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Nardil crash @ 60mg

Posted by pedr on September 8, 2009, at 14:43:46

Hi all,
I was actually feeling ok on 60mg Nardil, even occasionally 'good' for the first time in 13 years. I was cautiously hoping that I'd found my drug. Life had moved from pain, suffocating obsessions, suffering, suicidal ideation, overwhelming anxiety, dread of the future and feeling inhuman to something to make the most of, to be lived and explored. Sorry for the melodrama but it really was like night and day.

Last Weds I started feeling flat and a bit down. This progressed into feeling very depressed on Sat & Sun. I felt like my dream was coming crashing down. I would give my life savings and everything I own for Nardil to keep working and not have to face the horrors of depression again. I was terrified and distraught. I have been praying on my knees that the Nardil kick in again.

Has anyone else experienced this sudden crash in mood @ 60mg? Why would this happen when things were going so well? The depression is far worse in the morning and earlier last week I switched from 30mg in the a.m. and 30mg in the p.m. to 60mg in the a.m. Could this be having some effect? I switched because I was having trouble sleeping but I will switch back just in case. Also, I had a single bottle of beer on Fri night and Sat night. Surely that small amount of alcohol could not cause such a dramatic regression?

I called my pdoc on Sunday and he agreed to raise the dose to 75mg. I'm 75kg which I've read makes this a suitable dose at 1kg=1mg. Something I've been meaning to ask for a while is how long a dosage adjustment like this will take to kick in? Surely it's not the 4-8 weeks that starting Nardil takes? Also Scott wrote something about increasing from 60mg to 75mg being a way bigger jump in various metrics and effects than say 15mg to 30mg but I cannot find that post.

My pdoc has intimated that he can no longer help me if Nardil doesn't work. Can anyone recommend a progressive pdoc in NYC who would be willing to augment Nardil e.g. nortrip or provigil?

Sorry about the length of this post and the number of questions, I am terrified of going back to unbearable depression.
Thanks for reading,
Pete

p.s. Thankfully today I'm feeling more stable again but this brief crash has left me feeling very vulnerable.


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poster:pedr thread:916106
URL: http://www.dr-bob.org/babble/20090902/msgs/916106.html