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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 20 of 20. This is the beginning of the thread.
Posted by ross on February 16, 2002, at 10:54:04
i cant understand how my mood has not balanced out???
when you start nardil do you feel an effect in socialism fast or is it gradual?
guys im hanging in there
thanks
ross
Posted by ross on February 16, 2002, at 13:00:37
In reply to 5 days to Nardil. oh im down, posted by ross on February 16, 2002, at 10:54:04
are METRX bars ok when you are taking Nardilbecause they contain 27mgs of protein from whey isolates. tyramine is amino acid.
has anyone taking an MAO and ate protein bars
thank you kindly
ross the neurotic one'
Posted by 3 Beer Effect on February 16, 2002, at 16:02:13
In reply to protein bars on MAO'S. is it ok????, posted by ross on February 16, 2002, at 13:00:37
This is a bad idea because many of the protein bars add amino acids & thermogenics, sometimes in excessive doses, to their products.
These bars like MET-Rx might have the norepinephrine/dopamine precursors l-phenylalanine, l-tyrosine which may be dangerous for you. Also, I have seen many exercise products, especially protein shakes/weight gainers that have enough l-tyramine in a single serving to kill 10 elephants on Nardil for depression!
The only protein bar that you may be able to take is Powerbar since it doesn't appear that they add any extra amino acids to the protein already in there. But be sure to check the label carefully & e-mail Powerbar inc. if necessary.
Good luck & be careful,
3 Beers.
Posted by christophrejmc on February 16, 2002, at 17:01:43
In reply to 5 days to Nardil. oh im down, posted by ross on February 16, 2002, at 10:54:04
> i cant understand how my mood has not balanced out???
> when you start nardil do you feel an effect in socialism fast or is it gradual?I think it depends on if your problem is social anxiety or social phobia. The anxiolytic effects are probably quite rapid; the anti-phobic effects take some time. Although MAOIs are thought to be more rapid-acting than most other ADs (some people notice an improvement within days), it can still take 2-4 weeks, or more, to take effect. (Also make sure that you get to an adequate dose -- in my experience, it makes a big difference.)
> guys im hanging in there
The last time I was having a tough time between washouts, I rented _a lot_ of movies and bought a few books I had been wanting. Perhaps you can give yourself a gift each day. I hope Nardil works as well for you as it has for me.
-Christophre
Posted by spike4848 on February 16, 2002, at 17:48:47
In reply to 5 days to Nardil. oh im down, posted by ross on February 16, 2002, at 10:54:04
So Ross .... you never answered my question. Do you promise to come back to psycho babble once and a while after your blown out of your depression from nardil? Keep us updated.
Spike
PS I have seen the Godfather of Nardil, Dr. Fredrick Quitken from Columbia. I asked him if he knew any alternatives to nardil. He said essentially "No, it is the most potent medication, effective in 95% of patients." And I had to pay 300 dollars for that.
Posted by johnj on February 16, 2002, at 23:03:04
In reply to Nardil is a sure thing! » ross, posted by spike4848 on February 16, 2002, at 17:48:47
Sorry for the stupid question, but what is nardil for?
Posted by ross on February 17, 2002, at 22:37:07
In reply to Nardil is a sure thing! » ross, posted by spike4848 on February 16, 2002, at 17:48:47
spike i will always stay on this board as i get better because i will never forget these tough,tough times.
thanks for your concern
ross
Posted by ross on February 17, 2002, at 22:38:20
In reply to Re: 5 days to Nardil. oh im down » ross, posted by christophrejmc on February 16, 2002, at 17:01:43
chris,
thanks for everything. what dosage of Nardil do you take and at what times do you take it. all at once or twice a day?
thanks
ross
Posted by christophrejmc on February 17, 2002, at 23:10:06
In reply to Re: 5 days to Nardil. oh im down, posted by ross on February 17, 2002, at 22:38:20
I take 90mg all at night -- some find it activating, others sedating. I think most people take it in divided doses (this might help if you experience side-effects such as orthostatic hypotension) during the daytime.
