Psycho-Babble Medication Thread 349136

Shown: posts 1 to 11 of 11. This is the beginning of the thread.

 

Nardil questions - Ace or Chad or anyone « Shanti1

Posted by Dr. Bob on May 21, 2004, at 7:55:29

In reply to Nardil questions - For Ace or Chad or anyone, posted by Shanti1 on May 20, 2004, at 20:10:30

Posted by Shanti1 on May 20, 2004, at 20:10:30

> Hi,
> I am a first time poster. Ace and Chad both have been very supportive and informative about Nardil. I finally found a psych. dr. to prescribe Nardil to me because of such postive stories such as yours about Nardil's effectiveness in combating SP.
>
> My history is that I suffer from extreme SP since I've been 14. Along with SP, I am currently suffering from depression because I am at my wits end of trying medications that I cannot tolerate. I cannot function in the outside world. Thank God, I have Klonipin to get me through the day.
>
> I have tried all the ssri's and they all increased my anxiety and I had to stop. I couldn't even last a few days on some of them. My old psych. dr. would not give me Nardil because he said that if I could not tolerate the ssri's I would not be able to tolerate Nardil. So I swtiched doctors.
>
> Long story short, I just have a few questions:
>
> 1) Will Nardil increase my anxiety initially?
>
> 2) I am starting at 15 mg. What did you start at and how did you ramp up?
>
> 3) I am currently taking Klonipin .5mg 3x a day and lorazepam prn, codeine prn for pain and neurontin 200mgs 3x a day. Can I still stay on these medications?
>
> 4) What is the typical onset of Nardil?
>
> 5) Can I get a link to the current dietary restrictions?
>
> Sorry for the long post, but my current psych. dr. is completley unfamiliar with Nardil. He hasn't prescribed it in over 10 years. That's why I need you guys for support.
>
> Thank you for being there for me and I look forward to hearing from anyone with info. for me.
>
> Peace,
>
> Shanti

 

Re: Nardil questions - Ace or Chad or anyone

Posted by King Vultan on May 21, 2004, at 9:33:09

In reply to Nardil questions - Ace or Chad or anyone « Shanti1, posted by Dr. Bob on May 21, 2004, at 7:55:29

> Posted by Shanti1 on May 20, 2004, at 20:10:30
>
> > Hi,
> > I am a first time poster. Ace and Chad both have been very supportive and informative about Nardil. I finally found a psych. dr. to prescribe Nardil to me because of such postive stories such as yours about Nardil's effectiveness in combating SP.
> >
> > My history is that I suffer from extreme SP since I've been 14. Along with SP, I am currently suffering from depression because I am at my wits end of trying medications that I cannot tolerate. I cannot function in the outside world. Thank God, I have Klonipin to get me through the day.
> >
> > I have tried all the ssri's and they all increased my anxiety and I had to stop. I couldn't even last a few days on some of them. My old psych. dr. would not give me Nardil because he said that if I could not tolerate the ssri's I would not be able to tolerate Nardil. So I swtiched doctors.
> >
> > Long story short, I just have a few questions:
> >
> > 1) Will Nardil increase my anxiety initially?
> >

That was not my experience, and I have experienced an initial increase in anxiety on both SSRIs and Effexor. The metabolism of Nardil has an effect on GABA similar to the benzos you are taking, which tends to have an anti-anxiety effect.

> > 2) I am starting at 15 mg. What did you start at and how did you ramp up?
> >

That sounds kind of low. I started at 3 x 15 mg/day = 45 mg, which had no real effect. I started experiencing adverse effects at 60 mg/day and had to go to 75 mg/day to achieve real therapeutic benefits. There is a school of thought that you need at least 1 mg/kg of body weight per day for an effective dosage of Nardil. I am 145 lb = 66 kg. This reference has some good info:

http://www.currentpsychiatry.com/2002_06/06_02_maoi.asp


> > 3) I am currently taking Klonipin .5mg 3x a day and lorazepam prn, codeine prn for pain and neurontin 200mgs 3x a day. Can I still stay on these medications?
> >

The Klonopin and lorazepam are okay, but I don't know about the others.


> > 4) What is the typical onset of Nardil?
> >

I would say anywhere from 1-4 weeks after achieving a therapeutic dosage. In my case, I notice effects about five days after increasing dosage.

