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Re: Nardil questions - Ace or Chad or anyone

Posted by King Vultan on May 21, 2004, at 9:33:09

In reply to Nardil questions - Ace or Chad or anyone Shanti1, posted by Dr. Bob on May 21, 2004, at 7:55:29

> Posted by Shanti1 on May 20, 2004, at 20:10:30
>
> > Hi,
> > I am a first time poster. Ace and Chad both have been very supportive and informative about Nardil. I finally found a psych. dr. to prescribe Nardil to me because of such postive stories such as yours about Nardil's effectiveness in combating SP.
> >
> > My history is that I suffer from extreme SP since I've been 14. Along with SP, I am currently suffering from depression because I am at my wits end of trying medications that I cannot tolerate. I cannot function in the outside world. Thank God, I have Klonipin to get me through the day.
> >
> > I have tried all the ssri's and they all increased my anxiety and I had to stop. I couldn't even last a few days on some of them. My old psych. dr. would not give me Nardil because he said that if I could not tolerate the ssri's I would not be able to tolerate Nardil. So I swtiched doctors.
> >
> > Long story short, I just have a few questions:
> >
> > 1) Will Nardil increase my anxiety initially?
> >

That was not my experience, and I have experienced an initial increase in anxiety on both SSRIs and Effexor. The metabolism of Nardil has an effect on GABA similar to the benzos you are taking, which tends to have an anti-anxiety effect.

> > 2) I am starting at 15 mg. What did you start at and how did you ramp up?
> >

That sounds kind of low. I started at 3 x 15 mg/day = 45 mg, which had no real effect. I started experiencing adverse effects at 60 mg/day and had to go to 75 mg/day to achieve real therapeutic benefits. There is a school of thought that you need at least 1 mg/kg of body weight per day for an effective dosage of Nardil. I am 145 lb = 66 kg. This reference has some good info:

http://www.currentpsychiatry.com/2002_06/06_02_maoi.asp


> > 3) I am currently taking Klonipin .5mg 3x a day and lorazepam prn, codeine prn for pain and neurontin 200mgs 3x a day. Can I still stay on these medications?
> >

The Klonopin and lorazepam are okay, but I don't know about the others.


> > 4) What is the typical onset of Nardil?
> >

I would say anywhere from 1-4 weeks after achieving a therapeutic dosage. In my case, I notice effects about five days after increasing dosage.

> > 5) Can I get a link to the current dietary restrictions?
> >

I have another reference somewhere which has been posted several times before here--will find it and post it in another reply.


> > Sorry for the long post, but my current psych. dr. is completley unfamiliar with Nardil. He hasn't prescribed it in over 10 years. That's why I need you guys for support.
> >
> > Thank you for being there for me and I look forward to hearing from anyone with info. for me.
> >
> > Peace,
> >
> > Shanti
>


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poster:King Vultan thread:349136
URL: http://www.dr-bob.org/babble/20040521/msgs/349172.html