Good luck (Three more days!),
-Chris> chris,
> thanks for everything. what dosage of Nardil do you take and at what times do you take it. all at once or twice a day?
Posted by spike4848 on February 18, 2002, at 9:51:15
In reply to Re: 5 days to Nardil. oh im down » ross, posted by christophrejmc on February 17, 2002, at 23:10:06
Chris,
I have been using nardil for a few years for anxiety and depression with great sucess, but alot of side effects. Have you found any other med/med combo effective? I am trying zoloft/klonopin/provigil without much luck.
Thanks,
Spike
Posted by ross on February 18, 2002, at 14:47:04
In reply to Re: 5 days to Nardil. oh im down » ross, posted by christophrejmc on February 17, 2002, at 23:10:06
wow 3 more days!!!
chris did you have alot of weight gain on Nardil so far?????
ross
Posted by christophrejmc on February 18, 2002, at 22:06:52
In reply to Hey Chris........ » christophrejmc, posted by spike4848 on February 18, 2002, at 9:51:15
> Chris,
>
> I have been using nardil for a few years for anxiety and depression with great sucess, but alot of side effects. Have you found any other med/med combo effective? I am trying zoloft/klonopin/provigil without much luck.
>
> Thanks,
>
> SpikeSpike:
I've not been too impressed with any other meds... I'm not sure what your history is, but if you were on Nardil, you are probably atleast somewhat treatment refractory. I'll try to list some of the meds that have caught my attention recently (I'm sure you're aware of all these, but if I'm not discussing psychopharmacotherapy, I feel less alive y'know?).
I hear of high-dose Effexor being efficacious for MAOI responders, but I'm not convinced that it's really anything special.
Trimipramine is an interesting drug -- a tricyclic without a known action (it may be an antagonist at D1 (also D2?) receptors), but a good response rate. It *increases* REM sleep (opposed to most (all?) other ADs that supress REM), which is kind of neat (heh). It's possible that this would be helpful for TRD.
Stephen Stahl (the Dr. Seuss of psychopharmacology) is working on the dopamine partial agonist aripiprazole from a new class of antipsychotics called "dopamine system stabilizers" that might be useful for depression (the CRF antagonists/Substance P inhibitors coming out don't look too impressive, unfortunately).
You might also want to try Marplan. It's similar to Nardil, but some people experience fewer (or, different) side-effects. (You have tried Parnate, right?)
I'm sure I could come up with more ideas, but they probably wouldn't be anything you haven't thought of.I think I remember you mentioning that one of your main problems with Nardil was sexual dysfunction; I've been reading a decent article (http://www.vh.org/Providers/Conferences/CPS/19.html) about MAOI side-effects and it suggests using cyproheptadine or bethanacol before *ahem* activity (I know you said you've tried the usual antidotes, but I thought I'd make sure).
I'm thinking of adding something (Mirapex, amantadine, Aricept, Cylert, or T3) to help with residual symptoms; if I find something that works well, I'll let you know.
-Chris
Posted by christophrejmc on February 18, 2002, at 22:14:44
In reply to Re: 3 days to Nardil. oh im down, posted by ross on February 18, 2002, at 14:47:04
> chris did you have alot of weight gain on Nardil so far?????
I haven't noticed yet... The last time I was on Nardil, I lost weight (but I was more active than usual). I've been experiencing more side-effects this time, though, so I might put on a few (more) extra pounds (probably nothing like Paxil or the tricyclics). It doesn't make me hungry, so I hope it won't be a problem.
-chris
Posted by ross on February 18, 2002, at 22:26:55
In reply to Re: Hey Spike! » spike4848, posted by christophrejmc on February 18, 2002, at 22:06:52
in reading from your url link it says that processed cheese is safe. is this chesse like american slices. like i can have a cheeseburger or a cheesesteak and not worry about a hypertensive crisis.
do you know? do you eat cheeseburgers?
thanks
2 more days!!!
ross
Posted by christophrejmc on February 18, 2002, at 22:46:18
In reply to chris, posted by ross on February 18, 2002, at 22:26:55
I don't eat it, but yes, processed cheese is safe. Even the cheddar and mozzarella processed slices probably have a negligible amount of tyramine (I'm guessing they're not very tasty either ;).
