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Re: Comment 2 question... » Chairman_MAO

Posted by SLS on June 26, 2005, at 15:26:59

In reply to Re: Comment 2 question... » SLS, posted by Chairman_MAO on June 26, 2005, at 11:05:03

Hi CM.

> If I am taking Nardil for both SP (more social anxiety, I think) and dysthymia, do you think adding lithium would allow me to lower the dose a little bit? I am worried about the SP not being helped (my depressive problem is dysthymia, btw). I've heard that people often have success with MAOI + low dose lithium. I even saw some posts where someone (I think ace) said that adding lithium allowed him to have orgasms on Nardil. Anything else you think I could augment with to bring the dose down a little? My Dr will not Rx , or else I would take clonazepam with a lower dose of Nardil.

If it were depression that you were treating, I doubt there is anything you could take that would allow you to lower your dosage of Nardil (unless you do something to increase its bioavailability in target tissues). Even adding a TCA doesn't seem to change the therapeutic window of Nardil in my experience. I cannot, however, be so certain when Nardil is used to treat anxiety disorders. My guess is that both depression and anxiety disorders have overlapping etiologies, and would require similar dosages of Nardil to treat. It really would be a fascinating exercise to add the clonazepam and see if you could indeed reduce the dosage of Nardil.

By the way, the ability to achieve orgasm returns after 3 months or so with Nardil. Something to look forward to.

How has Nardil affected your dysthymia?

Good luck.


- Scott

 

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