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Re: hanging in there » Lorraine

Posted by Elizabeth on October 22, 2001, at 10:16:19

In reply to Re: hanging in there » shelliR, posted by Lorraine on October 22, 2001, at 9:20:40

> The Nardil is working I think, but I am struggling with some side effects--sexual dysfunction, sinus congestion (had this on Effexor also), afternoon sluggishnish, weight gain.

Hey, good to hear that it's doing something positive for you. I've been having some problems with congestion too. I think it's safe to use oxymetazoline nasal sprays (e.g., Afrin) with Nardil, though you might want to monitor your BP the first time to reassure yourself. (I've done it many times myself with Nardil, Marplan, and Parnate, and have never seen any evidence that it's a problem. I would not expect it to be a problem because it's a locally-acting drug, and even though there's a possibility that some could be absorbed into the bloodstream, the concentration would be too tiny to make any difference. Taking a pill like Sudafed with MAOIs, OTOH, is not safe.)

Watch out for the weight gain -- be mindful of what you're eating, and so on, that's pretty much all you can do. (FWIW, it's supposed to plateau at some point.)

The afternoon nod might be helped by good old-fashioned caffeine, and the anxiety should continue to dwindle.

> I have authorization to add adderal to my mix--which I may do very carefully.

That would be another thing that could help you to stay awake during the day (I found that Cylert helped me regularize my sleep-wake cycle and didn't interfere with sleep if I took it first thing in the AM). I would start off with no more than 2.5 mg, however.

HTH

-elizabeth


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URL: http://www.dr-bob.org/babble/20011015/msgs/81956.html