Posted by Denise528 on February 19, 2002, at 6:22:32
In reply to Re: chris » ross, posted by christophrejmc on February 18, 2002, at 22:46:18
Chris,
You say that CRF antagonists don't look too promising, why's that? I had my hopes pinned on them.
Denise
Posted by spike4848 on February 19, 2002, at 18:55:50
In reply to Re: Hey Spike! » spike4848, posted by christophrejmc on February 18, 2002, at 22:06:52
> I'm thinking of adding something (Mirapex, amantadine, Aricept, Cylert, or T3) to help with residual symptoms; if I find something that works well, I'll let you know.
>
> -ChrisThanks for all the advise.
Now .... for my greatest experiment .... my boldest endever .... the moment of truth .... can I, a mortal man, build a better *Nardil*. I have been scouring the web in my quest. I think dopamine is the key. Kreg Park, god bless his soul, has some great ideas on social phobia, anxiety and depression. Two ideas I sank my teeth into were:
(1) Nardil is better that imipramine in atypical depression. The difference between nardil and imipramine is nardil increases dopamine.
(2) Individuals with social phobia are more likely to get Parkinson disease ... again needs more dopamine.
So far, my experiments have lead me to zoloft, klonopin and neurontin. The missing link is dopamine! Finding a med to increasing dopamine is the difficulty. So I am considering stimulants (will it poop out?)
provigil (poop out II the sequel)
bromocriptine (ergot ... not to crazy about that)
amantadine (possibly)
mirapex (three times a day ... maybe)
selegine (I think will be the winner)I just want a normal life, that is all I ask. An average house, nice wife, 2.5 kids, barbeque on the weekends. And bring on the morgage, babysitters, working late to make ends meet and even divorce. Better to love(live) and loss than to never have loved at all. Now I simply am surviving .... dragging myself through life .... in the throws of depression.
Spike
Posted by shelliR on February 19, 2002, at 22:17:58
In reply to 5 days to Nardil. oh im down, posted by ross on February 16, 2002, at 10:54:04
Hey Ross,Nardil was a great AD for me for many years. I just wanted to say, however, that it took five (5!) weeks for it to kick in for me. When it kicked in, it kicked in all at once and there was almost a complete lift in depression. Unfortunately after many years, it stopped working, but it was great for me for quite a long time.
Shelli
> i cant understand how my mood has not balanced out???
> when you start nardil do you feel an effect in socialism fast or is it gradual?
> guys im hanging in there
> thanks
> ross
Posted by Zo on February 20, 2002, at 1:25:07
In reply to The Most Dangerous Quest in History! » christophrejmc, posted by spike4848 on February 19, 2002, at 18:55:50
And the award goes to. . .. Spike!
For his memorable "provigil (poop out II the sequel) "
Hey, Spike. No Dex poop-out here in, what, four, five years. Take heart.
Zo
Posted by spike4848 on February 20, 2002, at 12:01:22
In reply to Re: Best Line Of The Month Award, posted by Zo on February 20, 2002, at 1:25:07
> And the award goes to. . .. Spike!
>
> For his memorable "provigil (poop out II the sequel) "
>
> Hey, Spike. No Dex poop-out here in, what, four, five years. Take heart.
>
> ZoHey Zo,
Thanks for the award. I would like to thank God, my pdoc, everyone at psycho babble, Dr. Bob, IsoM, KregPark .... the list goes on and on. Hi mom, hi Dad! I would say the competition was tough this month, I feel lucky just to be consider with the likes of "Burping Maniac" by Lini. Thanks again. (I am crying now).
Spike
This is the end of the thread.
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