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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by ross on March 31, 2002, at 8:15:04
well its day 13 and it seems to have killed my depression. but when do the social effects take place. last night was out with close friends and felt social anxiety/phobia.
anyone have a timetable who takes nardil?
happy easter
ross
Posted by TSA West on March 31, 2002, at 8:32:18
In reply to Nardil update. come on you guys, posted by ross on March 31, 2002, at 8:15:04
Stay with it for another 4 weeks and add Lithium or pindolol if you don't get a response by that time. BTW, Treat all the MAOI side-effects with stuff like Bethanechol (anticholinergic effects), Propranolol (tremor), and Verapamil (cardio/headaches).
TIMING OF PHENELZINE RESPONSE:
Cognitive Behavioral Group Therapy vs Phenelzine Therapy for Social Phobia: 12-Week Outcome.[Article]
Source:
Archives of General Psychiatry. 55(12):1133-1141, December 1998."Results: After 12 weeks, phenelzine therapy and CBT led to superior response rates and greater change on dimensional measures than did either control condition. However, response to phenelzine therapy was more evident after 6 weeks..."
Posted by IsoM on March 31, 2002, at 11:56:06
In reply to Nardil update. come on you guys, posted by ross on March 31, 2002, at 8:15:04
Ross, stick with it - don't get discouraged. All I can offer are words of encouragement.
I don't have the same problems as you or take the same meds, but have always found that whatever I've been taking, the total effects don't kick in right away. As the weeks go on, the benefits start showing more & more. You're still only on day 13. Like YSA West mentioned, you may need a bit extra added.
If you give up now, you'll be back, not at square one, but in the negative zone. Remember, Ross, we are here to support you, & I, for one, am really glad to hear of any progress you're making.
Posted by ross on March 31, 2002, at 16:32:21
In reply to Re: Nardil update. come on you guys » ross, posted by IsoM on March 31, 2002, at 11:56:06
thanks guys for thr words of encouragment.
i know things take time and it will be worth the wait. its nice to have backup like you guys
ross
Posted by IsoM on March 31, 2002, at 17:08:58
In reply to Re: Nardil update. come on you guys, posted by ross on March 31, 2002, at 16:32:21
So Ross, whenever you're feeling discouraged & can't manage to feel hopeful, come back here & reread the words of encouragement.
If you look around this world, it's obvious that there's lots of hurt in it, but it's amazing how creative & productive we can be & overcome lots if we can manage to lick our depression or at least, get it under control. I'm expecting great things from you... Just kidding, no pressure on you really, but I'll bet you'll feel like a different person soon. I know I do.
Posted by Morgana on March 31, 2002, at 23:50:15
In reply to Re: Nardil update. come on you guys, posted by ross on March 31, 2002, at 16:32:21
ross,
You're ahead of me, any words of wisdom?
I started on 15 mg of Nardil 10 days ago, today is my third day of 30 mg.
I think I'm fortunate that I've been on Lamictal. I haven't noticed a drop in mood. I've been expecting it though, because I stopped taking Welbutrin to start the Nardil.
I was taking 150 SR of Welbutrin 1x day. My neurologist had me drop down to 75 mg-non SR for 7 days then start the Nardil the next day. He said there wouldn't be an interaction problem because the Welbutrin doesn't have a long half-life and the Nardil takes at least 2 weeks to achieve full enzyme inhibition.
I haven't really noticed anything. I am anxious for something to happen - because I'm doing this to try to help my migraines. Being in constant pain, to the point of incapacitation, is just as bad as being depressed.
Hope things go well for you. I'll keep my fingers crossed for the both of us.
Morgana, BPII - Nardil and Lamictal
Posted by shelliR on April 1, 2002, at 16:07:47
In reply to Re: Nardil update-you're ahead of me » ross, posted by Morgana on March 31, 2002, at 23:50:15
Hi Ross, Morgana,
I've told Ross before that it took me 5 weeks for nardil to kick in, and when it kicked in, it was total--everything felt different.
In the last few years, after many years on nardil, it stopped working for me. Of the twenty or so combinations I tried, lamictal and nardil was the only one that worked. Unfortunately, I dropped lamictal because of a large weight gain (due to retaining fluid) and then I totally fell into the deepest depression that I had experienced since I had been on nardil.
Morgana, how long did it take the lamictal to kick in for you? It seemed like it also took a long time for me; I guess I'm a slow responder, but the only drugs that have worked for me had no side effects (except weight gain).
Hang in there: both of you,
Shelli
Posted by kazoo on April 1, 2002, at 21:35:41
In reply to Nardil update. come on you guys, posted by ross on March 31, 2002, at 8:15:04
The one very important thing you have to remember when taking NARDIL is to avoid DEMEROL (Meperidine), a powerful pain killer used frequently in both hospital and non-hospital settings.
Combining the two will have you taking an eternal dirt nap, and I don't think you want that.
When I was on it, I carried a laminated card in my wallet that said I was taking this drug, and not to administer DEMEROL (if I were unconscious, or unable to speak). You may want to do the same.
Personally, the MAOI's were a big disappointment for me but I'm glad that you're responding well to this particular drug.
There's a new MAOI coming out, something a pharmacist told me some time back, but given the paranoia of the FDA and the greed of drug companies, the release date of such is questionable at best.
kazoo
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