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Dr. Bob is Robert Hsiung, MD,
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Posted by 1977julie1977 on May 31, 2008, at 15:43:09
In reply to Re: Nardil- The best AD ever....... 03 Fivefires » Fivefires, posted by ace on May 29, 2008, at 1:01:32
I've been on 45mg nardil for 4 weeks and now 60mg for about a week and its kicking in! Feel calmer and balanced and not depressed. Minor effect on SA too. The bizarre things are that my appetite has DECREASED! so i'll be losing those extra lbs that olanzapine has packed onto me. I'm currently taking 60mg nardil and 5mg olanzapine for treatment resistant depression, and it seems i'm not going to turn into a blob afterall!
Posted by tgo on May 31, 2008, at 17:28:34
In reply to Re: Nardil- The best AD ever....... 03 Fivefires, posted by 1977julie1977 on May 31, 2008, at 15:43:09
Is there a good medicine that you can take after starting Nardil that will inhibit the weight gain side effect? And does the weight gain level off or keep gaining over time?
tgo
Posted by Fivefires on June 1, 2008, at 3:41:26
In reply to Re: Nardil- The best AD ever....... 03 Fivefires, posted by ace on May 25, 2008, at 23:06:40
I began 15mg 3x a day (weight 118lbs, then) body pain, stomachache, zombie feeling. Got an emerg. appt. but w/ someone who had never seen me be4. From the beginning pdoc said get all info from pharmacist. Because I could sense something good happening in my 'thoughts and cognitive thinking and the 'real me' coming back, I didn't want to quit, but pdoc wouldn't authorize inpatient and I am alone. The doc I saw for emerg. appt. just said 'well don't take if don't like'. Well I stopped ... think 1 and 1 and 1 for last three days. Feel it might have been the answer I've been looking for, but being alone, no support really, certainly none from the professionals, I had to quit it. That's about it Ace. I will keep it in mind if I ever get out of this county and get a pdoc w/ a better understanding of meds.
Did I just repeat self, or did I clue you in now?
5f
Posted by simon79 on June 1, 2008, at 3:41:57
In reply to Nardil- The best AD ever......., posted by ace on May 5, 2008, at 23:36:34
Dear Double Ace
I've been researching the archives on babble. Are you sure you don't work for Link Pharmaceuticals? :) I've never read such a positive response to the drug, perhaps this is because you suffered so greatly and nardil put an end to your suffering?
I live next to you in New Zealand and we get our nardil from Link in Australia. So I'm taking the same stuff as the nardil champ.
In your opening post you said:
"I strongly recommend the following....
1. Take Nardil at the same time(s) each day"
Say for example I take nardil at 8am and 1pm each day. Do I have to take it to the exact minute? or can i give or take 5 or 10 or 15 or 20.. minutes and still have the drug work really well?One more week until i get to 45mgs.
Thank jebus because 30mg doesn't do anything.
45mg probably won't do much but it's a stepping stone to where the ball starts rolling at 60 :)I hope your internship is going well, take care and be happy you have reached therapudic dosage and your not still floundering around like I am :)
All the bestSimon
Posted by Klinefelter Dimaggio on June 1, 2008, at 21:56:03
In reply to Nardil- The best AD ever......., posted by ace on May 5, 2008, at 23:36:34
Ace,
How has Nardil affected your motivation and cognition/ creativity?
Posted by undopaminergic on June 3, 2008, at 3:49:51
In reply to Re: Nardil- The best AD ever......., posted by tgo on May 31, 2008, at 17:28:34
> Is there a good medicine that you can take after starting Nardil that will inhibit the weight gain side effect?
>Metformin is potentially effective.
Posted by ace on June 5, 2008, at 1:53:20
In reply to Re: Nardil- The best AD ever....... 03 Fivefires, posted by 1977julie1977 on May 31, 2008, at 15:43:09
> I've been on 45mg nardil for 4 weeks and now 60mg for about a week and its kicking in! Feel calmer and balanced and not depressed. Minor effect on SA too.
Great to here! I feel also that it is very likely the best is yet to come!
The bizarre things are that my appetite has DECREASED! so i'll be losing those extra lbs that olanzapine has packed onto me. I'm currently taking 60mg nardil and 5mg olanzapine for treatment resistant depression, and it seems i'm not going to turn into a blob afterall!
