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

Posted by SLS on May 17, 2018, at 7:32:03

In reply to Re: Hoping Nardil kicks in at 60 (wk3) - up to 90, posted by PeterMartin on May 17, 2018, at 1:48:37

I'm following your posts, Peter.

I don't know what to suggest. My guess is that 90 mg/day is high enough for you. Some people report that they don't get the full effect of Nardil until they have been on it for 3 months. I know that you have been on it for many weeks. Perhaps you need to be on 90 mg/day for 3 months. I don't know.

I have great difficulties being patient when something begins to work and the improvements are episodic. I want to adjust dosages and add other drugs immediately when, perhaps, leaving things alone for awhile ultimately produces the best response. Patience is a scarce commodity for me sometimes.

These are some alternatives that I thought of off the top of my head. They are in no particular order. I have tried 3-8 in combination with Parnate.

1. Continue at 90 mg/day
2. Raise the dosage to 105 mg/day
3. Add Lamictal
4. Add lithium
5. Add Abilify
6. Add Saphris
7. Add nortriptyline
8. Add Wellbutrin
9. Add Ritalin or Focalin

What are your thoughts on these?

Right now, I am having success for having added Saphris to Parnate. For me, the antidepressant effect of Saphris is qualitatively better than that I was having with Abilify.

Given your current partial responsiveness to Nardil, I think you have a good chance of finding a treatment that works.

Can you comment on Marplan? Interestingly, my doctor considers Marplan to be better suited for depression with Nardil being better for anxiety. If I need to return to a MAOI, I think I'll try Marplan before heading back to Nardil.

Good luck.

- 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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