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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 angels78 on June 1, 2010, at 19:33:43
I'm currently on 75 mg/day. Right now my dosage is, 30 mg AM, 30 mg Afternoon, 15 mg Night. I was thinking about asking my Pdoc to change my dosage routine to 45 mg AM, 30 mg Afternoon.
Does anyone not recommend this? Can 45 mg in the morning be too much at one time? Any suggestions would help. Thanks
Posted by stargazer2 on June 1, 2010, at 22:39:20
In reply to NARDIL - Need some Advice, posted by angels78 on June 1, 2010, at 19:33:43
I think the timing really has to do with how the med affects you. I used to take all of mine at night since it made me so sleepy, but now I take half in the morning and half at night.
I wonder what others do as far as taking the dosage, either all at one or split up 2 or 3 times during the day.
I say no matter how you remember to take it is the most important thing, not so much how much you take when.
There really is no real absolute guideleines for how much you take when unless it affects your alertness or inability to sleep and then take it to offset those concerns.
Posted by jedi on June 2, 2010, at 4:01:52
In reply to NARDIL - Need some Advice, posted by angels78 on June 1, 2010, at 19:33:43
> I'm currently on 75 mg/day. Right now my dosage is, 30 mg AM, 30 mg Afternoon, 15 mg Night. I was thinking about asking my Pdoc to change my dosage routine to 45 mg AM, 30 mg Afternoon.
>
> Does anyone not recommend this? Can 45 mg in the morning be too much at one time? Any suggestions would help. ThanksAngel,
I just recently went back up to 75mg. I'm starting over after being washed out for five or six weeks for hip replacement. I take 30mg in the morning and 45mg at night. I have tried all different combinations, it does not seem to really matter to my system.I was going to use the 5 week wash out for another medication trial (45+ failed combinations). Nardil always works when I come back to it. If I had half a brain, I just would never go off the stuff. I have 3 bothersome side effects. Weight gain, insomnia, and delayed or absent orgasm. In combination with clonazepam, my memory and word finding suffers.
I wish I could get away with adding a mild stimulant or dopamine agonist. My GP won't do it, but if I could get a PDOC to do it, then he would probably continue it. I know stimulants and MAOIs are dicey, but a lot of people do it. Just something to slam back that last bit of dysthymia and lack of motivation. I was a highly motivated person before major depression and major medications. Depression runs in both sides of my family. I remember rushing to become financially secure before the first major hit at 40 years of age. I could feel it coming! Almost made it, but not quite.
Sorry, I'm rambling.
Take care,
Jedi
Posted by angels78 on June 2, 2010, at 7:17:22
In reply to Re: NARDIL - Need some Advice » angels78, posted by jedi on June 2, 2010, at 4:01:52
Jedi, does the clonazepam make you tired with the combination of Nardil? What mg are you taking? Reason I ask, Nardil is helping me be more talkative and social, but I still have my rapid heart rate in social places, and i'm sure clonazepam could help with that, but i dont want to give it a try if it's just going to make me feel droggy all day. Let me know thanks!
Posted by BlueM on June 2, 2010, at 7:27:09
In reply to Re: NARDIL - Need some Advice » angels78, posted by jedi on June 2, 2010, at 4:01:52
Jedi - does the memory and word finding get any better - I feel like I can't function at work any more and I'm feeling like I won't be working here much longer if this continues. Any suggestions?
M
Posted by angels78 on June 2, 2010, at 8:13:43
In reply to Re: NARDIL - Need some Advice » angels78, posted by jedi on June 2, 2010, at 4:01:52
Jedi, what do you think of this combo
Klonopin/Provigl/Nardil
Posted by Phillipa on June 2, 2010, at 11:11:46
In reply to Re: NARDIL - Need some Advice » angels78, posted by jedi on June 2, 2010, at 4:01:52
Interesting your history as that is when my ex father in law got hit also. Phillipa
Posted by jedi on June 3, 2010, at 8:57:47
In reply to Re: NARDIL - Need some Advice » jedi, posted by angels78 on June 2, 2010, at 7:17:22
> Jedi, does the clonazepam make you tired with the combination of Nardil? What mg are you taking? Reason I ask, Nardil is helping me be more talkative and social, but I still have my rapid heart rate in social places, and i'm sure clonazepam could help with that, but i dont want to give it a try if it's just going to make me feel droggy all day. Let me know thanks!
