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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by g_g_g_unit on April 12, 2009, at 22:55:16
after titrating to 75mg of Nardil, and hanging around for 3 weeks, I found the side-effects too intense to continue. so i've been weaning off at 15mg every 4 days. right now i'm at 45mg and finding myself feeling a whole lot better than i did on a higher dose. my OCD is coming back, and i can feel the social anxiety benefits dissipating, but in exchange i can think clearly, and the depersonalization the insomnia/lack of dreaming was causing me has pretty much cleared up. now i was wondering, given that it takes 2 weeks to feel the effects of a raise in dose, does the same rule apply to weaning off? i.e. given that i've only been on 45mg for 4 days, am i not in fact experiencing the real effects of being on 45mg? because otherwise i may consider just staying on 45mg, or even 30mg, just as a bolster against anxiety..
Posted by myco on April 13, 2009, at 0:02:38
In reply to anyone have success on a lower Nardil dose?, posted by g_g_g_unit on April 12, 2009, at 22:55:16
A change of 15 every handfull of days may be to quick...you will see in a short time if it was. It's usually recommended to go down slower...but this is individual. You could find a tolerable lower dose that still gives you some benefit then augment with a bit of another med to cover any "gaps" that need filling. Find that dose and see what youre missing at it then go from there.
> after titrating to 75mg of Nardil, and hanging around for 3 weeks, I found the side-effects too intense to continue. so i've been weaning off at 15mg every 4 days. right now i'm at 45mg and finding myself feeling a whole lot better than i did on a higher dose. my OCD is coming back, and i can feel the social anxiety benefits dissipating, but in exchange i can think clearly, and the depersonalization the insomnia/lack of dreaming was causing me has pretty much cleared up. now i was wondering, given that it takes 2 weeks to feel the effects of a raise in dose, does the same rule apply to weaning off? i.e. given that i've only been on 45mg for 4 days, am i not in fact experiencing the real effects of being on 45mg? because otherwise i may consider just staying on 45mg, or even 30mg, just as a bolster against anxiety..
Posted by g_g_g_unit on April 13, 2009, at 0:37:59
In reply to Re: anyone have success on a lower Nardil dose? » g_g_g_unit, posted by myco on April 13, 2009, at 0:02:38
> A change of 15 every handfull of days may be to quick...you will see in a short time if it was. It's usually recommended to go down slower...but this is individual. You could find a tolerable lower dose that still gives you some benefit then augment with a bit of another med to cover any "gaps" that need filling. Find that dose and see what youre missing at it then go from there.
so far, the only real 'hump' i've experienced was sleeping 14 hours straight after i dropped to 45mg. i think i definitely gave the higher doses a fair shot, but they weren't for me. i can stay awake now during the day which is a huge bonus. i'm going to be experimenting with memantine soon so will either use that as an adjunct to nardil, or stand-alone therapy. in the meantime, i plan on resting @45mg for a week or two and seeing how i pro(/re)gress
Posted by g_g_g_unit on April 13, 2009, at 0:42:22
In reply to Re: anyone have success on a lower Nardil dose?, posted by g_g_g_unit on April 13, 2009, at 0:37:59
this also might be a coincidence but i tried 300mg of N-A-C yesterday morning and experienced one of the best days OCD-wise in as long as I can remember. i forgot to take it today, and have felt okay, but yesterday was almost blissful. the only thing that ruined it was when i binged on sugar at the end of the night, which will always spike my anxiety levels. did NAC have such an instant effect on you? it really didn't feel like a placebo since i have almost zero hope invested in anything working these days lol
Posted by myco on April 13, 2009, at 11:11:52
In reply to Re: anyone have success on a lower Nardil dose?, posted by g_g_g_unit on April 13, 2009, at 0:42:22
Thats awesome that a smaller dose works for you. Get an augment for it relatively quick...you could wait it out but it would suck if it failed on you ya know. Thats my thinking....to lower nardil and augment...this idea is controversial somewhat though as higher nardil doses usually work better for most anxiety sufferers.
I definately want to hear about your memantine experiences man....this is my rx augment of first choice...if I can get it from my gp before I meet the pdoc in a few months. Keep track of what its doing to ya....valuable info for many of us I think.
NAC yep....instant effect. Instant happyness for me while on nardil. Weird sensation in my head, kinda warm...put a funny little grin on my face to. Was enjoyable to some extent...I was taking for its expectorant properties though (pneumonia mucus fighter) so my evaluation of it was from that angle....but definately noticed those side effects that were good. Unfortunately for me...the next day it seemed to depress me (but this could be seroquel as that depresses me) and if I took a dose higher than 250mg (I open up caps) I would get a headache next day. 250mg was perfect and enjoyable to be on. No idea as for OCD...but I know studies suggest its a good supplement for this in some cases.
Do watch out for tolerance issues though...common on sups and herbs. Try to use a few times a week then break to something else if you can...maintain its integrity.
myco
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> this also might be a coincidence but i tried 300mg of N-A-C yesterday morning and experienced one of the best days OCD-wise in as long as I can remember. i forgot to take it today, and have felt okay, but yesterday was almost blissful. the only thing that ruined it was when i binged on sugar at the end of the night, which will always spike my anxiety levels. did NAC have such an instant effect on you? it really didn't feel like a placebo since i have almost zero hope invested in anything working these days lol
Posted by Cseagraves on April 13, 2009, at 17:39:02
In reply to Re: anyone have success on a lower Nardil dose? » g_g_g_unit, posted by myco on April 13, 2009, at 11:11:52
Question?
Does the daily fatique that you experience on Nardil ever get better over time? If so, although I know everyone is different, how long before you can funtion normally throughout the day.
Because of my severe anxiety and depression, I have lost all energy and motivation and was hoping to get that back once starting Nardil.
I want the energy to get out and do stuff. I want to have the energy to exercise (as to try and avoid the weight gain) and go shopping and not to feel tired all the time.
Thanks for any info!
Courtney
Posted by myco on April 13, 2009, at 18:27:45
In reply to Re: anyone have success on a lower Nardil dose?, posted by Cseagraves on April 13, 2009, at 17:39:02
I wont hog the post...others should add to it...please give her advice people. thanks.
you will get energy back hun...just have to get through the tiredness of the side cycles at each dose.
*hugs
> Question?
>
> Does the daily fatique that you experience on Nardil ever get better over time? If so, although I know everyone is different, how long before you can funtion normally throughout the day.
>
> Because of my severe anxiety and depression, I have lost all energy and motivation and was hoping to get that back once starting Nardil.
>
> I want the energy to get out and do stuff. I want to have the energy to exercise (as to try and avoid the weight gain) and go shopping and not to feel tired all the time.
>
> Thanks for any info!
>
> Courtney
Posted by Phillipa on April 13, 2009, at 23:56:48
In reply to Re: anyone have success on a lower Nardil dose? » Cseagraves, posted by myco on April 13, 2009, at 18:27:45
I think they will. Love Phillipa
Posted by desolationrower on April 14, 2009, at 1:55:10
In reply to Re: anyone have success on a lower Nardil dose? » Cseagraves, posted by myco on April 13, 2009, at 18:27:45
even at the most fatiguing, i still could do more once i started parnate bcause i felt so much less depressed, and i felt more spring out of bed in the morning. you know, you might not even experience all these side effects, not everyone gets some.
-d/r
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