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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by ross on July 21, 2002, at 10:54:05
was on 80mgs 0f celexa and 45mgs of remeron and it cant compare to when i was taking Nardil. ive started my washout ( 10 days ) and look forward to it again. i was on 75mgs and the only side effects i had where slow urination and anorgasmia.
but was only on Nardil for a month and a half.
these 10 days are going to stink but it will fly by.
ross
also waiting for Lexapro!
Posted by JonW on July 21, 2002, at 11:49:37
In reply to going back on Nardil, posted by ross on July 21, 2002, at 10:54:05
Hi ross,
I'm a patient of Dr. Liebowitz and he told me that the effect of Nardil is twice as good at twelve weeks as it is at six weeks. Thought you might find that encouraging...
Jon
Posted by ross on July 21, 2002, at 21:40:14
In reply to Re: going back on Nardil » ross, posted by JonW on July 21, 2002, at 11:49:37
jon,
what dosage are you taking? what side effects are still lingering? who is Dr. Lebowitz?
thanks
ross
how long was your washout period before starting Nardil??
ross
Posted by JonW on July 22, 2002, at 5:11:38
In reply to Re: going back on Nardil, posted by ross on July 21, 2002, at 21:40:14
Dr. Liebowitz has done clinical studies on Nardil for social phobia. I'm currently taking 60mg. I've been on that dose for about 4 weeks and on Nardil for about 6 weeks. My pdoc waited the full 2 weeks before starting. I have dry mouth, sexual dysfunction, twitching, and insomnia. I'm going to give it a full 12 weeks, but right now it's not more impressive than an SSRI in terms of effect. BTW, the dry mouth and twitching have gotten a little bit better, and my pdoc says that Viagra works for the sexual dysfunction.
Hang in there,
Jon
Posted by jsarirose on July 25, 2002, at 1:21:17
In reply to Re: going back on Nardil » ross, posted by JonW on July 21, 2002, at 11:49:37
> Hi ross,
>
> I'm a patient of Dr. Liebowitz and he told me that the effect of Nardil is twice as good at twelve weeks as it is at six weeks. Thought you might find that encouraging...
>
> JonDo you know if that's true for Parnate as well? I'd never heard that (and I'm well past the 12 week stage), but it would be good information to pass on to those that are just starting it.
Thanks,
Jessicaps - Parnate doesn't seem to have any negative sexual side effects other than sometimes increasing libido.
Posted by JonW on July 25, 2002, at 4:03:34
In reply to Re: going back on Nardil » Jon » JonW, posted by jsarirose on July 25, 2002, at 1:21:17
> Do you know if that's true for Parnate as well? I'd never heard that (and I'm well past the 12 week stage), but it would be good information to pass on to those that are just starting it.
Hi Jessica,
Sorry I can't say for sure. I know that Dr. L feels strongly that Nardil is the single most effective med for social phobia. You certainly seem to hear about parnate working for people here and there, though, and with far fewer side-effects. How has your experience been? Is 12 weeks about twice as good as 6 weeks? I wonder if this is generally true for most meds. I wish I could repeat this about drugs other than Nardil, but I haven't heard anyone I respect say this. It certainly seems likely to be the case, though. I think the best piece of advice/encouragement here is that ADs in general take far longer than most of us here seem to give them.
Hang in there,
Jon
Posted by JonW on July 25, 2002, at 4:09:03
In reply to going back on Nardil, posted by ross on July 21, 2002, at 10:54:05
When you stopped taking Nardil, how long did it take for you to get your sexual functioning back??? While you were weaning off? During the washout period? When?
Thanks,
Jon
Posted by jsarirose on July 25, 2002, at 13:53:49
In reply to Re: going back on Nardil » Jon » JonW, posted by JonW on July 25, 2002, at 4:03:34
> Sorry I can't say for sure. I know that Dr. L feels strongly that Nardil is the single most effective med for social phobia. You certainly seem to hear about parnate working for people here and there, though, and with far fewer side-effects. How has your experience been? Is 12 weeks about twice as good as 6 weeks? I wonder if this is generally true for most meds. I wish I could repeat this about drugs other than Nardil, but I haven't heard anyone I respect say this. It certainly seems likely to be the case, though. I think the best piece of advice/encouragement here is that ADs in general take far longer than most of us here seem to give them.
