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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by Tepiaca on February 24, 2004, at 15:42:40
Hi
After fail with the Epival (Valproic Acid) (Depakote in USA), I,ve got every time less drugs
to combine with Nardil
The valproic acid help me a little bit with my
SP , but my depression got worse. Now Im off
since february 21 . I can feel the difference
Im not as social as I was , but Im not depressed.Please give me any advice , what do you think ?
is there any other drug that I can add to my 45mg of Nardil dose ?
I dont like this , I dont like my life
Im gonna start soon CBT, although I dont believe in it
Im sure there is something out there that can help me moreany thougths are welcome.
Tep
Posted by djmmm on February 24, 2004, at 19:41:43
In reply to What else to combine with NArdil ?? help, posted by Tepiaca on February 24, 2004, at 15:42:40
>
> Hi
> After fail with the Epival (Valproic Acid) (Depakote in USA), I,ve got every time less drugs
> to combine with Nardil
> The valproic acid help me a little bit with my
> SP , but my depression got worse. Now Im off
> since february 21 . I can feel the difference
> Im not as social as I was , but Im not depressed.
>
> Please give me any advice , what do you think ?
> is there any other drug that I can add to my 45mg of Nardil dose ?
> I dont like this , I dont like my life
> Im gonna start soon CBT, although I dont believe in it
> Im sure there is something out there that can help me more
>
> any thougths are welcome.
> TepI would suggest you increase to 60mg for a couple of months...but you can add most anticonvulsants...I have taken Nardil with Klonopin, Neurontin, topamax, zonegran... also the beta blocker Inderal
Posted by ace on February 24, 2004, at 21:41:49
In reply to Re: What else to combine with NArdil ?? help, posted by djmmm on February 24, 2004, at 19:41:43
> >
> > Hi
> > After fail with the Epival (Valproic Acid) (Depakote in USA), I,ve got every time less drugs
> > to combine with Nardil
> > The valproic acid help me a little bit with my
> > SP , but my depression got worse. Now Im off
> > since february 21 . I can feel the difference
> > Im not as social as I was , but Im not depressed.
> >
> > Please give me any advice , what do you think ?
> > is there any other drug that I can add to my 45mg of Nardil dose ?Yes!
1. Raise Nardil to 60mg
2, Zyprexa 2.5-5mg
3. Risperidone 1mg-2mg
4. Klonopin
5. Pindolol
6. Lithium
7. Tegretol
8.T3 or T4
9. Naltrexone
10. Xanax
11. Reboxetine
12. Bromocriptine
13. Gabapentin
Plenty more to try!!!!!
> > I dont like this , I dont like my life
> > Im gonna start soon CBT, although I dont believe in itCBT is a waste of time, in my opinion.
> > Im sure there is something out there that can help me more
> >
> > any thougths are welcome.
> > Tep
>
I hope this helps Tep....let me know how your doin....
Ace.
Posted by Tepiaca on February 24, 2004, at 22:50:24
In reply to Re: What else to combine with NArdil ?? help, posted by djmmm on February 24, 2004, at 19:41:43
I asked to my doctor to increase to 60mg .
He said that I should wait a little.Ive tried Klonopin , but not Neurontin, topamax or zonegran.
Im gonna ask my doctor about this , thank you very much djmmalso the beta blocker Inderal???
is this safe ??? I though I could not take betablockers with MAOIS
Posted by Tepiaca on February 24, 2004, at 23:20:06
In reply to Re: What else to combine with NArdil ?? TEP!, posted by ace on February 24, 2004, at 21:41:49
> > > is there any other drug that I can add to my 45mg of Nardil dose ?
>
> Yes!
>
> 1. Raise Nardil to 60mgI will ace ! very soon
> 2, Zyprexa 2.5-5mg
> 3. Risperidone 1mg-2mgantipsychotics , could be a good alternative
thanks
> 4. Klonopindidnt work =(
> 5. Pindolol
what is this ??
> 6. Lithium
> 7. Tegretol
> 8.T3 or T4I take them
> 9. Naltrexonewhat is this ??
> 10. Xanax
did not work neither
> 11. Reboxetine
> 12. Bromocriptine
> 13. Gabapentin>
>
> Plenty more to try!!!!!
