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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by UgottaHaveHope on February 9, 2007, at 11:51:40
Scott, I just read one of your old posts on the startup of Nardil. It sounds kind of scary. Was it as serious as it sounds? Did it last long? Do you still experience it or anything like it? Thanks Michael
FROM SLS ON JULY 25, 2002: With Nardil, the most troublesome startup side effect has been severe orthostatic hypotension. I had to literally crawl on all-fours to and from the bathroom and crawl down the stairs backwards. Surely, Nardil is not known to produce episodes of spontaneous hypertension as does Parnate ...
Posted by UgottaHaveHope on February 9, 2007, at 12:00:32
In reply to SLS Question in particular, posted by UgottaHaveHope on February 9, 2007, at 11:51:40
My pdoc is likely to give me a trial of Nardil in two weeks. And I was wondering what some of the most common side effects are. I have read for hours of this website about the dietary restrictions, but that one took me by surprise. Thanks.
Posted by UgottaHaveHope on February 9, 2007, at 12:02:20
In reply to Re: SLS - the only reason I mention, posted by UgottaHaveHope on February 9, 2007, at 12:00:32
nm
Posted by Phillipa on February 9, 2007, at 12:46:25
In reply to Re: SLS - the only reason I mention, posted by UgottaHaveHope on February 9, 2007, at 12:00:32
Ouch Michael e-mail what other ad's you've been on okay? Love Phillipa
Posted by SLS on February 9, 2007, at 17:45:24
In reply to SLS Question in particular, posted by UgottaHaveHope on February 9, 2007, at 11:51:40
> Scott, I just read one of your old posts on the startup of Nardil. It sounds kind of scary. Was it as serious as it sounds? Did it last long? Do you still experience it or anything like it? Thanks Michael
>
> FROM SLS ON JULY 25, 2002: With Nardil, the most troublesome startup side effect has been severe orthostatic hypotension. I had to literally crawl on all-fours to and from the bathroom and crawl down the stairs backwards. Surely, Nardil is not known to produce episodes of spontaneous hypertension as does Parnate ...This occurred ONLY because I was taking imipramine at the same time. I'm not sure how to account for it. It may have been a manifestation of serotonin syndrome.
- Scott
Posted by UgottaHaveHope on February 9, 2007, at 18:01:12
In reply to Re: SLS Question in particular, posted by SLS on February 9, 2007, at 17:45:24
because that scared the hell out of me. thought about all day. sorry you had to go through it. did it go away? Did you have any noticeable side effects strictly from the start of Nardil, to your knowledge.
Posted by SLS on February 10, 2007, at 9:37:57
In reply to Re: SLS, thanks because ..., posted by UgottaHaveHope on February 9, 2007, at 18:01:12
> because that scared the hell out of me. thought about all day. sorry you had to go through it. did it go away? Did you have any noticeable side effects strictly from the start of Nardil, to your knowledge.
The syndrome that I described in that old post vanished as soon as I discontinued the imipramine. It was the combination that produced the severe side effects.
All I can say is that I have been on Nardil a bunch of times, and that after tritrating to the target dosage, after a few months, I had no side effects at all. However, early in treatment, you might experience low blood pressure that causes dizziness, anorgasmia, delayed micturition (difficulty urinating), and insomnia.
- Scott
Posted by naughtypuppy on February 10, 2007, at 10:00:53
In reply to Re: SLS, thanks because ..., posted by SLS on February 10, 2007, at 9:37:57
I really had trouble with the orthostatic hypotension. I went up to 75mg/day and would probably be in a body cast and have a fractured skull if I kept it up. My head hit the toilet bowl a few times during those nightime urges. Systolic bp was 50 when this happened! Sexual side effects were pretty bad, but I ate pretty well what I wanted, less restrictive than Parnate. Worked ok but not spectacular for a while then it pooped out which was miserable.
Posted by blueberry1 on February 11, 2007, at 14:16:40
In reply to Re: SLS, thanks because ..., posted by naughtypuppy on February 10, 2007, at 10:00:53
Yikes. That's a scary story with a disturbing end to it. Especially disturbing to those many of us who see nardil as the big guns when all else fails.
> I really had trouble with the orthostatic hypotension. I went up to 75mg/day and would probably be in a body cast and have a fractured skull if I kept it up. My head hit the toilet bowl a few times during those nightime urges. Systolic bp was 50 when this happened! Sexual side effects were pretty bad, but I ate pretty well what I wanted, less restrictive than Parnate. Worked ok but not spectacular for a while then it pooped out which was miserable.
Posted by naughtypuppy on February 12, 2007, at 9:57:43
In reply to Re: SLS, thanks because ... » naughtypuppy, posted by blueberry1 on February 11, 2007, at 14:16:40
> Yikes. That's a scary story with a disturbing end to it. Especially disturbing to those many of us who see nardil as the big guns when all else fails.
>
> > I really had trouble with the orthostatic hypotension. I went up to 75mg/day and would probably be in a body cast and have a fractured skull if I kept it up. My head hit the toilet bowl a few times during those nightime urges. Systolic bp was 50 when this happened! Sexual side effects were pretty bad, but I ate pretty well what I wanted, less restrictive than Parnate. Worked ok but not spectacular for a while then it pooped out which was miserable.
>
>
In spite of this I wouldn't discourage anyone from trying it and MAOI's in general. They are underutilized because of fear mongering among physicians. They have still worked the best for me. I tend to get side effects that are listed in the "Rare" or almost unheard of columns.
Posted by UgottaHaveHope on February 12, 2007, at 10:29:33
In reply to Re: SLS, thanks because ... » blueberry1, posted by naughtypuppy on February 12, 2007, at 9:57:43
Naughty: Did Nardil do anything for your anxiety?
Posted by naughtypuppy on February 12, 2007, at 14:28:25
In reply to Re: SLS, thanks because ... » naughtypuppy, posted by UgottaHaveHope on February 12, 2007, at 10:29:33
> Naughty: Did Nardil do anything for your anxiety?
In retrospect it made me less nervous in stressful situations such as interviews. It wasn't like being hit with a brick as it was for some people, but there was a definate reduction in anxiety. That's probably why I stuck it out so long in spite of the side effects. It's definantly worth a try anyway.
This is the end of the thread.
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