>
> Hang in there,
> JonWell, I completely agree with you as far as having to give many of the meds quite a bit of time to work. It's extremely frustrating when you're dealing with depression all this time. Regarding Parnate, I really don't remember how long it took to kick in. I know we ramped up over a few weeks to 60mg to make sure I wasn't getting too dizzy. Then we continued on to 100mg pretty slowly. I felt better at 60, and even better as we increased. Then I topped out as far as dizziness at 100mg. I still feel good and am tapering off now (extremely slowly) and going on to Lamictal. I'm not as afraid of side-effects as I am in losing my respite from depression.
(Sorry for interupting your thread on Nardil. Just had a little question, but sometimes I talk too much.) : )
-Jessica
Posted by ross on July 25, 2002, at 21:58:18
In reply to Question for Ross, others...??? » ross, posted by JonW on July 25, 2002, at 4:09:03
jon first off if nardil is working for you and its helping with SP do not stop it. and i repeat do not stop it. i made that mistake once and i will not make it again. im 4 days away from starting up again and cant wait. look at it this way wait for Lexapro to hit the shelves and then stop it.
ok about the sexual side effects, it took about a week and a half for my erection and libido to return to normal after i stopped Nardil cold turkey. i guess it really has backlag but it was weird because one day i just got it back. while on Nardil i had sexual urge but at 75mgs forget it. i could not reach orgasm and erection was very hard to keep unless i took viagra which i only had samples for Dr.
when i was chatting on this board about stopping Nardil because of that problem i should have listened to someones great advice saying how much sex are you having if you are clinically depressed and your having very bad SP??????
dont stop Nardil!!!!!!!!
try urecholine as i never did. but i will.
ross
Posted by cybercafe on July 26, 2002, at 0:37:18
In reply to Re: going back on Nardil » Jon » JonW, posted by jsarirose on July 25, 2002, at 13:53:49
> Well, I completely agree with you as far as having to give many of the meds quite a bit of time to work. It's extremely frustrating when you're dealing with depression all this time.
most books i've read on treatment resistant depression seem to indicate that after 2 - 4 weeks you should definately notice some effect .. which can help you make important decisions like
partial effect --> wait... if necessary, later raise dose, augment -- in other words, quite hopeful
no effect --> possibly discontinue med (depending on med and dose), try different med from same family, after two no response from one med family, try different family -- in other words, no need to waste anymore time
i don't find it so hard waiting for a med to work if i know everyday is going to get better, from here until 100% remission, through time, increasing the dose and/or augmentingwhat i do find tough is when you throw out one drug completely and have to start over on another ... but i imagine it is somewhat unusual to have absolutely zero response to a med ...
what i also find tough is when you aren't getting better and nothing is being done about it -- but this is the sign of either poor communication or a bad doc, and certainly not necessary
Posted by JonW on July 29, 2002, at 13:22:37
In reply to Re: Question for Ross, others...??? » ross, posted by ross on July 25, 2002, at 21:58:18
> jon first off if nardil is working for you and its helping with SP do not stop it. and i repeat do not stop it. i made that mistake once and i will not make it again. im 4 days away from
Well, unfortunately, I'm already on my way to stopping it. I know, I know -- big mistake! :) It may be, but I'm sure you understand how it is. Actually, it wasn't that amazing of a drug for me at all but something incredible has happened. While weaning myself off I changed my risperdal to geodon and I've had a week of stable moods!!! I may need an anti-depressant but geodon certainly seems to be working for stability. Hopefully I can drop my depakote and neurontin now which have been doing nothing... I'm going back to moclobemide next (I never gave it more than 4 weeks) and I'm very hopeful about moclobemide + geodon and possibly a stimulant. I'm also taking Omega3s now which seem to be a possitive thing. Anyway, thanks for the reply!
Jon :)
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