Posted by ChicagoKat on October 17, 2012, at 16:19:36
In reply to Re: Anxiety HELP!!! » ChicagoKat, posted by enndub on October 17, 2012, at 14:36:22
Hi Nick,
It was my first try on Nardil during which I had the ataxia and had several falls. I was at a dose of 60mg/day. I am now on a dose of 45mg/day, which is considered sub-therapeutic. When I was on the 60mg/day, I did achieve a remission in my depression before the ataxia started. But, when I had the ataxia, my pdoc stopped the med. We had other options to try at the time. Now there are none left.So given all this, I'm actually tempted to increase my Nardil dose to 60mg/day until I achieve remission, and then lower it to 45mg/day right away. All while monitoring my gait (it's the first thing to go before I suffer falls...it's like a warning sign) I've read the manufacturer's info, and they actually say that once remission is reached, the dose should be decreased to a dose of 15mg/day as a maintenance dose. So I figure if I can achieve remission safely at 60mg/day and then back off to 45mg/day I might be OK. I have extra Nardil, so I could do this. But I know my pdoc would NOT approve, he's too worried of falls, which I understand. But at this point I'm honestly less afraid of falling than the possibility of feeling sh*tty for the rest of my life.
Anyways, thanks for posting and offering advice. It's advice I'm most tempted to take.
How are you faring these days?
My best,
Kat
> Hello Kat, sorry to hear about your anxiety.
>
> How long have you been on Nardil at the higher dosages that cause ataxia? Is it possible that this is just transient side effect that will go away in time? If so, it might be worth trying to deal with the ataxia for a couple months or tapering up more slowly to try to avoid side effects while being able to take a full therapeutic dose of Nardil.
>
> I never had anything more than minimal balance issues, but I did have severe tremor to the point where I was shuffling around like a parkinson's patient for a couple weeks. Tremor is often associated with ataxia and for me that side-effect went away very slowly over the course of three months.
>
> Also, you may be able to find a med to treat the coordination side-effects. Amantadine, Buspar, and Mirapex are some possibilities that come to mind.
>
> Hope you feel better,
> Nick
poster:ChicagoKat
thread:1028952
URL: http://www.dr-bob.org/babble/20121009/msgs/1028985.html