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Bipolar Disorder/Parnate
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Question
Hello - what would you suggest when Parnate 's effectiveness wanes after 6 months of success at 90 mg with Lithium 1000? a higher dose or something else to augment. Is this common? Thanks
Hi Dee . . .
When a given dose of Parnate fails to work well I generally increase the dose if rhe individual has been able to tolerate the medication easily. If the Parnate has been accompanied by many hard to tolerate side effects, augmentation/potentiation is indicated.
Best regards . . .
Ivan
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Answers by Expert:
Ivan Goldberg, M.D.
Expertise
I am a psychiatrist/psychopharmacologist with many years of expereince in treating individuals with depressions, manic-depression (Bipolar Disorder), other mood disorders,. I am especially interested in the psychopharmacologic treatment of individuals with so called "treatment-resistant" syndromes.
Experience
I have been on the staff of the National Institute of Mental Health, Columbia's College of Physicians and Surgeons, and the Columbia-Presbyterian Medical Center. I am currently in full-time private practice in New York City.
A.B. Johns Hopkins University
M.D. N.Y.U. College of Medicine
I am the creator of Depression Central:http://www.psycom.net/depression.central.html
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