Posted by stargazer2 on July 14, 2007, at 10:51:58
In reply to Re: Awful pounding headache on Nardil » stargazer2, posted by girlnterrupted78 on July 14, 2007, at 4:28:37
GI,I think no matter what way it was given, 90 is just too much to increase to. I have no idea whether or not you would get a headache if you split the dose since I've never gone above 60 but splitting the dose is usually what is recommended with MAO's. The MD's have suggested taking the bulk of the dosage at bedtime to prevent afternoon sleepiness. I take 45 all at night, just reduced myself from 60 mg.
Seriously, I would not recommend that 90 mg dosage before holding at 60mg for a week and then 75mg for a week, even based on what your MD says. I don't think he is an expert in MAO's, although many other AD's can be increased more quickly than the MAO's.
The reason MAO's went out of favor is the reactions with food and the seriousness of the side effects. I would not mess around with a dose of 90 unless you take 60 and than 70 for a full week to see if you experience another headache. Perhaps 60 or 75 mg will work better than a higher dose.
What is the urgency of going to 90 mg? Haven't you proven it may really cause you a serious side effect even though you can't replicate it and even with trying other ways to take it. I just think you have to be careful because many docs don't know alot about MAO's and if you end up in the hospital with a severe H/A again, they could give you a medication that can be fatal. (ex. Libby Zion case in NYC, was on Nardil, I believe, given a contraindicated drug in the hospital, which killed her).
Hospitals are even not that familiar with MAO's. It's up to us and our docs to play it really safe.
Stargazer
poster:stargazer2
thread:768911
URL: http://www.dr-bob.org/babble/20070710/msgs/769534.html