Nardil, I can remember, did cause me lack of time in intial treatment stages....However, this was a s/eefect which past, and I did, within, a couple of months or so, develope strong urges for chocolate.....But we are all different, it is quite possible your appetite will remain low....let's hope so!!!
Take Care,
Ace:)
Posted by ace on June 5, 2008, at 1:54:50
In reply to Re: Nardil- The best AD ever......., posted by undopaminergic on June 3, 2008, at 3:49:51
> > Is there a good medicine that you can take after starting Nardil that will inhibit the weight gain side effect?
> >
>
> Metformin is potentially effective.
Topamax as well...There are many more angents with varying degress iof efficacy...
Posted by tgo on June 5, 2008, at 9:19:55
In reply to Re: Nardil- The best AD ever......., posted by ace on June 5, 2008, at 1:54:50
Ace,
Have you ever had a hypertensive crisis on Nardil? Do you have to go to the hospital for these as I do not have insurance or can you wait it out or take a medication to help this at home? If you have had one, what was the trigger?
I am thinking about asking for Nardil if my next med trial isn't successful. I'm cautious about the weight gain though. Can you take adderall while on Nardil? It has worked for me in the past and curbs the appetite nicely.
Posted by tgo on June 5, 2008, at 15:51:39
In reply to Re: Nardil- The best AD ever......., posted by ace on June 5, 2008, at 1:54:50
How much weight have you gained in the last 7 years being on Nardil?
Posted by ace on June 6, 2008, at 1:10:32
In reply to Re: Nardil- The best AD ever....... Ace, posted by tgo on June 5, 2008, at 9:19:55
> Ace,
>
> Have you ever had a hypertensive crisis on Nardil?Yes- around 4. 2 were severe, with all the tell-tale sx, esp, extreme occipital headache, diaphoresis (sweating).
Do you have to go to the hospital for these as I do not have insurance or can you wait it out or take a medication to help this at home?
OK, this is a big issue. In my experience, I DO NOT advice people to go to hospital. The reason is simple- the nurses and doctors, for the greater part, are not educated about MAOI's.The last HT crises I had, in which I went to a hospital, was extreme. The hospital treated me with what I deem as contempt. I was in agony for 4 hours, experiencing delirium. At that point I demanded to see the doctor (not a nurse). Once the doctor heard what i studied, and when he heard me use medical terminology he started treating me seriously.
I will NEVER go to a hospital again. The prior experience was not much better.
I feel you are better to treat yourself if experiencing a HT crises.
This article is good.(written by two psychiatrists)
http://www.drtonyromack.com/MAOIs.htm
I would advise Nifedipine, Chlorpromazine- exactly what this article advises (If memory serves me correctly)
If you have had one, what was the trigger?
Eating the wrong foods. This is very rare but. I ignore all dietary restrictions- although i do not condone this.
> I am thinking about asking for Nardil if my next med trial isn't successful. I'm cautious about the weight gain though. Can you take adderall while on Nardil? It has worked for me in the past and curbs the appetite nicely.
It is officially contraindicated, but I have heard of it being used with nardil, and having no problems. I would have to research this a bit more to reach a definite conclusion.Try not to worry too much about the (possible) weight gain!!
All the best!
Ace!
Posted by Fivefires on June 6, 2008, at 1:28:35
In reply to Re: Nardil- The best AD ever....... 03 Fivefires » Fivefires, posted by ace on May 29, 2008, at 1:01:32
Is there someone else posting here named 03 Fivefires??????
5f
(Couldn't stay on Nardil, even tho' felt depression lifting and was not gaining weight, due to physical side effects and doc refusing to help me.)
Posted by undopaminergic on June 6, 2008, at 8:25:49
In reply to Re: Nardil- The best AD ever....... Ace » tgo, posted by ace on June 6, 2008, at 1:10:32
>
> I would advise Nifedipine,
>Nifedipine seems to be the agent usually suggested for non-intravenous treatment of MAOI-induced hypertensive crises. However, it's my understanding that nitroglycerin would have a faster onset - albeit a shorter duration - of action. What are your thoughts on this?
> Chlorpromazine- exactly what this article advises (If memory serves me correctly)
>According to my data, chlorpromazine is mainly used for MAOI-related complications when rapid intravenous treatment of serotonin toxicity is required. However, for oral, intranasal, or sublingual treatment, cyproheptadine is a better choice due to its higher affinity for the serotonin 5-HT2A-receptor, which appears to mediate the most serious consequences of serotonin syndrome.