Hi Angel,
Currently I am taking 2mg daily of clonazepam to augment 75mg of Nardil. When the Nardil kicks in fully, it is getting really close now, I will reduce that to 1mg or maybe .5mg. Going below .5 for me is tough. I can do it but it takes a long taper. When the depression started hitting me hard again after a five week washout on the Nardil, I even went up to 4mg of clonazepam for a couple of weeks. This was just to buy me the time I needed for the Nardil to start kicking in.I no longer get tired from clonazepam. I usually take it at night, but the long half life lets it work on the anxiety throughout the next day. When you first start on clonazepam it will make you very tired. The tolerance to this side effect builds quickly.
For me, clonazepam augments Nardil very well. They both affect GABA and the synergism of the two medications, for me, is truly amazing. Some people get more depressed on clonazepam, but that does not seem to be my problem. It will affect memory and word finding ability. I love Google, my recognition memory has always been so much better than my recall. In school I could always ace a multiple choice test, where essays were somewhat more difficult. The smaller the dosage the better, as far as memory problems.
If the Nardil is handling most of your social anxiety, some people use a beta blocker PRN to handle situational anxiety, like talking in front of a large crowd. I have not tried this myself, but Google it. It is a quite common use for the racing heartbeat and other physical symptoms of anxiety.
Be Well,
Jedi
Posted by jedi on June 3, 2010, at 9:13:33
In reply to Re: NARDIL - Need some Advice, posted by BlueM on June 2, 2010, at 7:27:09
> Jedi - does the memory and word finding get any better - I feel like I can't function at work any more and I'm feeling like I won't be working here much longer if this continues. Any suggestions?
>
> MHi M,
For me, at high dosages, long term use of clonazepam only makes the memory problems worse. The lower the dosage the better. Clonazepam is a potent benzo. The equivalence chart I use shows it 20 times more potent than diazepam(Valium). so .5mg of clonazepam would be like 10mg of diazepam.The lower the dosage the better. Maybe a beta blocker PRN for the physical symptoms.
Good Luck,
Jedi
Posted by jedi on June 3, 2010, at 9:25:35
In reply to Re: NARDIL - Need some Advice » jedi, posted by angels78 on June 2, 2010, at 8:13:43
> Jedi, what do you think of this combo
> Klonopin/Provigl/NardilAngel,
That is something I've wanted to try for a long time. Either the modafinal or a small dose of methylphenidate with Nardil and clonazepam. My GP won't go for any stimulant, even modafinal. Our little community is a zero when it comes to any psychiatrists. So I have to travel 150 miles to see a good PDOC. Maybe with some good phone interviewing I could find one who would prescribe a stimulant with a MAOI. Once on it, I'm sure my GP would prescribe it for me.My guess is modafinal would be safer and easier to get than methylphenidate prescribed with Nardil.
I think it would be worth a try and is definitely on my short list of augmenters.
Good Luck,
Jedi
Posted by jedi on June 3, 2010, at 9:55:40
In reply to Re: NARDIL - Need some Advice » jedi, posted by Phillipa on June 2, 2010, at 11:11:46
> Interesting your history as that is when my ex father in law got hit also. Phillipa
Hi Phillipa,
40 is when my really first major depression hit. Unfortunately, I had dysthymia and social anxiety untreated from my teenage years on. I think the big thing was the untreated social anxiety. People just don't realize how life changing this affliction can be. It changes your relationships, your love life, your work life, just about everything that makes up your personality. Another thing is the substance abuse that goes along with it. Self medication for social anxiety is, I'm sure, quite common. Probably causes a great amount of the binge drinking and drug abuse in our young people. I was never an alcoholic, put you would definitely of called me a problem drinker from 18 to 25 years of age. Lucky, I survived those years.
Take care my friend,
Jedi
Posted by Phillipa on June 3, 2010, at 19:01:12
In reply to Re: NARDIL - Need some Advice » Phillipa, posted by jedi on June 3, 2010, at 9:55:40
Jedi didn't know so glad things are kicking for you now!!!! Phillipa
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