Posted by ace on April 19, 2010, at 8:59:56
In reply to Potential Nardil poop-out. Feeling cheated., posted by pedr on April 12, 2010, at 0:31:17
> Hi babblers,
> I started taking Nardil 9 months ago and hit 90mg in January. Overall it's been my wonder drug, it's lifted me up like no other, made me more like my old pre-depression self than any other. It's possibly saved my life.
>
> However I'm either experiencing "poop out" (I don't like this overused term but can't think of an improvement) or reasonably frequent deep dips in well-being.
>
> I keep a daily log of my mood.Something like David D. Burns, or CBT author?
For the last 2 weeks of March, every day was 9/10 - frikkin awesome. Since then I'm around the 5/10 mark with dips right down to "I want to be dead" level of feelings and cognitions. This is confounding, disturbing and frankly worrying. Why such variation? Will this depression continue or will it lift? Either way it's worrisome. I don't want to have unpredictable, horrible dips into strong depression. Even worse would be if the med is just waning in effect.
>
> With my letting-this-get-to-me hat on, why can't I catch a f'ing break? I was hoping to be one of those guys who just sits at 90mg for the rest of their life. I've had this illness for 14 years now and thought I'd at last reached a stable-ish level of recovery. A level of well-being I was willing to live with, that I could function pretty well on, even with the XL belly that Nardil has kindly bestowed upon me.
>
> I'm not really sure what the purpose of this post is. I've seen posts by others who've experienced "poop-out" at the 8-9 month stage. I know that people will recommend nortriptyline, lithium, lamictal and others to augment the Nardil. I know I could try going up to 105mg too, although my PDoc thinks 90mg is as high as I should go. Perhaps I just wanted to vent :/
>
> Laters,
> PeteI think up the Nardil to 105-120 mg as the first action. I have read of people combating 'poop-out' by upping the dose 200+ mg, although I certainly wouldn't recommend that unless I knew the full circumstances of the case.
Second, i would try augmentation.........
There are many options here
poster:ace
thread:943156
URL: http://www.dr-bob.org/babble/20100416/msgs/943964.html