>
> > I am thinking about asking for Nardil if my next med trial isn't successful. I'm cautious about the weight gain though. Can you take adderall while on Nardil? It has worked for me in the past and curbs the appetite nicely.
> >
>
> It is officially contraindicated, but I have heard of it being used with nardil, and having no problems. I would have to research this a bit more to reach a definite conclusion.
>Amphetamines have the potential to cause serious hypertensive reactions - including crisis - if taken at excessive doses during MAO-inhibition. However, the combination can be used safely when it is initiated with proper caution. I've heard of doses up to at least 60 mg of dextroamphetamine taken with Nardil (I think it was Nardil, but there's a slight chance that it was Parnate or Marplan).
Posted by Fivefires on June 6, 2008, at 23:09:47
In reply to Re: Nardil- The best AD ever....... 03 Fivefires, posted by Fivefires on June 6, 2008, at 1:28:35
PLEASE HELP SOMEONE
I AM WORRIED ABOUT SOMETHING ...
I SEE A POST CALLED 03 Fivefires.
Please tell me someone else sees this????????
I post as Fivefires, never 03 Fivefires.
Someone pls let me know I'm not hallucinating!(?)
tks, 5f
Posted by Justherself54 on June 7, 2008, at 0:27:50
In reply to Re: Nardil- The best AD ever....... 03 Fivefires, posted by Fivefires on June 6, 2008, at 23:09:47
> PLEASE HELP SOMEONE
>
> I AM WORRIED ABOUT SOMETHING ...
>
> I SEE A POST CALLED 03 Fivefires.
>
> Please tell me someone else sees this????????
>
> I post as Fivefires, never 03 Fivefires.
>
> Someone pls let me know I'm not hallucinating!(?)
>
> tks, 5fyes, i see it too. i would check with administration and see what's happened with your login name. probably some sort of admin glitch, I'm thinking.
Posted by Fivefires on June 7, 2008, at 1:43:06
In reply to Re: Nardil- The best AD ever....... 03 Fivefires » Fivefires, posted by Justherself54 on June 7, 2008, at 0:27:50
Tks Justherself54.
I've never used 03 Fivefires; plus the followup added 'two' names essentially.
Wonder why no one else noticed this or thought it strange?
Asked if anyone noticed it, earlier in the thread, and when didn't get a response, started to wonder if I was seeing things.
Contacted admin.
Tks again, 5f
Posted by muffled on June 7, 2008, at 14:16:57
In reply to Re: Nardil- The best AD ever....... 03 Fivefires, posted by Fivefires on June 7, 2008, at 1:43:06
I think its just whats typed in the subject line.
The "poster name" is still just fivefires.
M
Posted by Phoenix1 on June 7, 2008, at 15:02:30
In reply to Re: Nardil- The best AD ever....... Ace » tgo, posted by ace on June 6, 2008, at 1:10:32
> > Ace,
> >
> > Have you ever had a hypertensive crisis on Nardil?
>
> Yes- around 4. 2 were severe, with all the tell-tale sx, esp, extreme occipital headache, diaphoresis (sweating).
>
>
>
> Do you have to go to the hospital for these as I do not have insurance or can you wait it out or take a medication to help this at home?
>
>
> OK, this is a big issue. In my experience, I DO NOT advice people to go to hospital. The reason is simple- the nurses and doctors, for the greater part, are not educated about MAOI's.
>
> The last HT crises I had, in which I went to a hospital, was extreme. The hospital treated me with what I deem as contempt. I was in agony for 4 hours, experiencing delirium. At that point I demanded to see the doctor (not a nurse). Once the doctor heard what i studied, and when he heard me use medical terminology he started treating me seriously.
>
> I will NEVER go to a hospital again. The prior experience was not much better.
>
> I feel you are better to treat yourself if experiencing a HT crises.
>
> This article is good.(written by two psychiatrists)
>
> http://www.drtonyromack.com/MAOIs.htm
>
> I would advise Nifedipine, Chlorpromazine- exactly what this article advises (If memory serves me correctly)
>
>
>
> If you have had one, what was the trigger?
>
> Eating the wrong foods. This is very rare but. I ignore all dietary restrictions- although i do not condone this.
