So I'm currently on 25mg of hydrochlorothiazide and 5mg of Amlodipine and will be starting parnate at 1 tablet 2x a day along with colonidine taken at night before bed and lorazepam taken as needed. Does this sound like to much BP lower medications and should I come off one or?
I currently have the choice between EMSAM, Nardil, Parnate and Marplan. My psych is giving me the choice. I'm currently waiting on approval for EMSAM but I wanted to hear the communities thoughts first. I have Anhedonia with emotional numbness, brain fog, hard time remembering things, no pleasure in activities I once used to enjoy etc.
Just as the title says, if a psychiatrist does not deal with prescribing patients an maoi other than allergic reactions or there about they should not be practicing medicine in any capacity and should be reported to the state governing board who over sees this. It's malpractice in it's most basic form. MAOIs are the gold standard for TRD and to continue prescribing other medications (That also have serious risks) in lieu of them is downright criminal.
Thats all.
So Ive been making the rounds calling different psych offices asking if any of the psychs or physicians work with MAOIs which majority said no while some didn't give a straight answer but told me that's something to discuss with the psych when you come in... So I kept calling and found one, I spoke to the receptionist and asked if the provider deals with MAOIs and that I had taken EMSAM in the past (I haven't and I said that because it's the "lesser of the two evils"..) and she went to talk to her and apparently she's does. So I booked an appointment a couple weeks from now.
I would like to give parnate a try and if not nardil. How do I make my story convincing?
So Ive been dealing with anhedonia for a while now and started seeing a psychiatrist a couple of months ago. She started me on sertraline then sertraline plus Wellbutrin, removed wellbutrin because it had no effect then decided to introduce lamotrigine which again had no effect and then finally abilify to no avail. I know I've only been seeing her for a short while but I don't want to play medication roulette. What is the best way to broach this subject? I understand the dietary restrictions, the medication interactions, I have multiple BP monitors etc. Ive brought up MAOIs to her once last week which she didn't outright dismisse but I can tell she want to try other medications first.