Posted by Girlnterrupted78 on July 13, 2007, at 19:22:01
In reply to No misunderstanding, dose increase caused H/A's, posted by stargazer2 on July 13, 2007, at 12:43:47
> I know you went from 45 to 90 with a few doses of 60 thrown in there...
I think it might have been a whole week that I was on 60mgs. It's strange that I didn't get the pain right away (the first day I started on90mgs.)
I was on 90mgs for 4 days in a row, and it was until the 4th or 5th day that the pain hit me--as hard as a bomb.>I believe your doc made a serious mistake by increasing you so rapidly.
Yeah, that was a mistake. But I still love this p-doc! It's the only doctor ever who agreed to give me Nardil after years of looking. He'll give me what I want, no questions asked. I had to wait like 5 years to try Nardil because no p-doc would prescribe. But this p-doc is very generous--started me on 45mgs, and then took me all the way to 90mgs. I know that might be a mistake on his part, but I'd rather get 90mgs than remain on 30mgs for a month, which was my main problem with previous p-docs--they'd be so overly cautious to the point that it took months for them to actually give me a therapeutic dose for any antidepressant.
By the way, the 90mgs were split: 45mgs in the morning and 45mgs at bedtime. Is that also a mistake?
> A pounding headache is one to be taken seriously so that is why you were sent to the ER.I wasn't "sent" to the ER. I went myself. My doctor never explained what kind of headache would require a visit to the ER. He simply said "if you get a headache, go to the ER" That was it. He never described intensity or region, or whether pounding was part of it. So basically I had no clue what kind of headache to expect. Headaches are also a side-effect of Nardil, so how to know what headache is the one? I actually thought I'd never get a headache from a food reaction because of how cautious I knew I would be: First of all, I'm vegan, so there's zero cheese in my diet, and zero dry sausages, salami, livers, etc, etc...
Second, who is going to eat a banana peel? Not me! lol. So the only things I had to really avoid were soy sauce, yeast, miso soup, and chanti/vermouth/tap beer. Pretty easy, if you ask me. I just knew for a fact that it was EXTREMELY unlikely that I'd get a reaction.
The only reason I suspected a reaction is that I was eating a soy yogurt when the headache started--TERRIBLE COINCIDENCE!!! The soy yogurt, unfortunately, is NOT listed in the booklet I have at all (neither as (1)a food to avoid, (2)food to eat occasionally, or(3)food without restriction--so I was clueless if it was a reaction to the soy.) Soy milk is listed as a food to eat without restriction, and yogurt (milk yogurt) is also unrestricted--so I assumed soy yogurt was fine. At that point I figured I had screwed up with that yogurt and the pain was intense, so I knew something was terribly wrong.
> Hopefully you are back to 45 or 60 and will increase only 15 mg at a time from now on.
Yeah, I am on 60mgs now and doing pretty good. I didn't feel any AD effects on 45mgs, so I guess I'll remain on 60mgs for the time being, and who knows.. maybe I don't need to go to 90mgs. Since my weight is 130--if I use the formula suggested (weight/2.2) it shows my optimal dose is 60mgs, so I will stay on that for the time being and see how it goes.
> What does your pdoc say about all of this???? That is the bottom line.
Actually, I haven't seen him at all. I have an appointment with him in a week. Unfortunately, I have to go to a low-cost clinic, where if you miss an appointment, you get pushed back in the schedule several weeks later. I missed an apt with him 2 weeks ago, so I don't get to see him till then. I also can't call him because he's there only 2 days a week and he's so booked that he doesn't seem to be able to answer the phone. Since the situation is now under control, I'd rather give him the details in person anyway.
Thanks again for your response, Stargazer. It's greatly appreciated.
GI78
poster:Girlnterrupted78
thread:768911
URL: http://www.dr-bob.org/babble/20070710/msgs/769434.html