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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 7 of 7. This is the beginning of the thread.
Posted by JNew12 on October 16, 2008, at 8:44:53
I have just started Nardil for social phobia, but I also have chronic fatigue. I have read people here combining Dexadrine and Nardil with out the ill side effects that are supposed to happen.
So, not wanting Nardil to make me any tired, I ignored my Dr. orders of not taking stimulants, and found a doctor who would prescribe me Adderal.
I have been on it for a few days along with the Nardil. I have been getting some side effects, getting real warm, and sweating a lot and sometimes I will be sad or emotional for no reason.
I am wondering if Adderal is worse to take with Nardil than Dexadrine, because it it four amphetamine salts instead of one.
Should I stop asking for the Adderal, or should I give it some more time or should I switch to Dexadrine.
I don't want to end up dead! But, if it was going to happen don't you think it would of already.
By the way this is my first post. Hello everyone
Posted by JNew12 on October 16, 2008, at 9:19:41
In reply to Nadril and Adderal, posted by JNew12 on October 16, 2008, at 8:44:53
I am sorry to not let others wait and post, I a little impatient, but I was just wondering if the l-amphetamine in adderal could be making me sick? I have been doing so more reading here and it look l-amphetamine + nardil bad and d-amphetamine + nardil = good. That is probably why doctors give dexardine to nardil users, instead of adderal because it would otherwise make no sense to give somebody a stronger and potentially more addicting drug. Has anyone mixed adderal and nardil before, I am starting to get scared now, I am starting to wish I tried parnate in the first place because it is more activation. What about Ritalin and nardil, that would seem to have less side effects since adderal is a weak amphetamine and mixing moai+moai is a no no. It would just effect dopamine, so it would be safe, or does tyramine being converting to dopamine the reason for hypertensive reactions. There is also a non racematic Ritlan called Focalin. If nardil + ritalin is safe than I may be able to get my psych to get me to give me focalin.
My doctor who is giving me adderal is surely going to stop my adderal once he find out i'm taking an MOAI. I he should know, but if I told him he would of said NO anyways, and if did say yes he would just say take it slow which I am already doing.
If taking adderal and nardil is just fine maybe I should not tell my doctor I am taking a MOAI, because why screw up a good thing?
Well, if he does take me off and refuses me ritalin too there might be the possibility of provigil. too bad for me all that was like was strong coffee.
> I have just started Nardil for social phobia, but I also have chronic fatigue. I have read people here combining Dexadrine and Nardil with out the ill side effects that are supposed to happen.
>
> So, not wanting Nardil to make me any tired, I ignored my Dr. orders of not taking stimulants, and found a doctor who would prescribe me Adderal.
>
> I have been on it for a few days along with the Nardil. I have been getting some side effects, getting real warm, and sweating a lot and sometimes I will be sad or emotional for no reason.
>
> I am wondering if Adderal is worse to take with Nardil than Dexadrine, because it it four amphetamine salts instead of one.
>
> Should I stop asking for the Adderal, or should I give it some more time or should I switch to Dexadrine.
>
> I don't want to end up dead! But, if it was going to happen don't you think it would of already.
>
> By the way this is my first post. Hello everyone
Posted by azalea on October 16, 2008, at 14:03:40
In reply to Nadril and Adderal, posted by JNew12 on October 16, 2008, at 8:44:53
Welcome to babble. It sounds like you have 2 doctors prescribing medications and neither doctor is aware of the other medication. This is especially concerning because Nardil and Adderall are contraindicated. While there have been case reports of combining MAOIs (i.e Nardil) with stimulants, there have also been case reports of death resulting from the this combination. Consider the risks and benefits and discuss this with your doctor.
> I have just started Nardil for social phobia, but I also have chronic fatigue. I have read people here combining Dexadrine and Nardil with out the ill side effects that are supposed to happen.
>
> So, not wanting Nardil to make me any tired, I ignored my Dr. orders of not taking stimulants, and found a doctor who would prescribe me Adderal.
>
> I have been on it for a few days along with the Nardil. I have been getting some side effects, getting real warm, and sweating a lot and sometimes I will be sad or emotional for no reason.
>
> I am wondering if Adderal is worse to take with Nardil than Dexadrine, because it it four amphetamine salts instead of one.
>
> Should I stop asking for the Adderal, or should I give it some more time or should I switch to Dexadrine.
>
> I don't want to end up dead! But, if it was going to happen don't you think it would of already.
>
> By the way this is my first post. Hello everyone
Posted by azalea on October 16, 2008, at 14:16:53
In reply to Nadril and Adderal, posted by JNew12 on October 16, 2008, at 8:44:53
Just wanted to alert you to this publication.
Br Med J. 1965 Jul 17;2(5454):168-9.