> > 5) Can I get a link to the current dietary restrictions?
> >

I have another reference somewhere which has been posted several times before here--will find it and post it in another reply.


> > Sorry for the long post, but my current psych. dr. is completley unfamiliar with Nardil. He hasn't prescribed it in over 10 years. That's why I need you guys for support.
> >
> > Thank you for being there for me and I look forward to hearing from anyone with info. for me.
> >
> > Peace,
> >
> > Shanti
>

 

Re: Dietary and other info

Posted by King Vultan on May 21, 2004, at 9:34:55

In reply to Nardil questions - Ace or Chad or anyone « Shanti1, posted by Dr. Bob on May 21, 2004, at 7:55:29

http://www.vh.org/adult/provider/psychiatry/CPS/19.html

Todd

 

Re: Dietary and other info

Posted by Shanti1 on May 21, 2004, at 17:28:23

In reply to Re: Dietary and other info, posted by King Vultan on May 21, 2004, at 9:34:55

> http://www.vh.org/adult/provider/psychiatry/CPS/19.html
>
> Todd

Thank you so much King Vultan for your speedy reply! Thanks for all the info!! I am scared to start off at such a high dose. I about 115 pounds so I'll have to figure out the math on how much I will need. I think I will start at 15mg and see how my body reacts to it first.

Thanks again,

Peace,

Shanti

 

Re: Nardil questions - For Ace or Chad or anyone » Shanti1

Posted by ace on May 21, 2004, at 22:52:37

In reply to Re: Nardil questions - For Ace or Chad or anyone, posted by Shanti1 on May 21, 2004, at 17:14:59

> Hi,
> I am a first time poster. Ace and Chad both have been very supportive and informative about Nardil.

No worries. Although Chad is long gone from here!
He has is own Social Anxiety site.

I finally found a psych. dr. to prescribe Nardil to me because of such postive stories such as yours about Nardil's effectiveness in combating SP.

Great work!!
>
> My history is that I suffer from extreme SP since I've been 14. Along with SP, I am currently suffering from depression because I am at my wits end of trying medications that I cannot tolerate.

You will be OK now- Nardil is on your side!


I cannot function in the outside world. Thank God, I have Klonipin to get me through the day.
>
> I have tried all the ssri's and they all increased my anxiety and I had to stop. I couldn't even last a few days on some of them. My old psych. dr. would not give me Nardil because he said that if I could not tolerate the ssri's I would not be able to tolerate Nardil.

That's nonsense. MAOIs do not have anxiety as a side-effect anywhere near the frequency of which SSRIs do.

So I swtiched doctors.

good move!

> Long story short, I just have a few questions:
>
> 1) Will Nardil increase my anxiety initially?

Probably not, but maybe. If it does it will only be for a brief duration. so PLEASE withstand it!
Nardil increased my anxiety a little in the first week, then 5 weeks later crushed my anxiety!! To this day it still works splendid for social phobia. Before Nardil I could not eat in public or dress in flaymboyant ways. With Nardil I could eat in front of 3000000000 people and where a clown outfit! Seriously, i have NO social phobia now.


> 2) I am starting at 15 mg. What did you start at and how did you ramp up?

I started at 30mg. Then went to 45mg. 45mg knocked me around- i felt drunk and was stumbling. Went back to 30mg. Around three days later went up to 45 no probs. Then went to 60 and stayed their for 4 weeks. It kicked in then. I went to 90mg and SEDATION (which i loved!) hit me BIG TIME!!!

> 3) I am currently taking Klonipin .5mg 3x a day and lorazepam prn, codeine prn for pain and neurontin 200mgs 3x a day. Can I still stay on these medications?

Yes. Not sure about codein but- i'll have to look this up. However when Nardil kicks in I doubt you will need Neurontin or Klonopin, or maybe only small doses.


> 4) What is the typical onset of Nardil?

between 1 and 6 weeks. Although some people have noted onset at day 1 or 2....others had to wait 8 weeks. For me it was 6 weeks- 4 of those weeks at 60mg. Please be patient and have faith.

> 5) Can I get a link to the current dietary restrictions?

