Posted by desolationrower on February 17, 2009, at 3:20:11
In reply to Re: MAOI - Is insomnia a good sign of future response? » desolationrower, posted by myco on February 16, 2009, at 19:37:56
> Hi d/r,
> If I had a good response to nardil at 45 the 60 then 75 (each a solid 2 week wow what a difference response that slowly faded) then stabilized for weeks on 75 and is now fading again, should I continue to raise or is the constant failure after awhile some other indication? 75 is producing 'apathy' (possibly just lack of sleep though) and a slow increase in anxiety, muscle tension and dep day by day, very subtle though. Seems like I can continue to raise with good efficacy for a limited time, increased sides that get stranger and stranger as I move up, but I'm not sure if its worth it? Looking for a strategy to save this med (get it back to where it was).
well there are two options, either you are chasing the dragon, or you havent' reached an effective dose. the med should be making the depression go away so you can have normal feelings appropriate to your life; it shouldn't be 'making you feel good.' its hard to know the difference, maybe something to talk about next session you ahve. are the side effects you mentioned the same as your experience of depression? deciding if its the same or new problems can be helpful to knowing which side you are on. i'd make sure to get the sleep improved, are you taking something for that? that should be the first thing.