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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 saltate on July 22, 2005, at 19:36:48
hey I have been at 60 mgs for awhile now. I am noticing a definite positive effect, with regards to the physical sensation of depression, if this makes any sense. I feel a positive "body" buzz. However, I also seem tired alot but paradoxically its very difficult to get sleep. Also, although I seem to have more spontaneous positive thoughts, I have been realizing how ferociously depression is engrained in my cognitive processes. I still, "shoot myself in the foot" as it were with my esoteric thoughts.
I was wondering about people's experiences, especially about possibly combining nardil with an atypical antipsychotic or lamictal, which i found helped to "ground" my abstract thoughts inj the past, though not necessarily alleviate depression. I'd like to hear from ace too about the difference between nardil alone and nardil with seroquel. Thanks and sorry if i am making too many requests.
Posted by gardenergirl on July 23, 2005, at 1:26:34
In reply to nardil update, posted by saltate on July 22, 2005, at 19:36:48
Hi saltate,
I have had trouble sleeping with Nardil at times, too--mostly early awakening. I sometimes take ambien to help with that.Also, I recently added Lamictal to my Nardil to target residual depression. I currently take 50 mg Lamictal and 45 mg Nardil (just dropped Nardil from 60 to 45 due to increasing edema).
So far so good...Although I also am in therapy twice per week, and I know that's helping, too.
Good luck to you.
gg
Posted by Jedi on July 23, 2005, at 4:04:49
In reply to nardil update, posted by saltate on July 22, 2005, at 19:36:48
Be careful if you start feeling a “body” buzz from Nardil. Like other antidepressants, MAOI's can precipitate a manic or hypomanic state in some individuals. The first time I took phenelzine, when it started to kick in, I would get a pleasant sensation that is best described as a tingly feeling in the scalp. This was followed by an antidepressant-induced hypomania where I needed very little sleep and took some large financial gambles that, in the long run, set me back quite a ways. This feel good sensation was very intoxicating for someone that had a hard time getting out of bed while suffering from severe atypical depression. You should have someone close to you watch for these signs of mania. You may have a hard time seeing it in yourself, or interpret it as a positive event after being ill.
Afternoon drowsiness is a common side effect of phenelzine and will probably dissipate with time.
Posted by willyee on July 23, 2005, at 10:30:36
In reply to Nardil and hypomania, posted by Jedi on July 23, 2005, at 4:04:49
> Be careful if you start feeling a “body” buzz from Nardil. Like other antidepressants, MAOI's can precipitate a manic or hypomanic state in some individuals. The first time I took phenelzine, when it started to kick in, I would get a pleasant sensation that is best described as a tingly feeling in the scalp. This was followed by an antidepressant-induced hypomania where I needed very little sleep and took some large financial gambles that, in the long run, set me back quite a ways. This feel good sensation was very intoxicating for someone that had a hard time getting out of bed while suffering from severe atypical depression. You should have someone close to you watch for these signs of mania. You may have a hard time seeing it in yourself, or interpret it as a positive event after being ill.
>
> Afternoon drowsiness is a common side effect of phenelzine and will probably dissipate with time.Thats a really good point you make,very true,with Maois the relief of the depression in any way can make one unaware they are maniac,i.e talking A LOT,or over confidence.Biggest problem with this is usualy its a initial false sense of euphoria,rather than the true AD effect and unless its caught and treated there can be a crash resulting in worsen depression.
For me on nardil i remeber my maniac behaviour in the form of obsessiveness,i began to take on projects that were insignificant except to me where in my view plastering little hole in my wall seemed the utmost importance.
Parnates maniac episodes were more social,i felt overconfident and became socialy agressive.Again good point.
Posted by saltate on July 23, 2005, at 12:26:04
In reply to Re: Nardil and hypomania, posted by willyee on July 23, 2005, at 10:30:36
No danger of hypomania here. I think the term "body buzz" was a little misleading. For me, depression often feels like a physical sensation of coldness, even in the heat. I felt physically some relief of this, but I definetly don't feel particularly driven or hyper.
Posted by 4WD on July 23, 2005, at 23:02:05
In reply to Re: Nardil and hypomania, posted by saltate on July 23, 2005, at 12:26:04
Posted by Declan on July 24, 2005, at 17:37:24
In reply to Re: Nardil and hypomania, posted by saltate on July 23, 2005, at 12:26:04
Posted by willyee on July 25, 2005, at 3:23:53
In reply to Me too (nm), posted by Declan on July 24, 2005, at 17:37:24
Just fyi,i think a good marker for knowing if your maniac is as follows...
If your under a more therputic response,you should be able to sit still,watch a tv program,or maybe take a much needed nap.
If you are maniac,you might find sitting down and still very hard,that and or a nap almost impossable,and notice you POP right back up,feel to much energy.
I understand how this maniac phase might seem inviting compared to the horror of depression,but something you have to remeber is this type of maniac high will result in a chrash,which more imporantly will likly follow a very bad depressive state.
Also something else i noticed personaly is a maniac high seems oblivious to benzos,in fact benzos seem to agigtate it more making you more unattractivly outgoing and annoying and restless,and a much higher dose of a benzo is needed to actualy "put u down" so u can sleep it off.
This is of course my opinion,but personaly i hate when i erronously put myself in one of these.
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