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Re: Nardil issues...advise wanted » ace

Posted by Jedi on September 7, 2005, at 10:46:31

In reply to Nardil issues...advise wanted, posted by ace on September 7, 2005, at 0:50:33

> at 60mg Nardil I feel OK....But then I jump it up to 105mg....within a day or two I am on the moonA!A! But then in a week a depression sets in and I have to lower again!

Hey Ace,
Jedi again. Nardil at 90mg with 1mg of clonazepam daily has me recovered to about 75 to 80 percent. Most of the social and generalized anxiety is gone. However, I still have this nagging level of dysthymia that is very hard to break through. My major depressions have all been atypical, so at least I'm not laying in bed in pain all day long.

My current goal is to augment the Nardil to relieve the last bit of dysthymia. A mild stimulant such as modafinil or methylphenidate might be the answer as Willyee suggested. I always feel better in the morning after about three cups of coffee. I've also added bupropion SR to Nardil in the past. This helped until I had to change doctors and the new PDOC said it would kill me. It didn't. Another option I've used is 100mg of nortriptyline, with the Nardil added after. This is a fairly well documented option for treatment resistant depression. Certain tricyclics have been shown to reduce the chance of a hypertensive crisis when used with a MAOI. My current plan, if I can convince my MD, is to reduce the Nardil to 60mg daily and up the clonazepam from 1 to 3 mg. There are some studies which show that this may work for stubborn double deppression. By reducing the Nardil dose, I hope to eliminate the delayed ejaculation and the desire to eat all of the carbohydrates in the house and nearby stores.
Good luck in your search,
Jedi

Link:
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Display&dopt=pubmed_pubmed&from_uid=15164614


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