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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by tecknohed on August 15, 2005, at 6:48:20
Does anyone find Nardil makes them snore?
Whilst on Nardil, I snored virtually every night. I can never recall haveing snored like this before. It did my girlfriends head in! It was so bad even I was aware of it - it would often wake me up! I would often 'drift off' whilst on a train, bus, or even the cinema, and awake with people looking at me oddly. My GP told me there was nothing he/I could do (except try strapping a tennis ball to my back - apparently to prevent me from sleeping on my back!!!). Corticosteroid nasal sprays didn't help.
But since I've stopped taking Nardil, my partner says I no longer snore and I'm certainly no longer aware that I do.
I'm to start Nardil again this Thursday (for SP) and I am/she is dreading this coming back.
Interestingly, I came accross something called apnoea/hypopnoea during a web browse. It fits my symptoms exactly, even if mine are Nardil - induced. Also it seems that Modafinil is prescribed for this condition so I will ask my pdoc about it (dont know if its available in uk). It sounds ideal as it may also help with the excessive daytime sleepiness I get with Nardil.
Anyone know if Nardil + Modafinil combo is safe?
ANY comments or suggestions please. Thanks.
Posted by ed_uk on August 15, 2005, at 6:51:34
In reply to Does Nardil make you snore?, posted by tecknohed on August 15, 2005, at 6:48:20
>modafinil
It is available in the UK. The brand name is Provigil. It's not prescribed very much.
~ed
Posted by tecknohed on August 15, 2005, at 7:03:21
In reply to Re: Does Nardil make you snore? » tecknohed, posted by ed_uk on August 15, 2005, at 6:51:34
Posted by Tom Twilight on August 15, 2005, at 14:21:51
In reply to Thanks ed! (nm) » ed_uk, posted by tecknohed on August 15, 2005, at 7:03:21
Technohed, you were taking Marplan for a while weren't you?
May I ask why you stopped taking Marplan, was it because it wasn't effective for social anxiety?I'm still struggeling with Marplan but its not really helping
As far as I know theres no reason why you can't combine Modafanil/Provigil and Nardil
If you can combine convetional stimulants like Dexedrine with Nardil (which can be done, as long as your careful!) then I should think Modafanil would be ok
I wouldn't try and get a UK doc to prescribe Provigil though, there very wary of stimulants, get it online
I got this quote from http://www.currentpsychiatry.com/article_pages.asp?AID=515&UID=10450
An altered diurnal sleep cycle is another MAOI-related side effect. Some patients get extremely drowsy in the late afternoon but then may have insomnia at night.26 Attempts to alter this odd cycle by changing the timing of administration have generally not helped. We add a stimulant—pemoline (18.75 to 35.5 mg), d-amphetamine (2.5 to 5 mg), methylphenidate (5 to 10 mg), or modafinil (50 to 100 mg)—either in the morning or during afternoon sleepiness, with good effect and no hypertensive crises. We supervise the effect on blood pressure of the first few doses.
Posted by Tom Twilight on August 15, 2005, at 14:25:37
In reply to Technohed-What happened to Marplan?, posted by Tom Twilight on August 15, 2005, at 14:21:51
a
Posted by ed_uk on August 15, 2005, at 15:04:09
In reply to Technohed-What happened to Marplan?, posted by Tom Twilight on August 15, 2005, at 14:21:51
Hi Tom,
What dose of isocarboxazid are you on now?
~ed
Posted by tecknohed on August 18, 2005, at 2:05:28
In reply to Technohed-What happened to Marplan?, posted by Tom Twilight on August 15, 2005, at 14:21:51
> Technohed, you were taking Marplan for a while weren't you?
> May I ask why you stopped taking Marplan, was it because it wasn't effective for social anxiety?
>
> I'm still struggeling with Marplan but its not really helping
>
> As far as I know theres no reason why you can't combine Modafanil/Provigil and Nardil
>
> If you can combine convetional stimulants like Dexedrine with Nardil (which can be done, as long as your careful!) then I should think Modafanil would be ok
>
> I wouldn't try and get a UK doc to prescribe Provigil though, there very wary of stimulants, get it online
>
> I got this quote from http://www.currentpsychiatry.com/article_pages.asp?AID=515&UID=10450
>
> An altered diurnal sleep cycle is another MAOI-related side effect. Some patients get extremely drowsy in the late afternoon but then may have insomnia at night.26 Attempts to alter this odd cycle by changing the timing of administration have generally not helped. We add a stimulant—pemoline (18.75 to 35.5 mg), d-amphetamine (2.5 to 5 mg), methylphenidate (5 to 10 mg), or modafinil (50 to 100 mg)—either in the morning or during afternoon sleepiness, with good effect and no hypertensive crises. We supervise the effect on blood pressure of the first few doses.Hi Tom.
Thanks for the link. The more I have to show my doc, the better the chance of persuading him (as if! lol). Although Reboxetine is another thought I have for Nardil augmentation.
As for the Marplan, heres a link to an earlier post (yeah I'm a lazy git):
http://www.dr-bob.org/babble/20050803/msgs/537852.html (you may have to paste into address bar)
I dont know what else to say about it really. Just that now that I've had no Nardil for a month, I now realise just how much it was still helping my SP. I re-start Nardil today in fact. I'll let you know how I get on.
How long have you been taking Marplan now? If it dont work, when will you call it a day? Will you try Nardil next? (I highly recommend you do).
All the best. Kev.
Posted by Tom Twilight on August 18, 2005, at 9:55:27
In reply to Re: Technohed-What happened to Marplan? » Tom Twilight, posted by tecknohed on August 18, 2005, at 2:05:28
Thanks for the info Technohed
I know what you mean about having hunches with drugs, I had a feeling Effexor would be a complete waste of time for me, and I was right
I was wondering you could tell me the name of your doctor? assuming he/she does private appointments
Its fine if you don't want to tell me, I quite understand!
Posted by tecknohed on August 18, 2005, at 20:16:00
In reply to Thanks Technohed-Who is you Doctor?, posted by Tom Twilight on August 18, 2005, at 9:55:27
> Thanks for the info Technohed
>
> I know what you mean about having hunches with drugs, I had a feeling Effexor would be a complete waste of time for me, and I was right
>
> I was wondering you could tell me the name of your doctor? assuming he/she does private appointments
> Its fine if you don't want to tell me, I quite understand!
>
>I'm affraid my doctor works for the NHS. I attend the Psychopharmacology Clinic at Bristols B.R.I. hospital. Still, maybe you have a Psychopharmacology Clinic near you that you could ask your GP for a referal to. Getting a referal is pretty easy, and this type of clinic will probably have experience with a much broader range of meds than the average Psychiatric Unit, as they often do experiments and trials.
In fact, I kind of refered myself by volunteering for a study into 'dopamine's role in Social Anxiety' which I found out about in the National Phobics Society's subscription mag. The study involved being monitored after ingesting either a Dopamine antagonist (an anti-psychotic), or a Dopamine agonist (Parkinson med). You weren't told which you took. I then had to 'perform' infront of two strangers (female doctors in my case) and report on how felt. Two weeks later I had to repeat the experiment with the other med. This would have been followed up with an SSRI med for 12 weeks (when the experiments would have been repeated) but bacause I had already tried them all I was eventually put on Nardil by an Australian Doctor from the clinic, just before he returned to Australia so was rather lucky. He was the first doctor to admit/agree with me that Nardil was the 'GOLD STANDARD' for SP. Before, he had me on Nuerontin which didn't help.
Sorry I cant help any more than that.
This is the end of the thread.
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