I dont know why my doctors dont say that !!
they dont understand me , I need help !!
Im suffering so much
I would try anything !! no matter how dangerous
this would be
>
>
>
> > > I dont like this , I dont like my life
> > > Im gonna start soon CBT, although I dont believe in it
>
> CBT is a waste of time, in my opinion.
>
> > > Im sure there is something out there that can help me more
> > >
> > > any thougths are welcome.
> > > Tep
> >
>
>
> I hope this helps Tep....let me know how your doin....
>
>
> Ace.thank you very much ace.
Im having a very bad time ace , I think Im suffering from withdrawal
Today I had to leave my school, I ran away from the people .Im Thinking in suicide again , I feel very very bad
Looking for a job , but I dont think I could make it. I feel useless
Im sure all this is caused for the stopping of the valproic acid suddenly.
Posted by jerrympls on February 24, 2004, at 23:33:15
In reply to Re: What else to combine with NArdil ?? TEP! ace, posted by Tepiaca on February 24, 2004, at 23:20:06
Hello!
45mg of Nardil gives you some room to bump up the dosage which may take care of what you are experiencing. Regardless of what many doctors and pill books say, stimulants like Ritalin and Dexedrine (amphetamine) can help tremendously - HOWEVER - this must be monitored by an experienced doctor and must start out with a very low dosage - as too much can cause your blood pressure to skyrocket. My doc said she'd add a stimulant to the Nardil I was taking - but I had to go into the hospital and stay for 5 days so they could closely , monitor me.
If you are feeling anxious, Nardil can be combined with anti-anxiety meds like Xanax, Klonopin and Ativan. Also, some anti-convulsants - except Tegretol.
Remember - becareful of any OTC meds like cough medicine and anything that contains Sudafed. I accidentally took some NyQuil one night and had to be rushed to the ER because of severe Seratonin Syndrome.
Hope this helps......Nardil pooped out on me - but it's a miracle med for many out there!
Jerry
Posted by Sad Panda on February 25, 2004, at 0:19:55
In reply to Re: What else to combine with NArdil ?? TEP!, posted by jerrympls on February 24, 2004, at 23:33:15
> Hello!
>
> 45mg of Nardil gives you some room to bump up the dosage which may take care of what you are experiencing. Regardless of what many doctors and pill books say, stimulants like Ritalin and Dexedrine (amphetamine) can help tremendously - HOWEVER - this must be monitored by an experienced doctor and must start out with a very low dosage - as too much can cause your blood pressure to skyrocket. My doc said she'd add a stimulant to the Nardil I was taking - but I had to go into the hospital and stay for 5 days so they could closely , monitor me.
>
> If you are feeling anxious, Nardil can be combined with anti-anxiety meds like Xanax, Klonopin and Ativan. Also, some anti-convulsants - except Tegretol.
>
> Remember - becareful of any OTC meds like cough medicine and anything that contains Sudafed. I accidentally took some NyQuil one night and had to be rushed to the ER because of severe Seratonin Syndrome.
>
> Hope this helps......Nardil pooped out on me - but it's a miracle med for many out there!
>
> Jerry
You can add TCA's to MAOI's too. Nearly anyone can be added except Clomipramine & I wouldn't use Imipramine. Anything that is a NE reuptake inhibitor can actually help prevent a tyramine induced hypertensive crisis because tyramine is blocked at the NE reuptake sites.Cheers,
Panda.
Posted by Questionmark on February 25, 2004, at 1:19:05
In reply to Re: What else to combine with NArdil ?? TEP!, posted by Sad Panda on February 25, 2004, at 0:19:55
> You can add TCA's to MAOI's too. Nearly anyone can be added except Clomipramine & I wouldn't use Imipramine. Anything that is a NE reuptake inhibitor can actually help prevent a tyramine induced hypertensive crisis because tyramine is blocked at the NE reuptake sites.
Cheers,
Panda.
That last piece of advice there is really good to know. Thanks. i was wondering why reboxetine was supposedly good for preventing hypertensive crises.
