Psycho-Babble Medication Thread 1064108

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felt hyper at the beginning of Parnate or Nardil?

Posted by chinaboy on April 12, 2014, at 5:31:27

feeling hyper at the beginning of Parnate or Nardil?

To dear forum users:

I'm on MAOI, first Nardil then Parnate, and noticed that i felt "hyper" on both of them at the initial stage (talked more, kept wanting to do things, etc). I didn't think it was hypomanic though.

Don't tell me to combine a mood stabilizer. I did that with Lamictal, only to find it made me all the more worse.(My previous experience was that all the anti-manic agents paradoxically made me more mania-like, as if in a drunken state).

But why so hyper? Will it subside with time? Thank you for reading my post and any input will be appreciated!

 

Re: felt hyper at the beginning of Parnate or Nardil? » chinaboy

Posted by SLS on April 12, 2014, at 7:15:18

In reply to felt hyper at the beginning of Parnate or Nardil?, posted by chinaboy on April 12, 2014, at 5:31:27

> feeling hyper at the beginning of Parnate or Nardil?

It does happen. Hyperactivity is probably more common with Parnate, and hypomania with Nardil. This is only my impression from having taken both drugs. In both cases, the effects were transient and resolved without further intervention. For me, true, persistent mania didn't develop until after 6 months from the beginning treatment with a combination of Parnate and desipramine.

If mania or hypomania does develop, your choices are to add lithium, add an anticonvulsant, add an antipsychotic, or do nothing. Doing nothing with a more severe mania is untenable. However, some people live with hypomania and function well enough to leave it untreated.

If there is a family history of bipolar disorder, schizoaffective disorder, or schizophrenia, I would suggest watching carefully for the development mania.


- Scott


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