>
>
> > I am thinking about asking for Nardil if my next med trial isn't successful. I'm cautious about the weight gain though. Can you take adderall while on Nardil? It has worked for me in the past and curbs the appetite nicely.
>
>
> It is officially contraindicated, but I have heard of it being used with nardil, and having no problems. I would have to research this a bit more to reach a definite conclusion.
>
> Try not to worry too much about the (possible) weight gain!!
>
> All the best!
>
> Ace!
>
>Ace, I agree with you on this 100%. I went to the hospital with a hypertensive crisis a couple of months ago. My BP on admission was 190/110. I had a 10/10 headache, and partial paralysis. I told them I was on a MAOI. To make a long story short, I got discharged the next day with a diagnosis of "Conversion Disorder", and no treatment whatsoever. As you know from my earlier post, I think that because of not being treated, this turned into the much more serious PRES for me. I think that I was treated with contempt, and because of my previous psychiatric diagnosis, it was easy for them to improperly diagnose me with conversion disorder. I would avoid the ER if at all possible. In my experience, it did me more harm than good.
Phoenix
Posted by Fivefires on June 7, 2008, at 19:08:34
In reply to Re: Nardil- The best AD ever......., posted by muffled on June 7, 2008, at 14:16:57
> I think its just whats typed in the subject line.
> The "poster name" is still just fivefires.
> MIt's really nice of you to answer my question muffled. Thank you!
I was feeling sorta' 'obviously ignored' by the other posters around me here.
So, here's my question. Can anyone just change the subject line created by another poster?????
Tks again muffled, Fivefires.
and: I didn't put 03 and my user name twice in another poster's subject line. Personally, feel whomever did would think to apologize for mix-up.
Posted by Kath on June 8, 2008, at 22:14:34
In reply to Re: Nardil- The best AD ever......., posted by Fivefires on June 7, 2008, at 19:08:34
> > I think its just whats typed in the subject line.
> > The "poster name" is still just fivefires.
> > M
>
> It's really nice of you to answer my question muffled. Thank you!
>
> I was feeling sorta' 'obviously ignored' by the other posters around me here.
>
> So, here's my question. Can anyone just change the subject line created by another poster?????
>
> Tks again muffled, Fivefires.
>
> and: I didn't put 03 and my user name twice in another poster's subject line. Personally, feel whomever did would think to apologize for mix-up.*********Hi FF - I think it's just when we click "add name of previous poster" when answering a post of yours hun. I don't see any actual post FROM 03Fivefires. I think it's some kind of weird glitch - a computer thingie
Don't worry hun! Okay?
Sorry to just post now. I've been away on holiday for a week.
luv, Kath
Posted by ace on June 8, 2008, at 23:58:38
In reply to Re: Nardil- The best AD ever......., posted by Fivefires on June 7, 2008, at 19:08:34
> > I think its just whats typed in the subject line.
> > The "poster name" is still just fivefires.
> > M
>
> It's really nice of you to answer my question muffled. Thank you!
>
> I was feeling sorta' 'obviously ignored' by the other posters around me here.
>
> So, here's my question. Can anyone just change the subject line created by another poster?????
>
> Tks again muffled, Fivefires.
>
> and: I didn't put 03 and my user name twice in another poster's subject line. Personally, feel whomever did would think to apologize for mix-up.I hope I didn't make you feel this way- yep, you can change it just by clicking 'BACKSPACE; or DELETE. Highlight the subject first with your mouse.
You had earlier qstn to me? I got confused as to your poster name/ if there were 2 of you!
Ace:)
Posted by ace on June 9, 2008, at 0:42:00
In reply to Re: Nardil- The best AD ever....... Ace » ace, posted by Phoenix1 on June 7, 2008, at 15:02:30
>
> Ace, I agree with you on this 100%. I went to the hospital with a hypertensive crisis a couple of months ago. My BP on admission was 190/110. I had a 10/10 headache, and partial paralysis. I told them I was on a MAOI. To make a long story short, I got discharged the next day with a diagnosis of "Conversion Disorder", and no treatment whatsoever.This, given the information I have been given, constitues gross medical negligence. The hospital in question can be brough to task for such negligence. I would urge you to investigate taking this issue further.
