Parnate has helped reduce my depression to nearly gone but I'm having tremendous difficulty with anxiety and especially social anxiety, concentration and focus. I need to go back on Concerta but I know I can't until I'm off of parnate and all MAOIs. I have failed many trials of different SSRIs, atypicals, etc. Doctor doesn't want me to stop parnate without a good alternative ready. Has anyone experienced anything like this? Especially that a CNS stimulant would actually have a calming effect on anxiety! Diagnosed with Rapid Cycling Bipolar II.
I have never taken parnate. I do take nuvigil (CNS stimulant) and it helps me tremendously. While I have more energy and sleep less, it helps me contend with life better and thus reducing my anxiety indirectly. I am also bipolar and am mostly depressed so that could be why the nuvigil works so well along with my antidepressant (pristiq) and abilify.
Please be careful and not start something else before the MAOI is completely out of your system (at least two weeks). There are lots of different anti D's to try, have you tried an SNRI like pristiq or effexor?
I agree with your doctor, having a plan for when you come off the parnate is critical, and the doctor is the best adviser as to what that needs to be.
Good luck with your transition and keep in touch,
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