DEATH AFTER COMBINED DEXAMPHETAMINE AND PHENELZINE.
LLOYD JT, WALKER DR.On the other side, there is a case series using MAOI + stimulant. However, the stimulant used was low-dose methylphenidate or low-dose dextroamphetamine (not mixed amphetamine).
J Clin Psychiatry. 1985 Jun;46(6):206-9.
Combined MAOI, TCA, and direct stimulant therapy of treatment-resistant depression.
Feighner JP, Herbstein J, Damlouji N.Patients with "treatment resistant" depression who do not respond to standard methods or relapse over time have a moral and legitimate right to innovative therapy. Combined treatment with monoamine oxidase inhibitors (MAOIs), tricyclic antidepressants (TCAs), and stimulants has been resisted by practitioners because of hypertensive and hyperthermic crises noted in certain cases. This paper reports a case series demonstrating the safety and efficacy of adding a stimulant to an MAOI or to a combination of TCA and MAOI in the treatment of intractable depression.
> I have just started Nardil for social phobia, but I also have chronic fatigue. I have read people here combining Dexadrine and Nardil with out the ill side effects that are supposed to happen.
>
> So, not wanting Nardil to make me any tired, I ignored my Dr. orders of not taking stimulants, and found a doctor who would prescribe me Adderal.
>
> I have been on it for a few days along with the Nardil. I have been getting some side effects, getting real warm, and sweating a lot and sometimes I will be sad or emotional for no reason.
>
> I am wondering if Adderal is worse to take with Nardil than Dexadrine, because it it four amphetamine salts instead of one.
>
> Should I stop asking for the Adderal, or should I give it some more time or should I switch to Dexadrine.
>
> I don't want to end up dead! But, if it was going to happen don't you think it would of already.
>
> By the way this is my first post. Hello everyone
Posted by Jnew12 on October 16, 2008, at 20:17:26
In reply to caution: Nardil + Adderall » JNew12, posted by azalea on October 16, 2008, at 14:03:40
You have just scared the crap out of me. I have a blood pressure machine and a program that I code my blood pressure, it tells you whether you normal, prehypertension, or hypertension. I so far have not tested anything but normal, but I only been recording it for a couple days.
I have extreme ADHD. I am on college disabilty because of it, and extreme depresson, social anxiety.
I have a class in college where we are graded basically only on praticapation points. I have been trying hard to talk so I get a good grade but I guess some kid told on me that I was interupting the class. She reported me to the administration, she says that I talk out of line, and when I talk it is totally off topic, and I repeat things that we are already said. She took me to the side and said that there is a problem, and told me that other kids have been complaining about me.
I was furious that she reported me to the administrator, like what are they going to do tell me they no longer want my money and find a new college.
But, my doctor who prescribed adderal gave me a paper too fill out. I was honest with her even though I think it's horrible people are talking about me behind my back, that only exaberates my social anxiety.
I was not going to give her the paper, because I read it and it was childish and really long like 6 pages.
When she confronted me I actually came out and told her, hey I have a problem, and now I am doing something, and taking medication to help stablize me.
She actually sounded happy too be apart of the survery. I told her the reason I am like I am is because of ADD, she said she new, she actually went to the disabilty office and asked them what was my problem.
Can you see how bad my ADHD is?But, I have social problem, and I don't want to get addicted to benzo again, and I have treatment resistant depression/social phobia, so I have too take the Nardil.
It's either Nardil or the Adderal, I took adderal by it's own and it did not do that much for my depression, and made my social anxiety worse. I also would loose my appetite so much, and I have a disorder that makes me vomit, so that is not great.But, with nardil, bupe, and lyrica, and maybe a little xanax, it seems that I can take adderal without being cracked out and my appetite is non changed. I and my family have noticed a improvment in my academics and attention since I started taking it.
But, I think I would rather take nardil, bupe, lyrica and xanax, and be a talking machine, then a homebound chump.
But, the problems is now that I am talking, I don't know whether it is my ADD or what. I am talking too much, getting on peoples nerves, and starting and stoping a million thing and not getting anything done.
Do you see why I would benefit from a stimulant. It's bad enough that I have a teacher telling the administrator on me, and checking into my disability. She agrees I need to be on a med, and she said she would monitor me for my doctor.
I also lose thing like crazy, my mind has always been scattered brained, I loose thing like crazy, and my attention span is zero. And now that I am getting help with my social phobia, it is working but bringing out more hyperactive symptoms, when before I had more inattentive symptoms.
I am begging you for help. I am desprate, I don't want to fail school that is why I did not tell me doctor, but he also did not act. I see him next week and I know he is going to take my med away from me.
Life sucks. I got my social phobia under control with meds, now I almost had my ADD controled.