1. You presented with symptoms which indicate a clear HT crises. You stated you take an MAOI. MAOI's are the most common psychiatric medications to cause HT crises. Did they actually take any notes while you relayed your feelings of discomfort? I am being rhetorical here....of course they would of. I urge you to get a copy of the notes written on this admission.
2. You got diagnosed with 'converstion disorder'?? They based this on your paralysis? However, did they do investigation to see if a bona-fide neurological d/o could be ruled out, before such a diagnosis??? If not, it is not correct to diagnosis you as such. Basically you presented with symptoms clearly explainable in terms of a HT crises. Ovbiously they knew you were taking a psychiatric medication, but this does not justify a diagnosis of conversion disorder in the abscence of tests which would rule out the disorder. Apart from paralysis did you complain of blindness, or other problems with motor functions? Even if you did, tests should have taken placed, and you should have been admitted as a patient on the night.From what I read here I DO agree you were treated with contempt. I feel the "all-knowing God-like" MD's and nurses very likely judged your complaints in the light of a past psychiatric history, and saw your complaints as a mere manifestation of a possible recent psychological stressor which accounted for symptoms 'best' diagnosed as CD/O
Not only is this unethical, but it is a gross deviation from responsible medical practice.
To not address your symptoms congruent with an MAOI induced HT crises, and to instead diagnose you with a CD/O, IN THE ABSCENCE OF ANY TESTS TO RULE OUT a neurological condition to account for your paralysis.....
You have RIGHTS, and I believe you should take this matter further.
This sort of behaviour I am hearing more and more of. And it is almost always with regards to those who suffer psychiatric symptoms. Regardless of people having psychiatric symptoms, I feel their complaints should be treated with the utmost respect, concern, and medical legitimacy as any other person.
Hope all is getting better mate- you hang in there...Ace:)
Posted by blueboy on June 16, 2008, at 17:06:20
In reply to Re: Nardil- The best AD ever....... Ace » Phoenix1, posted by ace on June 9, 2008, at 0:42:00
Anger at being mistreated, incorrect diagnosis, and lack of treatment do not constitute medical malpractice. You also have to prove that the actual condition caused damage that would have not occurred if treatment that meets the "standard of care" had been provided.
This is not a legal symposium and although I am an attorney, I never handled medical malpractice cases. (Actually, I did sit second seat on one psychiatric malpractice case, but it was a long time ago.) But I am fairly confident in the statement of the legal elements of the case in most states. Canada, I don't know about.
They are quite hard to win. You would need a reputable doctor to testify that your high blood pressure directly caused some specific injury. Like if you were taking Nardil and the hospital gave you Demerol and did not treat the resulting hypertension, and then you got a debilitating "hemorrhagic" stroke, you would have a very good case.
Hope that helps.
BTW, in the case where I helped out my partner, the plaintiff was a man's widow. He had telephoned his psychiatrist from a telephone booth and threatened suicide. His psychiatrist did nothing and the man did, in fact, kill himself.
We lost on summary judgment, i.e. the judge would not even allow it to proceed to trial. I can't remember exactly why we lost, sorry. IIRC, about 90% of malpractice cases result in a judgment for the defendant, although there are some enormous verdicts when the plaintiff does win.
Posted by Fivefires on June 17, 2008, at 15:32:55
In reply to Re: Nardil- The best AD ever....... » Fivefires, posted by ace on June 8, 2008, at 23:58:38
Hi Ace,
Slow response as depression in me spread to my entire life. Could just now find my keyboard beneath all this paperwork. Forgive please.
I've not known that another could change a subject line we created. I've changed ones I've created. So, this is new to me, I think, unless I'm just so depressed I'm not thinking clearly.
It's okay and I appreciate your attn here. I didn't think it was you that had done it, really. Because, it was you who started the thread and it was my understanding this was then okay. And I understand you thought there were maybe two w/ similar names. All cool. Hope addressed all your concerns.
your friend, 5f
and: Afa Nardil and I, I think you'll notice 'I felt a hint of my old true to self, self, coming back', but 'the physical side effects' were too much for me to handle here alone. I requested inp, med. mgt., but was denied.
Posted by Fivefires on June 17, 2008, at 15:33:59
In reply to Re: Nardil- The best AD ever....... » Fivefires, posted by ace on June 8, 2008, at 23:58:38
Ace - Just one thing, no, don't think there is another poster w/ name similar.
5f
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