Posted by stargazer2 on April 25, 2009, at 17:30:46
In reply to 2 questions about Nardil, posted by Cseagraves on April 25, 2009, at 12:46:44
Weight gain from Nardil was not a major problem as long as I worked out, but as you know working out when depressed was not consistent or energetic enough to really control the weight effects, so yes I gained a few pounds. The worse effects I had were swollen ankles and major gas and constipation. Not exactly easy symptoms to overcome but I did push through them. They did get easier after a few months.
For insomnia, doxepin can be used with MAO's and also Trazedone. The article I have for reference is in "Current Psychiatry", June 2002. It says Mirtazapine (Remeron) can be safely used with MAOs and it also says the agent can be used to treat serotonin syndrome. There are two footnotes next to using Mirtazapine for insomnia and treating serotonin syndrome. (19,20) I do not have the list of reference articles upon which this statement was based. Perhaps you can try and google the article and read it for yourself.
I have taken that article to my pdoc and based on it, he is now prescibing (with my urging) Nardil and Buproprion, which is considered a no-no. Most pdocs will not deviate from the warnings in the drug guides, so don't expect your pdoc (unless very experienced) to prescribe many meds with MAO's, it's just too risky as they could cause someone's death.
Good luck, sounds like the safest would be to try Doxepin or trazedone first. That's what I would do. Benedryl can work well for insomnia too and is very safe.
SG2
poster:stargazer2
thread:892721
URL: http://www.dr-bob.org/babble/20090416/msgs/892760.html