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Re: Hoping Nardil kicks in at 60 (wk3) - up to 90 PeterMartin

Posted by SLS on May 7, 2018, at 21:10:02

In reply to Re: Hoping Nardil kicks in at 60 (wk3) - up to 90, posted by PeterMartin on May 7, 2018, at 15:56:04

> Still been very up and down on Nardil. My Metformin is now at 2000mg (past week) and maybe that's having more of an affect on my mood than I realize.
>
> Anyway today marked 2 months on 75mg. I woke up not wanting to get out of bed / depressed. it's been 4 or 5 days since Ive really felt pretty good. I called my doc and he oked me to try 90mg.
>
> Hopefully the side effects (wt particularly) won't be extremely tough w/ this increase. I'm a fairly heavy person so I'm also very hopeful that I needed this higher dose to get to a proper level of MAO inhibition.
>
> I'll update at some point...

Good luck at 90 mg. I would be optimistic. I'm sure you know the general formula for arriving at a target dosage of Nardil = 1 mg per kg (body weight).

75 mg: 165 lbs

90 mg: 200 lbs

If you continue to experience a partial and episodic improvement, perhaps adding another drug would help.

Intuitively, one would think that adding a mood stabilizer would make sense. Have you ever tried lithium? I find that 300 mg/day helps with depression, but not mania, when combined with Parnate. I experienced a mild improvement using Trileptal, Lamictal and Topamax. Abilify would be a good choice therapeutically, but it causes weight gain. Saphris represents an alternative to Abilify.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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