This doesn't mean that a NRI would be useful for reversing a hypertensive reaction though, right? Cuz much of the tyramine would already be inside the noradrenergic neurons?
Posted by Sad Panda on February 25, 2004, at 7:09:42
In reply to NE reuptake inhibition Sad Panda, posted by Questionmark on February 25, 2004, at 1:19:05
> > You can add TCA's to MAOI's too. Nearly anyone can be added except Clomipramine & I wouldn't use Imipramine. Anything that is a NE reuptake inhibitor can actually help prevent a tyramine induced hypertensive crisis because tyramine is blocked at the NE reuptake sites.
>
> Cheers,
> Panda.
>
>
> That last piece of advice there is really good to know. Thanks. i was wondering why reboxetine was supposedly good for preventing hypertensive crises.
> This doesn't mean that a NRI would be useful for reversing a hypertensive reaction though, right? Cuz much of the tyramine would already be inside the noradrenergic neurons?
>
>
I'm not sure on that one, it still may help by preventing more in, but I wouldn't be sitting around betting my life on it. :)Cheers,
Panda.
Posted by djmmm on February 25, 2004, at 13:55:11
In reply to NE reuptake inhibition Sad Panda, posted by Questionmark on February 25, 2004, at 1:19:05
> > You can add TCA's to MAOI's too. Nearly anyone can be added except Clomipramine & I wouldn't use Imipramine. Anything that is a NE reuptake inhibitor can actually help prevent a tyramine induced hypertensive crisis because tyramine is blocked at the NE reuptake sites.
>
> Cheers,
> Panda.
>
>
> That last piece of advice there is really good to know. Thanks. i was wondering why reboxetine was supposedly good for preventing hypertensive crises.
> This doesn't mean that a NRI would be useful for reversing a hypertensive reaction though, right? Cuz much of the tyramine would already be inside the noradrenergic neurons?Reboxetine has only been studied with Parnate...a non-hydrazine MAOI, I doubt it is safe with Nardil
Posted by djmmm on February 25, 2004, at 14:04:42
In reply to Re: What else to combine with NArdil ?? help djmmm, posted by Tepiaca on February 24, 2004, at 22:50:24
>
> I asked to my doctor to increase to 60mg .
> He said that I should wait a little.
>
> Ive tried Klonopin , but not Neurontin, topamax or zonegran.
> Im gonna ask my doctor about this , thank you very much djmm
>
> also the beta blocker Inderal???
>
> is this safe ??? I though I could not take betablockers with MAOISI would definately increase your dose to 60mg for a few weeks, you may (probably will) find a significant difference...
as far as the beta blocker, It depends on how the Nardil effects your blood pressure, but Inderal can be combined with Nardil.
Neurontin may be a good one to try, although if I remember correctly, it is expensive. The combo of meds that got me "healthy" was Nardil 60mg, inderal la 60mg, Neurontin 1800 mg, and topamax 200-400 mgs
FWIW, 60mg of Nardil is the typical effective dose... some may need more (up to 90mg) It seems that the reformulation of Nardil ("the new nardil") requires a higher dose in many long term Nardil users...although the active drug (phenelzine sulfate) is the same, some of the fillers and binders have changed.
Posted by ace on February 25, 2004, at 19:59:20
In reply to Re: What else to combine with NArdil ?? TEP!, posted by jerrympls on February 24, 2004, at 23:33:15
>
> If you are feeling anxious, Nardil can be combined with anti-anxiety meds like Xanax, Klonopin and Ativan. Also, some anti-convulsants - except Tegretol.I actually believe, despite "official" contraindication, Tegretol is safe with an MAOI...
Posted by ace on February 25, 2004, at 20:08:34
In reply to Re: What else to combine with NArdil ?? TEP! ? ace, posted by Tepiaca on February 24, 2004, at 23:20:06
> > > > is there any other drug that I can add to my 45mg of Nardil dose ?
> >
> > Yes!
> >
> > 1. Raise Nardil to 60mg
>
> I will ace ! very soon
>
> > 2, Zyprexa 2.5-5mg
> > 3. Risperidone 1mg-2mg
>
> antipsychotics , could be a good alternative
> thanks
> > 4. Klonopin
>
> didnt work =(
>
> > 5. Pindolol
>
> what is this ??Pindolol is not a psychiatric med, exclusively, but can help depression and OCD....dose is 7.5mg/day.
