Posted by porkpiehat on September 21, 2018, at 7:52:06
Had to switch to Nardil recently after Marplan shortage. I haven't gone up past 45mgs because the cognitive/verbal problems and serious feelings of emotional detachment.
The depression is getting worse and so is the detachment. Suicidal obsessions more regularly. I am considering entering the hospital fo wash out but that has serious consequences.
Common sense says increase your Nardil before stopping but the hallmark of all the MAOI's for me is feeling more detached and demotivated especially after I take it. The detachment causes even more depression.
I take .25 klonopin at night; 50-100mgs gabapentin at night; 100mg lamictal AM; and space my nardil throughout the day. I need to take ritalin or modafinil everyday for mental clarity and wakefulness, motivation. Are these other meds enough to add to the cognitive and verbal problems on Nardil that I didn't have on Parnate and Marplan? Two have some GABA activity, and Lamictal can either make me racy or downright stupid.
If I had some indication that I could increase the Nardil without worsening side effects that could help with decision...any thoughts? TIA
poster:porkpiehat
thread:1100984
URL: http://www.dr-bob.org/babble/20180728/msgs/1100984.html