Just do the psycho babble search and heaps will come up. However, a lot of the restrictions are now known to be nonsense. I never notice the diet restrictions.


> Sorry for the long post, but my current psych. dr. is completley unfamiliar with Nardil. He hasn't prescribed it in over 10 years. That's why I need you guys for support.
>
> Thank you for being there for me and I look forward to hearing from anyone with info. for me.
>
> Peace,
>
> Shanti
>
>

Feel free to ask me anymore qstns!!!!

Cheers,
Ace.

 

Re: Nardil questions « Ilene

Posted by Dr. Bob on May 22, 2004, at 2:03:59

In reply to Nardil questions - Ace or Chad or anyone « Shanti1, posted by Dr. Bob on May 21, 2004, at 7:55:29

Posted by Ilene on May 21, 2004, at 7:59:34

In reply to Nardil questions - For Ace or Chad or anyone, posted by Shanti1 on May 20, 2004, at 20:10:30

I take Marplan, which is another MAOI. Its side effects fall between those of Nardil and Parnate. (I don't know why more people don't take it.)

I take Klonopin and Neurontin with no problems. The codeine should be okay as long as it is actually codeine. Some other opiates cause problems.

This is what I found about dietary and drug restrictions:
http://www.dr-bob.org/babble/20040218/msgs/316177.html

Rx List has information about Nardil:
http://www.rxlist.com/cgi/generic2/phenelzine.htm
The dietary information is out of date.

Here are some abstracts from PubMed:
Refining the MAOI diet: tyramine content of pizzas and soy products.
http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=10192596

The making of a user friendly MAOI diet
http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=8617704

This is from Dr. Bob's Tips:
http://www.dr-bob.org/tips/maoi.html

Eighty percent of the dietary hypertensive reactions result from eating aged cheese. I avoid those cheeses entirely. I've consumed moderate amounts of Kikkoman soy sauce with no problem. I don't take any cold or allergy drugs, herbal remedies, or other drugstore pills except for vitamins, minerals, and fish oil.

 

Re: Nardil questions - For Ace or Chad or anyone » ace

Posted by Shanti1 on May 23, 2004, at 12:12:57

In reply to Re: Nardil questions - For Ace or Chad or anyone » Shanti1, posted by ace on May 21, 2004, at 22:52:37

Ace, just the man I been looking for! Thank you so very much for responding to my post. It means a lot to me because I have read so many of your posts and am so happy that you have finally conquered SP and maybe with your help I can too!

> 1) Will Nardil increase my anxiety initially?

> Probably not, but maybe. If it does it will only be for a brief duration. so PLEASE withstand it!

That is the toughest thing for me to do, but knowing that Nardil is effective for SP maybe I can do it if you did. I might just have to up my Klonipin to get through it.

> Nardil increased my anxiety a little in the first week, then 5 weeks later crushed my anxiety!!

That is my dream come true! Congrats for sticking it out!! I loved your clown reference!

A couple of questions if you don't mind:

1) I noticed on one of your posts that you also take Remeron and Zyprexa. You mentioned that Zyprexa is good for OCD treamtment which I also suffer from. When and why did you add this to your mix? Also what about the remeron? I absolutely hated it. Why is this in your mix? Were you ever on Klonipin for SP? If so, did Nardil help you come off of it?

2) I am starting Nardil either this Monday or Tuesday. Should I take my 15mg in the am or pm?

3) What should my target dose of Nardil be, or is it different for everyone?

Well that's all for now. Whenever my pharmacy can find Nardil I will try it and let you know how I am doing. I am getting my hopes up way too much already that Nardil is going to be the one that works and that I can tolerate it. I am at my end of my rope of trying med's. Nardil is the last one on my list and then I am done.

Take care and thanks again,

Shanti

 

Re: Nardil questions - ATTN: SHANTI!!! » Shanti1

Posted by ace on May 23, 2004, at 23:47:39

In reply to Re: Nardil questions - For Ace or Chad or anyone » ace, posted by Shanti1 on May 23, 2004, at 12:12:57

> Ace, just the man I been looking for! Thank you so very much for responding to my post. It means a lot to me because I have read so many of your posts and am so happy that you have finally conquered SP and maybe with your help I can too!

