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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Malcolm64 on April 10, 2007, at 19:35:02
In my last post, I mentioned that I was going to discuss going on EMSAM with my doc. I'm currently on Zoloft, Geodon, Remeron, Klonopin and Desoxyn (for ADD).
Well I just got back from the appointment. What he told me was that if my goal was to replicate the wonderful Nardil euphoria that I experienced when the med was at its peak, I would eventually be disappointed.
He said that while it's possible that I would experience it again with a different MAO (he actually recommended Parnate b/c he says it's more powerful), but he said that eventually it would peter out to normal levels.
So as of today, I'm going to go off all my meds (except for the Klonopin) and if in two weeks I didn't regress to a depression, he would put me on Parnate. He recommended that over Emsam, b/c he says it's a more powerful med.
Malcolm
Posted by greywolf on April 10, 2007, at 21:35:55
In reply to I saw my doc today, posted by Malcolm64 on April 10, 2007, at 19:35:02
Best of luck with your new program. I hope everything goes well.As to whether Parnate is more "powerful" than Nardil or Emsam, I'll defer to others with a better scientific background, but I thought the real difference was between Parnate/Nardil and Emsam in that Emsam was more selective on the B side while Parnate/Nardil worked both A and B. I thought the result was that Parnate/Nardil worked on serotonin, dopamine, and norepinephrine, while Emsam worked mostly dopamine to a similar degree.
Am I wrong?
Greywolf
Posted by Phillipa on April 10, 2007, at 22:00:31
In reply to Re: I saw my doc today » Malcolm64, posted by greywolf on April 10, 2007, at 21:35:55
Good luck can you just stop all your meds like that? Love Phillipa
Posted by Malcolm64 on April 10, 2007, at 22:05:32
In reply to Re: I saw my doc today, posted by Phillipa on April 10, 2007, at 22:00:31
> Good luck can you just stop all your meds like that? Love Phillipa
Yes. Apparently, the remeron, geodon and zoloft don't have any serious withdrawal effects (or so he tells me).
I'll keep ya'll posted :-)
Malcolm
Posted by football on April 11, 2007, at 0:07:02
In reply to I saw my doc today, posted by Malcolm64 on April 10, 2007, at 19:35:02
Unrelated question, but how the heck did you ever get your doc to prescribe you Desoxyn?
Most docs, understandably, avoid prescribing that like the plague.
Posted by UgottaHaveHope on April 11, 2007, at 4:16:24
In reply to I saw my doc today, posted by Malcolm64 on April 10, 2007, at 19:35:02
No comparision from what Ive heard. But thats not to say a stronger MAOI will help more.
Hope you have a good Parnate trail, and then there is Emsam if it does not work out.
Michael
Posted by paulbwell on April 11, 2007, at 6:47:19
In reply to I saw my doc today, posted by Malcolm64 on April 10, 2007, at 19:35:02
> In my last post, I mentioned that I was going to discuss going on EMSAM with my doc. I'm currently on Zoloft, Geodon, Remeron, Klonopin and Desoxyn (for ADD).
>
> Well I just got back from the appointment. What he told me was that if my goal was to replicate the wonderful Nardil euphoria that I experienced when the med was at its peak, I would eventually be disappointed.
>
> He said that while it's possible that I would experience it again with a different MAO (he actually recommended Parnate b/c he says it's more powerful), but he said that eventually it would peter out to normal levels.
>
> So as of today, I'm going to go off all my meds (except for the Klonopin) and if in two weeks I didn't regress to a depression, he would put me on Parnate. He recommended that over Emsam, b/c he says it's a more powerful med.
>
> MalcolmHey,
Wasn't Desoxyn a good AD?, it's supposed to be considering it's profile:
psychostimulant:
5-HT release +++
NE release +++
DA release ++
DA reuptake inhibition
NE reuptake inhibitionI don't know what dose your taking, but many folks would keep it and stay with the Klono or another benzo.
I wonder how you came to be scripted it? sure it's not as good as the discontinued Desoxyn Gradumets SR, but it's Desoxyn all the same.
Cheers
Posted by malcolm64 on April 11, 2007, at 15:18:42
In reply to Re: I saw my doc today-Desoxyn? » Malcolm64, posted by paulbwell on April 11, 2007, at 6:47:19
> > In my last post, I mentioned that I was going to discuss going on EMSAM with my doc. I'm currently on Zoloft, Geodon, Remeron, Klonopin and Desoxyn (for ADD).
> >
> > Well I just got back from the appointment. What he told me was that if my goal was to replicate the wonderful Nardil euphoria that I experienced when the med was at its peak, I would eventually be disappointed.
> >
> > He said that while it's possible that I would experience it again with a different MAO (he actually recommended Parnate b/c he says it's more powerful), but he said that eventually it would peter out to normal levels.
> >
> > So as of today, I'm going to go off all my meds (except for the Klonopin) and if in two weeks I didn't regress to a depression, he would put me on Parnate. He recommended that over Emsam, b/c he says it's a more powerful med.
> >
> > Malcolm
>
> Hey,
>
> Wasn't Desoxyn a good AD?, it's supposed to be considering it's profile:
>
> psychostimulant:
> 5-HT release +++
> NE release +++
> DA release ++
> DA reuptake inhibition
> NE reuptake inhibition
>
> I don't know what dose your taking, but many folks would keep it and stay with the Klono or another benzo.
>
> I wonder how you came to be scripted it? sure it's not as good as the discontinued Desoxyn Gradumets SR, but it's Desoxyn all the same.
>
> CheersWell, I know that it's not often prescribed nor is it widely available (b/c every time I need to get a script filled, it has to be special ordered).
It really did wonders for the narcolepsy (though not so much for the ADD, which is what I was really taking it for). I NEVER ever got tired or fatigued during the day. And that in and of itself was enough of a reason for me to take it.
If you're asking how I got my doc to agree to prescribe a controlled substance, it wasn't a problem. He's a well-respected psychopharmacologist in DC and has heard of and used drugs that many other docs aren't familiar with. So I guess I was lucky in that respect.
The thing is that I have to give up the Desoxyn b/c I'm going to be starting Parnate (or Emsam) in two weeks, provided I don't regress. He says combining the two is an absolute no-no, and I defer to his judgement.
Malcolm
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