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Re: solutions for MAOI withdrawl? Marplan on backorder porkpiehat

Posted by Tfeld on July 8, 2018, at 8:36:49

In reply to Re: solutions for MAOI withdrawl? Marplan on backorder, posted by porkpiehat on June 7, 2018, at 10:07:51

Hey porkpiehat,

I too am a recovering Marplan user (lol) since the shortage and am on week 1 of 30mg Nardil. I posted a longer message under PeterMartin's thread if you'd like to check out my progress.

Did you wind up trying the naltrexone? I did a short (~3-day) trial of 25-50mgs back a few months ago as an attempt to attenuate meth cravings, but unfortunately I found it bored the sh*t out of me and numbed me out even further, attenuating incentive salience for all activities across the board and helping little with the meth issue. I should mention I am one of those stubbornly unstoppable compulsives when I use and not much can stop me, although I have finally achieved abstinence (16 days today) and am getting more involved than ever in my support network with my recent response to the low-dosage 30mg Nardil.

I cycle rapidly and can't remember the ins and outs since nearly most of the past year was an addictive blur, but while the meth seemed to even me out there was definitely signifiant hypomania in the mix. The naltrexone seemed not to even out the hypomania but simply crush me into flatness and depression, although I wasn't on it very long.

My pdoc has had some success with naltrexone for multiple substances including my DOC (meth), but my experience may vary considerably from your situation with alcohol, for which there is much more empirical evidence...so YMMV.

Would love to hear an update and how Nardil's going for you. I hope things are improving for you and NEVER give up!!


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