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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by ace on February 10, 2003, at 21:12:42
Anybody who has ever taken any other drugs in combo with Nardil, please tell me what they were.
Posted by Thomas123 on February 10, 2003, at 23:13:57
In reply to Polypharmacy with Nardil -- please respond., posted by ace on February 10, 2003, at 21:12:42
I used to take Nardil along time ago. I tried Nardil with various tricyclic antidepressants the old kind of antidepressant. I had nothing but problems. I think generally Nardil is a stand alone antidepressant. Perhaps antipsychotics can be taken safely with Nardil but I think taking Nardil with another antidepressant is a real desperation move and inadvisable.
Posted by missliz on February 11, 2003, at 0:54:27
In reply to Re: Polypharmacy with Nardil -- please respond., posted by Thomas123 on February 10, 2003, at 23:13:57
Lithium is a good goose for Nardil, and I think all mood stabilizers but Tegretol (carbemazepine) and Trileptal can mix with it. They're related to tricyclics, and those are now MAOI no nos. I used Nardil and Tegretol for years, did great. Mixing other ADs with an MAOI is a really bad idea unless you're a total basket case and have a really good psychopharmacologist handling it. NEVER mix an MAOI with an SSRI, it does a pan fry thing to your brain.
Exercise, like training in a weight room or cycling is great to goose up your meds. And you may just need more drug or more time. Antipsychotics get pushed like crazy on this board, I think they're overused. If you aren't psychotic, you don't need an antipsychotic. Maois can really bring out anxiety, and benzos are the appropriate drug for that. Or maybe it's just that Nardil lets you out of the box and one gets anxious from risky behavior like going out and being normal.
So what's the problem, anyway? We can't tell you what you want to know if you don't give us the detailsmissliz
Posted by djmmm on February 11, 2003, at 8:05:50
In reply to Polypharmacy with Nardil -- please respond., posted by ace on February 10, 2003, at 21:12:42
Because of epilepsy, I have at one time or another combined Nardil with Tegretol, Topamax, Klonopin, Neurontin, Zonegran.
I have also at various periods used Trazodone, Inderal, and sonata along with Nardil
I have heard of combining MAOIs with Reboxetine with No ill effects, and adding MAOIs to a TCA.
Generally, the only meds that I have taken that are contraindicated with Nardil were Tegretol (because it has some re-uptake properties), Trazadone (serotonin re-uptake, increased risk of hypotension), and Inderal (increased risk of hypotension, AND paradoxical hypertension due to masked alpha receptor stimulation). I had NO problems with any additional medication added; although contraindicated, most docs will use these meds freely with MAOIs
I was lucky (I guess) that at the time, I was under the care of a very liberal Psychiatrist (who was head of Psych at the area hospital) and a Neurologist who was not only a MD but had a PHD in clincal psychology...both of whom actively communicated with eachother.
It is because of thier aggressive approach to "heal" me, that I am free of major depression and social phobia.
Posted by ace on February 11, 2003, at 17:44:03
In reply to Re: Polypharmacy with Nardil -- please respond., posted by missliz on February 11, 2003, at 0:54:27
> Lithium is a good goose for Nardil, and I think all mood stabilizers but Tegretol (carbemazepine) and Trileptal can mix with it. They're related to tricyclics, and those are now MAOI no nos. I used Nardil and Tegretol for years, did great. Mixing other ADs with an MAOI is a really bad idea unless you're a total basket case and have a really good psychopharmacologist handling it.
That is not exactly true, MissLiz. Trazodone for example is 100% safe with Nardil and is a good augmentation strategy for OCD, or insomnia.
NEVER mix an MAOI with an SSRI, it does a pan fry thing to your brain.
> Exercise, like training in a weight room or cycling is great to goose up your meds. And you may just need more drug or more time. Antipsychotics get pushed like crazy on this board, I think they're overused. If you aren't psychotic, you don't need an antipsychotic.Once again I don't agree. I'm not too keen on the older neuroleptics but the atypicals can be definately appropriate for refactory cases. Zyprexa for example is very very goos, and extrapyramidal s/effects are rare if used cautiously.
Maois can really bring out anxiety,
I STRONGLY disagree. They might in early stages but they usually quell after onset of action has begun.
and benzos are the appropriate drug for that. Or maybe it's just that Nardil lets you out of the box and one gets anxious from risky behavior like going out and being normal.
> So what's the problem, anyway? We can't tell you what you want to know if you don't give us the detailsI jsut want to know of any future augmentation strategies if I need it in the future.
Thanks.
> missliz
This is the end of the thread.
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