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Re: no stims/no benz BEST NARDIL AUGMENTION d/r » that_guy23

Posted by JadeKelly on November 23, 2008, at 22:47:02

In reply to Re: no stims/no benz BEST NARDIL AUGMENTION d/r » JadeKelly, posted by that_guy23 on November 23, 2008, at 6:33:08

> hey jade, like you said I do suffer from addiction as well as anxiety and depression, and yes I was working out for 11 weeks, but recently in the last week or so I have been to depressed and anxious to do any of it, And the excercise is something I have to get back into very soon.

I know its hard, believe me, but setting a schedule, one you can handle, will really help.
>
> Unlike your nephew though I think, well pretty sure I know, that it's the opposite. My depression/anxiety is what caused the addiction in the first place, I'd just never want to come down, but thats exactly where it lead me.

I think that happens to a lot of people. Unfortunately, by the time you realize you were depressed, its worse from addiction. So be patient.
>

> The alcohol was the worst, always had to have that, I feel that I can do without the drugs, well at least til the drinking starts first.
> I've been clean for 11 1/2 weeks. Would have been 16 1/2 but I had 1 relapse 5 weeks in, just before starting nardil.


Well sounds like you picked yourself up. Good for you. Thats good you don't crave illegal drugs.

It does seem like you are craving a stim type med. The paradox is you have anxiety. Maybe you should try Parnate. I've heard its more stimulating than Nardil. That would be something to talk to your PDoc about. I doubt she would mind switching if Nardil isn't working.
>
> I haven't went to rehab, I was going to but then I realized Iv'e been clean. Also I feel like you, meds are the number 1 answer, AT least for me now to get a boost. I find it hard to do cbt when your feeling so low, but feel after a med, or meds kicked in I would keep from relapse by doing the cbt, or a rehab, or whatever. Thats where the augmentation for nardil would come in, and it wouldn't have to be the ones I suggested something else would be fine.

Its your life, but I've seen enough to know without some kind of treatment program, you may stay clean for a long time, but its likely you'll relapse if you don't have the tools of a treatment program to go back to. Don't know your schedule, but if your taking time off, that would give you people to talk to as well. Hope you do it as soon as you can.
>
> I do however always feel happier when I leave my psychiatrist and psychologists office, just the talking really helps me. But it never lasts more than that day.

Psychologist is for CBT? Do you retain some of that?
>
> As for the clonazepam, your right not taking them was not helping, I had to take one fisrt thing this morning, but I just felt desperate. The worst for me is the question on nardil, now bear with me on this one. I spoke about this alot but anyway just in case you didn't read it her goes.
>
> I started the nardil at 15 mgs a day for 1 week, upped it to 45 mgs for 2 weeks, 75 for 2 weeks. At 75 I remember almost immediatly getting this euphoria, if not the first day the second day for sure. Everytime I took a pill, it was like heaven, just to be sure it wasn't the benzo's, I stopped them for 1 day, that had nothing to do with it the euphoria was probably better. But I did continue the benzo's the next day. I was so happy, finally a drug that was gonna work for me. The second week the euphoria was coming and going, but the I still felt possitive effects from the drug better attitude, motivation, and mood.
>
> after those 2 wonderful weeks it was time to see my pdoc. again, so asked how I was doing I said great, we dcided to up the dose, alright perfect even more relief, the next thing she was writing a prescription for 105 mgs, I was a bit confused,because I did remember reading the highest dose was usually 90, but II didn't know enough about it, and I figured well that just means i'm gonna feel amazing. Big mistake, I felt an effect almost immediatly on this dose to, orthostatic hypotension. I started falling around at first, then I would get dizzy, and I started to go temporarily blind, just for like 30 secs, my ears would ring, I had to lie down At first I found it funny, and my family kinda lauphed to thinking I was stoned off the drugs. I't wasn't funny after 2 or 3 days it just got worse I could not stand up for longer than 1 min, if that. after 1 week I dropped to 90, was still horrible started feeling depressed again got to 13 days on 90 and I dropped it to 75, where I should have stayed. after the first week or so the hypotension started to fade away, but it took all the good effest with it.

Actually, I've been looking into that, because I had that same week or so of feeling GREAT on both Emsam (MAOI) and Parnate, turns out, thats a result of NE & epinephrine and happens to many people in the beginning of treatment then fades. Then later comes the A/D effect. More subtle. I seriously doubt your response had ANYTHING to do with that 105 dose.
>
> So here I am now on 75 for 3 1/2 weeks, feeling dpressed and anxious as hell, and wondering about the drug, did I screw it up?

NO.
>
> Its been almost 12 weeks on nardil, and i'm just wondering if it's time to start thinking about a different drug, or stick with the nardil, upping it to 90 soon until I feel a change. In the beginning I told myself that I would go 3-4 months on this drug and be absolutely sure if it's the one for me, especially with all the success of nardil, and it being the gold standard for SA.
>
> What do you think? Hve you heard of drugs taking 3 to 4 months to work, or even start working? Do you think the hugh dose, was jsut a set back, or may have screwed it up. If you think I should start thinking of different options, let me know af any you know for, for my situation. My worst diagnosis to me being my SA which is pretty severe, and I think depression comes from it.

I bet its the SOCIAL part of your anxiety that makes you crave a stim component. Now it makes sense to me. If it were me, I call her Monday and up it 90mg. If that doesn't help in say, 10 days, I'd tell her you need an augment of her choosing to help with anxiety or you need to switch. Parnate maybe? You may need augment with that, also, tho. I'm about to.I'll let you know how that goes. Maybe by the time you are deciding about Parnate, I'll be able to tell you if augmenting makes the difference. I've heard for alot, it does. Again, ALL IMHO. Talk to your PDoc. I think you'll find her much more receptive if you let her choose the augment. Sounds like she knows what she's doing (other than 105!!)
>
> thanks for all your concern.
>
> hope to here from you soon.

Good luck!

~Jade


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poster:JadeKelly thread:863270
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