>
> > 6. Lithium
> > 7. Tegretol
> > 8.T3 or T4
>
> I take them
>
>
> > 9. Naltrexone
>
> what is this ??TRY THIS!!! This can REALLY make antidepressants work GREAT! BUT it can occassionally cause panic attacks.
>
> > 10. Xanax
>
> did not work neither
>
> > 11. Reboxetine
> > 12. Bromocriptine
> > 13. Gabapentin
>
>
>
> >
> >
> > Plenty more to try!!!!!
>
>
> I dont know why my doctors dont say that !!
> they dont understand me , I need help !!Be your own doctor. Research as much as possible and learn all you can....YOU HAVE PLENTY OF OPTION....YOU WILL BE OK TEP!
Let doctors know you are educated.
> Im suffering so much
> I would try anything !! no matter how dangerous
> this would beI would say try Naltrexone first, with a 60mg dose of Nardil. Then I would try the antipsychotics at a low dose. But you have HEAPS to try!
>
>
>
> >
> >
> >
> > > > I dont like this , I dont like my life
> > > > Im gonna start soon CBT, although I dont believe in it
> >
> > CBT is a waste of time, in my opinion.
> >
> > > > Im sure there is something out there that can help me more
THERE IS!! DONT GIVE IN!> > > >
> > > > any thougths are welcome.
> > > > Tep
> > >
> >
> >
> > I hope this helps Tep....let me know how your doin....
> >
> >
> > Ace.
>
> thank you very much ace.
> Im having a very bad time ace , I think Im suffering from withdrawal
> Today I had to leave my school, I ran away from the people .
>
> Im Thinking in suicide again , I feel very very bad
DONT GIVE IN TEP...KEEP TRYING AND YOU WILL BE OK!
>
> Looking for a job , but I dont think I could make it. I feel useless
> Im sure all this is caused for the stopping of the valproic acid suddenly.THIS IS POSSIBLE....
>
>
>
>
>
>
>
Posted by Tepiaca on February 27, 2004, at 15:28:07
In reply to Re: What else to combine with NArdil ?? help, posted by djmmm on February 25, 2004, at 14:04:42
> I would definately increase your dose to 60mg for a few weeks, you may (probably will) find a significant difference...
>I have been on 60mg before now . 3 months ago
It was not a huge difference though
> FWIW, 60mg of Nardil is the typical effective dose... some may need more (up to 90mg)I never got to 90 mg . The highest dose I took was 75 mg . Then I had an HP crisis (I ate spoiled chicken ).
I restarted the Nardil on 45 again 2 moths ago.
>It seems that the reformulation of Nardil ("the new nardil") requires a higher dose in many long term Nardil users...although the active drug (phenelzine sulfate) is the same, some of the fillers and binders have changed.>
I experimented that problem too . This new Nardil is not the same . It does not work the same way It was working the old one.
Everything was fine ,until I started taking the new version.
Posted by Tepiaca on February 27, 2004, at 15:53:23
In reply to Re: What else to combine with NArdil ?? TEP! 03 Tepiaca, posted by ace on February 25, 2004, at 20:08:34
Ace can you give some articles or web pages where
I can find some information about Naltrexone and
Social Phobia.
I found It was used to treat alcholism dependence
but nothing on SPI want to show something to my doctor the next time I visit him
Posted by ace on February 27, 2004, at 22:55:14
In reply to ACE ...........about Naltrexone, posted by Tepiaca on February 27, 2004, at 15:53:23
>
> Ace can you give some articles or web pages where
> I can find some information about Naltrexone and
> Social Phobia.
> I found It was used to treat alcholism dependence
> but nothing on SP
>
> I want to show something to my doctor the next time I visit him
It will make your Nardil work much better (assuming it works)...it is used to potentiate AD's.Look up "naltrexone- poop-out" on google search...
Like I said it should make your Nardil work BRILLIANT!!
And then you will not feel socially anxious..
Keep in touch tep!
ace
This is the end of the thread.
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