Question I have been using 3 10 mg tablets for twenty years and it changed my life to the better greatly. I am 73 years old and this med slowly started to fail. They raised the dose to 60 mgs and have augmented with abilify and others. It would work for five weeks with abilify and then quit working. Would going off totally and restarting parnate shock my system into it working again? Or any suggestions would be helpful. I am trying to avoid ECT as I have to go 150 miles to get it. Regards Sharon Jungert Grand Junction CO
Answer Hi Sharon . . .
Going off the Parnate for 90 days and then restarting it is certainly one technique that might get the Parnate to work once again. Augmentation with thyroid and lithium should be tried first. While it is usually considered to be contraindicated, augmentation with dextroamphetamine is also something that has worked for some of my patients.
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.
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