Posted by 4WD on February 22, 2008, at 19:07:20
In reply to Re: Do you need to titrate Nardil when starting it?, posted by stargazer2 on February 22, 2008, at 11:09:25
Hi Stargazer,
Thanks for replying to my post. I am full of questions, I know. I kind of think that is what I may do. Instead of just starting out at 45, I will start with 15 for a couple of days, then go to 30 for a couple of days, then go to the full dose. I can't figure out why my pdoc wanted me to start at the full 45mg. I guess I could call him and ask him but I don't want to seem to be questioning his expertise.OTOH, I may do exactly as he has ordered and try to start out at the full dose. If side effects are too horrible, then I can titrate down and tell him why and he won't think I am arbitrarily making my own decisions about how to take the med.
What is your dosage schedule? I am supposed to take 15 mg three times a day. I read here I think that taking most of the dose as early in the day as possible helps mitigate the insomnia problem. I think I will start a thread on this and get an idea of how other Nardil users space their dosage.
I have some time to figure it out. I am only on my second day off Celexa so I have 12 days to go before starting the Nardil.
Thanks again,
Marsha
> 4WD, when I started,it was 15 mg x 2 day, 30 mg X 4 days, then 45 mg X many weeks. I did up it to 60 mg a few months ago and have been at 60 since then.
>
> I usually have many side effects with meds, but with nardil I had the problems with gas and constipation and still have those problems. Weight gain is also a side effect and I did experience swollen ankles which only lasted a week or two.
>
> It is worth it though since Nardil can work very well for depression, better than most of the other meds I've taken for TRD. The meds that worked for TRD (Celexa, wellbutrin and adderall) before Nardil were always combinations and I would rather take one med than 2 or three if at all possible.
>
> Good luck with your trial of Nardil.
>
> Stargazer
poster:4WD
thread:814018
URL: http://www.dr-bob.org/babble/20080221/msgs/814163.html