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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 nutjob on April 11, 2007, at 20:10:24
I've read a number of posts in the archive where people report a kind of mania or euphoria as an intial response to Nardil. This really concerns me a great deal, as I am about to begin a trial of Nardil in an attempt to treat lifelong Generalized Social Anxiety. In the past I have had hypomanic reactions to high-dose prozac (60 mgs) and low-dose psychostimulants (10 mgs dextroamphetamine, 15 mgs methylphenidate). I have no desire to repeat such experiences. I don't want to be euphoric and wreckless--I only want to treat my anxiety disorder.
Might it be possible to keep the intensity of Nardil euphoria to a minimum until it finally dimishes or to prevent it altogether by initiating with a very low-dose (say, 15 mgs/day) and then increasing the dose in small increments over many weeks or months? Does anyone else have any experience or input regarding this matter?
--job
Posted by Declan on April 11, 2007, at 21:35:48
In reply to Concerns regarding Nardil 'Euphoria', 'Hypomania', posted by nutjob on April 11, 2007, at 20:10:24
No one ever seems to do low dose Nardil.
Just from side effects alone I'd have thought it's a good idea.
I'd be happy with any improvement, forget about remission.
Posted by Phillipa on April 11, 2007, at 22:05:13
In reply to Re: Concerns regarding Nardil 'Euphoria', 'Hypoman » nutjob, posted by Declan on April 11, 2007, at 21:35:48
Declan I agree. Love Phillipa
Posted by rjlockhart on April 11, 2007, at 22:30:29
In reply to Concerns regarding Nardil 'Euphoria', 'Hypomania', posted by nutjob on April 11, 2007, at 20:10:24
I have been mainc on Prozac before, at 40mg, it usally happens at night for some reason.
Dextroamphetamine did not make me manic, it just stimulated my mind and my mom mis thought that it was making me manic.
Prozac definelty is a med that can do this.
rj
Posted by malcolm64 on April 12, 2007, at 10:16:34
In reply to Concerns regarding Nardil 'Euphoria', 'Hypomania', posted by nutjob on April 11, 2007, at 20:10:24
> I've read a number of posts in the archive where people report a kind of mania or euphoria as an intial response to Nardil. This really concerns me a great deal, as I am about to begin a trial of Nardil in an attempt to treat lifelong Generalized Social Anxiety. In the past I have had hypomanic reactions to high-dose prozac (60 mgs) and low-dose psychostimulants (10 mgs dextroamphetamine, 15 mgs methylphenidate). I have no desire to repeat such experiences. I don't want to be euphoric and wreckless--I only want to treat my anxiety disorder.
>
> Might it be possible to keep the intensity of Nardil euphoria to a minimum until it finally dimishes or to prevent it altogether by initiating with a very low-dose (say, 15 mgs/day) and then increasing the dose in small increments over many weeks or months? Does anyone else have any experience or input regarding this matter?
>
> --jobWell you may definitely experience the hypomania with Nardil (I did). The thing is that it doens't last (about 4 weeks for me total, before it started to peter out). And as far as being wreckless, Nardil can definitely exacerbate it but IMO it's only a real concern if you have a tendency towards reckless behavior to begin with.
If you do, then I would defintely be concerned. But if you don't have those tendencies, I would still be hypervigilant just to be on the safe side, but wouldn't really worry about it.
Malcolm
Posted by UgottaHaveHope on April 12, 2007, at 10:33:19
In reply to Concerns regarding Nardil 'Euphoria', 'Hypomania', posted by nutjob on April 11, 2007, at 20:10:24
Been on Nardil 45mg for two weeks. I feel opposite, tired tired tired.
Maybe you feel that wat 75 or 90 mg.
Posted by naughtypuppy on April 12, 2007, at 10:34:55
In reply to Concerns regarding Nardil 'Euphoria', 'Hypomania', posted by nutjob on April 11, 2007, at 20:10:24
It's not necessarily true for every one. I found it quite subtile in it's effect and had no hypomania.
Posted by UgottaHaveHope on April 14, 2007, at 0:22:34
In reply to Re: Concerns regarding Nardil 'Euphoria', 'Hypomania' » nutjob, posted by naughtypuppy on April 12, 2007, at 10:34:55
Got tired of all the daytime sedation on Nardil after two weeks. Cokes were not doing anything, therefore took two caffeine pills (No Doz) that may have ignited 38-hour sleepless stretch. It was only a few minutes before I fell asleep that I felt tired. Other than that, I was wide awake (but no extra energy) over that entire stretch. Perhaps a mini-episode for me.
This is the end of the thread.
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