Posted by ChicagoKat on October 14, 2012, at 12:25:26
In reply to Re: Nardil only working half the time. Appt tommorow., posted by enndub on October 14, 2012, at 5:11:40
> OK, so my pdoc is looking up Nuvigil because he wasn't sure if it was safe to take with the Nardil and in the meantime he recommended that I try to take my entire 75 mg dose at night to avoid fatigue in the daytime. At my next appointment I will have been on 75 mg for over 8 full weeks so we can discuss augmentation options then if I'm still not feeling better.
>
> Friday was a good day, today I was feeling down again, maybe because I skipped my usual morning and afternoon doses to get ready for taking the entire dose at nighttime.
>
> Just took my full 75 mg 5 hours ago and now my insomnia is back in full force, which is a shame because I declined sleep meds on my appointment on Friday. Might try a low dose of Mirtazapine to knock me out tomorrow night, hopefully it won't cause restless legs at a low dose.
>
> Anyways, I'm feeling pretty good right now, so hopefully my mood carries over to tomorrow.
>
> Thanks Kat and Phillipa for the input and wishes.
>
> NickHi Nick,
Thanks for the update; I was wondering how things went. I honestly don't know about Nuvigil with Parnate, but it's great that your pddoc is looking it up. And it was a good idea he had to take all your 75mg at night to avoid daytime fatigue. Too bad though that you declined sleep meds (lol, I would NEVER decline an offer of sleep meds, but then I have the world's worst insomnia) But I'm sure you could call him and say you need them after all and he could phone them in to your pharmacy.I truly hope the change helps, and that if he finds Nuvigil is OK with Parnate, that it helps too. My experience with Nuvigil was that it did not help much. But then, everyone's different. I found Ritalin helped much, much better. And it can be added to an MAOI, as can amphetamines. Even a low dose makes a difference. Something to consider, should the nuvigil not work out.
Good luck, and keep us posted!
Kat
poster:ChicagoKat
thread:1028340
URL: http://www.dr-bob.org/babble/20121009/msgs/1028635.html