Hey - No worries!!! Nardil is crushes my depression- at best Im in euphoria at worst on Nardil I feel happy!!!! It even helps my OCD! NARDIL RULES!!!!


> > 1) Will Nardil increase my anxiety initially?
>
> > Probably not, but maybe. If it does it will only be for a brief duration. so PLEASE withstand it!
>
> That is the toughest thing for me to do, but knowing that Nardil is effective for SP maybe I can do it if you did. I might just have to up my Klonipin to get through it.
>
> > Nardil increased my anxiety a little in the first week, then 5 weeks later crushed my anxiety!!
>
> That is my dream come true! Congrats for sticking it out!! I loved your clown reference!
>
> A couple of questions if you don't mind:
>
> 1) I noticed on one of your posts that you also take Remeron and Zyprexa. You mentioned that Zyprexa is good for OCD treamtment which I also suffer from. When and why did you add this to your mix? Also what about the remeron? I absolutely hated it. Why is this in your mix? Were you ever on Klonipin for SP? If so, did Nardil help you come off of it?

Remeron hasn't helped my OCD a bit, or much else! I am dropping it soon. Zyprexa 2.5mg acts very well for my OCD, eliminates 60%. But I must state- NARDIL ALSO HELPS MY OCD!!! With Nardil and Zyprexa I am 70-80% free of OCD. Now Im looking for a drug to be 100% free!!!! I have been on Zyprexa with Nardil for around 9 months, on and off, but mostly on. Unfortunately I couldn't use Klonopin- hard to get in Australian I used a lot of benzos, and I noticed when Nardil kicked in, I HARDLY ever needed them!!!

My life was pure hell before Nardil- I could barely leave my house and at uni lectures i was at the back of the hall, scared and ready to run if a panic attack came- NARDIL ENDED MY TORTURE- IT GAVE ME A HAPPY LIFE!

> 2) I am starting Nardil either this Monday or Tuesday. Should I take my 15mg in the am or pm?

To be safe, I would take it at around 11am. Nardil can cause insomnia, but for me it cause lovely sweet sedation and sweet little naps at day. and lovely sleep at night. Man, i love Nardil!!

> 3) What should my target dose of Nardil be, or is it different for everyone?

I always state this rule: Get to 60mg as soon as possible. Then stay on 60mg for 4 weeks. If depression and SP is not helped 100%, go straight up to 90mg and leave it their....at 90mg, Nardil cause a lovely euphoria for me...every day a brilliant masterpeice!!! the only time i felt MINIMALLY down was when i had to go to bed- cause i couldn't wait for the next day!!!! When Nardil works, it makes you feel God is looking after you...

>
> Well that's all for now. Whenever my pharmacy can find Nardil I will try it and let you know how I am doing.

Please do, and i am always here for help or qstns!!


I am getting my hopes up way too much already that Nardil is going to be the one that works and that I can tolerate it.

This is EXACTLY what you SHOULD do. From day one, for some weird reason, I always had faith in Nardil....and, after 6 weeks, it caused me the most greatest awesome happiness I can barely express with words!! And I am not exageratting....so keep your hopes up and have 100% faith in the majic of Nardil!!!

I am at my end of my rope of trying med's. Nardil is the last one on my list and then I am done.

AND NARDIL WILL COME TO SAVE YOU!!!! NARDIL IS THE GREATEST EVER PSYCHOTROPIC MEDICINE. PERIOD. AS DR. QUITKEN STATED WHEN ASKED IF THEIR IS ANY ALTERNATIVE TO NARDIL- HE SAID "NO- IT IS EXTREMELY EFFECTIVE FOR THE VAST VAST MAJORITY OF PATIENTS" (I PARAPHRASE)

>
> Take care and thanks again,
>
> Shanti

YOU ARE SAFE NOW. NARDIL IS ON YOUR SIDE!!!


LOVE ACE!!

NARDIL 90MG
ZYPREXA 2.5MG
REMERON 15MG (SOON TO GO)

 

Re: Nardil questions -ATTN: ACE

Posted by Shanti1 on May 24, 2004, at 9:33:11

In reply to Re: Nardil questions - ATTN: SHANTI!!! » Shanti1, posted by ace on May 23, 2004, at 23:47:39

Ace,

Thank you for your kinds words of support. I start Nardil tommorow (tues.) I am so excited I feel like a little kid again. If Nardil can do for me everything that it did for you I can actually lead a normal life for the first time since my teens.