I had a good day by the way, I went to the gym and ran for two hours. I heard the gym is goood for reducing hypertension, but I don't know if it is going to keep me from waking up DEAD.
So, no adderal, dexadrine, ritalin, or focalin.
Please don't say provigil or strattera, those do not work, my ADD is too extreme.
Posted by azalea on October 16, 2008, at 21:50:21
In reply to Re: caution: Nardil + Adderall, posted by Jnew12 on October 16, 2008, at 20:17:26
Not trying to scare the crap out you, I just feel like you should be aware of the risks. Your ADHD requires treatment as does your social anxiety, but the question is how much risk you and your doctor are comfortable with. This is a challenging combination of symptoms to treat and a general psychiatrist may not be able to provide the optimal treatment. Perhaps you could find someone who specializes in psychopharmacology at an academic medical center. While I am no expert, one thing that comes to mind is selegiline. It is an MAOI inhibitor (like Nardil) and is metabolized to L-amphetamine and L-methamphetamine. The oral formulation of selegiline is FDA-approved for Parkinson's disease, but has been used off-label in higher doses to treat various mood and anxiety disorders. The amphetamine metabolites (break down products) would likely help your ADHD symptoms. You're stuck between and rock and a hard place. I hope you find a doctor who can provide treatment for both your social anxiety and ADHD. I don't think you have to choose one or the other.
> You have just scared the crap out of me. I have a blood pressure machine and a program that I code my blood pressure, it tells you whether you normal, prehypertension, or hypertension. I so far have not tested anything but normal, but I only been recording it for a couple days.
>
> I have extreme ADHD. I am on college disabilty because of it, and extreme depresson, social anxiety.
>
> I have a class in college where we are graded basically only on praticapation points. I have been trying hard to talk so I get a good grade but I guess some kid told on me that I was interupting the class. She reported me to the administration, she says that I talk out of line, and when I talk it is totally off topic, and I repeat things that we are already said. She took me to the side and said that there is a problem, and told me that other kids have been complaining about me.
>
> I was furious that she reported me to the administrator, like what are they going to do tell me they no longer want my money and find a new college.
>
> But, my doctor who prescribed adderal gave me a paper too fill out. I was honest with her even though I think it's horrible people are talking about me behind my back, that only exaberates my social anxiety.
>
> I was not going to give her the paper, because I read it and it was childish and really long like 6 pages.
>
> When she confronted me I actually came out and told her, hey I have a problem, and now I am doing something, and taking medication to help stablize me.
>
> She actually sounded happy too be apart of the survery. I told her the reason I am like I am is because of ADD, she said she new, she actually went to the disabilty office and asked them what was my problem.
>
>
> Can you see how bad my ADHD is?
>
> But, I have social problem, and I don't want to get addicted to benzo again, and I have treatment resistant depression/social phobia, so I have too take the Nardil.
>
>
> It's either Nardil or the Adderal, I took adderal by it's own and it did not do that much for my depression, and made my social anxiety worse. I also would loose my appetite so much, and I have a disorder that makes me vomit, so that is not great.
>
> But, with nardil, bupe, and lyrica, and maybe a little xanax, it seems that I can take adderal without being cracked out and my appetite is non changed. I and my family have noticed a improvment in my academics and attention since I started taking it.
>
> But, I think I would rather take nardil, bupe, lyrica and xanax, and be a talking machine, then a homebound chump.
>
> But, the problems is now that I am talking, I don't know whether it is my ADD or what. I am talking too much, getting on peoples nerves, and starting and stoping a million thing and not getting anything done.
>
> Do you see why I would benefit from a stimulant. It's bad enough that I have a teacher telling the administrator on me, and checking into my disability. She agrees I need to be on a med, and she said she would monitor me for my doctor.
>
> I also lose thing like crazy, my mind has always been scattered brained, I loose thing like crazy, and my attention span is zero. And now that I am getting help with my social phobia, it is working but bringing out more hyperactive symptoms, when before I had more inattentive symptoms.
>
> I am begging you for help. I am desprate, I don't want to fail school that is why I did not tell me doctor, but he also did not act. I see him next week and I know he is going to take my med away from me.
>
> Life sucks. I got my social phobia under control with meds, now I almost had my ADD controled.
>
> I had a good day by the way, I went to the gym and ran for two hours. I heard the gym is goood for reducing hypertension, but I don't know if it is going to keep me from waking up DEAD.
>
> So, no adderal, dexadrine, ritalin, or focalin.
>
> Please don't say provigil or strattera, those do not work, my ADD is too extreme.
Posted by Phillipa on October 16, 2008, at 23:20:05
In reply to Re: caution: Nardil + Adderall » Jnew12, posted by azalea on October 16, 2008, at 21:50:21
Welcome to babble how are you feeling now? Phillipa
This is the end of the thread.
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