Posted by Rick on October 5, 1999, at 18:53:04
In reply to Re: Offsetting side effects of Nardil?, posted by anita on October 5, 1999, at 17:36:45
My MAOI-fan pdoc switched me to Selegiline the same day I took my last Nardil (after about 4 days winding down from 75mg to 15mg). I started at 5mg Selegiline, and gradually increased to 15. Well, orgasms did not return until almost FOUR WEEKS after the switch, so even IF the augmentation is safe, it may not help out sexually. Of course, I may be atypical: I started Nardil just as I was embarking on the first concerted diet in my life -- and I lost 30 pounds with *less* effort than I expected. I"m glad I hadn't read the weight-gain stories at that point, or it might have psyched me out (oops...is that phrase verboten in this forum?)
But *many* other Nardil side effects hit me big time. Besides the sexual effects, for example, it turned me from moderately hypertensive into consistently hypotensive! So I don't know if I was the most typical patient to use in judging your own possible responses. The only side effect I LOVED was the lack of dreaming (my dreams tend to annoy me). No food-related problems, even though all I really avoided was tap beer and anything more than a few small nibbles of aged cheese.
(CAUTION: YMMV foodwise!!!!)BTW, once the orgasms finally returned, Selegiline's aphrodaisical qualities were very much (perhaps too much) in evidence. It may have had some other nice qualities, too (energy, cognitive enhancement), but it certainly did not help with anxiety (at that dose, anyways), and the entire reason for my treatment was Social Anxiety.
Rick
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I used a relatively low dose of Wellbutrin with Nardil
with no problems. Experienced pdocs are not uncomfortable prescribing the two
together as long as the patient had no prior problems with serotonin/norep syndrome.
It did seem to help with the sexual dysfunction and increased my energy, but did nothing
for weight gain. I definitely would not combine selegiline at any dose with Nardil -- way
too risky. Nardil can also be combined with Ritalin, Adderall, and reboxetine, but I don't know if
they would affect sexual stuff or weight.anita
>Hi,
>
>Anyone with experience with conteracting the negative side effects of nardil - particularly weight gain and sexual dysfunction. I realize that most experienced psychopharmacologists with cautiously combine other drugs with MAOI's. Less experienced psychdocs and, in particular, family physicians, tend to avoid MAOI's altogether.
>
>Specifically, has anyone ever been prescribed both Wellbutron and Nardil? Or, low dose selegiline and Nardil? Again, these combinations are contraindicated, but experienced psychopharmacologists seem to be able to cautiously manage these.
>
>Thanks
poster:Rick
thread:12519
URL: http://www.dr-bob.org/babble/19991001/msgs/12599.html