I am so glad I had the nerve to speak up to my psych. doc and demand Nardil so I can give it a whirl.

Wow- if Nardil actually works for my SP I will finally be free of the chains that bind me to my home and leading a life of constant panic. If Nardil works, the doors to my world will finally be open to me and I can live again. Thanks Ace for giving me the ability to dream again and giving me the confidence in trying out Nardil!!

1) Hey, I was curious as how long you have been on Nardil? Does it ever poop out like the other drugs do?

2) Do you strictly follow the dietary restrictions? Have you had any negative reactions while taking the wrong foods w/Nardil?

Wish me luck Ace, I pop the first dose tommorrow.

I can't believe how excited I am!


Love,

Shanti

 

Re: Nardil questions -ATTN: ACE » Shanti1

Posted by ace on May 25, 2004, at 3:19:58

In reply to Re: Nardil questions -ATTN: ACE, posted by Shanti1 on May 24, 2004, at 9:33:11

> Ace,
>
> Thank you for your kinds words of support. I start Nardil tommorow (tues.) I am so excited I feel like a little kid again. If Nardil can do for me everything that it did for you I can actually lead a normal life for the first time since my teens.
>
> I am so glad I had the nerve to speak up to my psych. doc and demand Nardil so I can give it a whirl.
>
> Wow- if Nardil actually works for my SP I will finally be free of the chains that bind me to my home and leading a life of constant panic. If Nardil works, the doors to my world will finally be open to me and I can live again. Thanks Ace for giving me the ability to dream again and giving me the confidence in trying out Nardil!!
>
> 1) Hey, I was curious as how long you have been on Nardil? Does it ever poop out like the other drugs do?

1 and a half years. It cause 3 months of absolute euphoria (bliss). I stopped it, then it cauased euphoria again...but eventually i just felt very happy! I still have euphoric days on nardil, but most of the time it makes me feel really happy and content!!!

so, no, i dont really think it pooped out, per se.


>
> 2) Do you strictly follow the dietary restrictions? Have you had any negative reactions while taking the wrong foods w/Nardil?

I dont follow any guidelines except not each cheese.
Only one hypertensive crises, and it was not that bad at all. The diet is way overrated- i dont notice it!

> Wish me luck Ace, I pop the first dose tommorrow.

You dont need luck- YOU HAVE NARDIL!!!!

PRINT OUT MY POSTS AND USE THEM TO 'KEEP THE FAITH' BEFORE IT KICKS IN!!!!


>
> I can't believe how excited I am!
>
>
> Love,
>
> Shanti
>

GOT NUCH MORE TO SAY BUT MY BUS IS COMING!!!!

lOVE AND BEST WISHES

ACE
NARDIL- 105MG
ZYPREXA 2.5MG

PS- THERE IS NOTHING TO FEAR, NARDIL IS HERE!!!!!!!!!!!!!

 

Re: Nardil questions -ATTN: ACE

Posted by Shanti1 on May 25, 2004, at 15:58:06

In reply to Re: Nardil questions -ATTN: ACE » Shanti1, posted by ace on May 25, 2004, at 3:19:58

Ace,

Thank you for your support, it means the world to me. I finally got the script for Nardil, but am going to wait till next tues. to start. I want to enjoy my memorial day holiday in case I have side effects from the Nardil.

The dietary restictions really are scaring me off of trying Nardil. I also have OCD so now I am worrying that I will eat the wrong food and go nuts. I am getting scared. Alot of literature I have read is contradicting for the foods to avoid, like cheeses for example.

The doc said to start at 7.5mg and then 15 mg for the remainder. That seems too low of a dose to get any benefit from it. As I said my doc is not familiar w/Nardil at all.

Any words of wisdom from you will be extremely appreciated! I need to hear success stories from anyone that has tried Nardil for SP and OCD and won.


peace,

Shanti


This is the end of the thread.


Show another thread

URL of post in thread:


Psycho-Babble Medication | Extras | FAQ


[dr. bob] Dr. Bob is Robert Hsiung, MD, bob@dr-bob.org

Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.