Posted by chicagokat on September 11, 2012, at 12:06:46
In reply to Re: Need out of the box suggestions » chicagokat, posted by SLS on September 11, 2012, at 11:27:49
> > > Hi.
> > >
> > > Ataxia is a frequent side effect with Ambien. If you do return to Nardil and the ataxia reappears, I would consider performing an experiment with Ambien by skipping one or two nights to see if the ataxia resolves.
>
> > I'm already off the Ambien; it pooped out on me too. The only thing that helps me sleep now is Elavil, I take 25-50mg. Do you think I'd be able to stay on that if I went back to Nardil? I've heard talk of using TCAs with MAOIs.
>
> Elavil shouldn't be a problem. I've combined it with Nardil once already at dosages above 100 mg/day. The dosage of Nardil was only 45 mg/day, though. Nardil is perfectly fine with desipramine and nortriptyline, as well as doxepin and perhaps trimipramine. The concern with these combinations is serotonin syndrome, not hypertensive crisis. I would say that amitriptyline and doxepin represent a slight risk of producing this in combination with Nardil. Nortriptyline and desipramine are the least likely tricyclics to produce SS. Steer clear of imipramine and clomipramine. Doxepin is good for sleep and anxiety. If I were you, and Elavil proved to be problematic, I would probably dump the whole Nardil + TCA idea.
>
> The following combinations should be okay for depression and insomnia. SS would not be a problem. Hypertensive reactions are conceivable, but I couldn't find any descriptions of it ever happening.
>
> Nardil + low-dose Seroquel
>
> Nardil + low-dose Remeron
>
> http://www.ncbi.nlm.nih.gov/pubmed/16342227
>
> I would be curious to know what other people think.
>
>
> - Scott
>Thanks Scott....If we go the Nardil route I'll ask my pdoc about the Elavil, and perhaps suggest Doxepin instead to him for sleep. I've had SS before, and believe me, I don't want to get it again!
Oh, and thanks for the info on Seroquel and Remeron, but Seroquel dosn't help me sleep and it gives me akatisia, and Remeron no longer makes me sleepy :(OK, I'm off to the doc! I'll let you all know how it turns out.
Regards,
Kat
poster:chicagokat
thread:1025287
URL: http://www.dr-bob.org/babble/20120830/msgs/1025385.html