Posted by Chairman_MAO on October 26, 2005, at 11:43:57
In reply to I think im done, posted by willyee on October 26, 2005, at 11:26:04
I have come back to offer suggestions, but when I am in remission (which is already coming back since I switched back to Nardil two days ago), I tend to use this board a LOT less. Mostly I come back here to check on some people I know and to offer advice because I like helping people and learning about what works for different people because I want to be a clinical psychopharmacologist one day.
Honestly, if there were no Rx laws, I could probably have you feeling better within about three months. Please, what you SHOULD do is dump everything except Nardil (_PLEASE_ do yourself a favor and give it a trial; get to 1mg/kg and stay there for 4-6 weeks. I have a STRONG feeling it will work.). Also, take a hypnotic if you need it. After at least 4-6 weeks on Nardil, see if you need to add something else. You will probably want to add something like a DA agonist for more zing; I recommend ropinirole for you because it is probably the most anxiolytic. Another alternative is Dexedrine, which is not agitating like Ritalin, and probably won't be agitating at ALL on Nardil.
Please, for your own sake, try Nardil ASAP. I have found going from Nardil to Parnate is more dicey than Parnate to Nardil, but that is sample size=1. My pdoc also had me switch from Parnate to Nardil with no washout, while with Nardil to PArnate he had me taper down my Nardil dose quite a bit, and then begin a cross taper of up on parnate, down on Nardil for the rest of the way, adding 10mg of Parnate a day until 120 was reached. This is a sound strategy; too bad I forgot it and just switched like I did with Parnate to Nardil. I got delirious and almost had to be hospitalized! I think this has to do with Nardil being a COMPLETELY irreversible inhibitor of MAO, while tranylcypromine has more of an amphetamine-like mechanism of MAO inhibition.
poster:Chairman_MAO
thread:572080
URL: http://www.dr-bob.org/babble/20051024/msgs/572088.html