.dr-bob.org/babble/20081214/msgs/869779.html