Posted by Tomatheus on April 9, 2013, at 14:31:30
In reply to Re: Nardil brand vs generic? » Tomatheus, posted by brynb on April 9, 2013, at 13:17:50
Bryn,
Thanks for your reply. Given the fact that you remember having responded well to Celexa in the past, along with the fact that there are some uncertainties surrounding Nardil, I can see why you're thinking that switching to Celexa (and switching your benzodiazepine from Valium to Ativan) might be better than switching to Nardil. One thing that I can say about Nardil is that it does seem to have a clear record of efficacy in treating depressions that have "atypical" features (e.g., mood reactivity, overeating, oversleeping, leaden paralysis, rejection sensitivity). It also seems to have a good track record in treating individuals who have a mixture of depression and anxiety symptoms. Having the atypical features that I mentioned and/or a mixture of depression and anxiety, I think, would be an argument in favor of giving Nardil a try. Then again, one could also argue that if you could respond to Celexa that it might be best to try that again first before going with Nardil, which carries dietary restrictions and may be at least somewhat riskier. So, I think that arguments could be made in favor of either switching to Nardil or switching to Celexa (along with Ativan). This probably won't make deciding which medication to try any easier, but if nothing else, it might give you some reason to be optimistic about your chances of responding favorably either way.
I wish you well with whichever decision you end up making. Maybe somebody else here will be able to offer some more feedback to help persuade you one way or the other. Unfortunately, with the process of selecting medications being one of trial and error, it's usually difficult to say with much certainty which course of action would be best, and that can leave us patients feeling lost and confused.
Tomatheus
Dx: schizoaffective disorder
Treatments: Abilify & Korean ginseng
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