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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by SLS on April 15, 2010, at 18:04:12
I am considering giving Marplan a try before heading back to Nardil. Nardil helps, but not very much. It has been a dead end for me in the past.
Has anyone responded to Marplan who has not responded to Nardil?
Any comments are welcome and greatly appreciated.
- Scott
Posted by bleauberry on April 15, 2010, at 18:18:38
In reply to Marplan versus Nardil., posted by SLS on April 15, 2010, at 18:04:12
Scott, I can't recall the exact amount of times I have seen it, but yes, I do recall more than once when someone here said they did well on marplan but not on nardil or parnate.
Considering how fast and potent savella was to me I am surprised it has not done the same with you. But then, I shouldn't be surprised, because it just goes to show how all of us are so uniquely different. I guess you could fairly say you've given the whole reuptake blockage thing all the chance in the world.
If you are still taking lamictal and/or abilify, I can't help but wonder if either or both are somehow actually interfering with progress rather than helping. For example, based on studies lamictal has never shown longterm efficacy. At best it delays a relapse but does not prevent anything. Abilify, well, as with all antipsychotics, at a high enough dose there is just too much artificial tweeking going on. Admittedly we all need some tweeking, but I can't help but wonder if something like 20mg is so much as to prevent other stuff from taking hold.
Anyway, I like the idea of marplan. I'm in your corner on that one, if that's what you decide to do. In your corner anyway, no matter what.
Posted by bulldog2 on April 15, 2010, at 18:40:41
In reply to Marplan versus Nardil., posted by SLS on April 15, 2010, at 18:04:12
> I am considering giving Marplan a try before heading back to Nardil. Nardil helps, but not very much. It has been a dead end for me in the past.
>
> Has anyone responded to Marplan who has not responded to Nardil?
>
> Any comments are welcome and greatly appreciated.
>
>
> - ScottI will try clomipramine low dose next. If that doesn't work than marplan is next on the table. My p-doc has seen it work where all other maois have failed. He also believes that bipolars should treat depression first than add on bipolar meds.
Bleauberry has a point worth pondering. Could those two other potent meds be like a dead weight on your psyche. How can you evaluate new meds with those other two intervening with your brain chemistry. Just a thought.
But thumbs up on the marplan.
Posted by Phillipa on April 15, 2010, at 19:09:00
In reply to Re: Marplan versus Nardil., posted by bulldog2 on April 15, 2010, at 18:40:41
Personally I would think the prevention of mania would be number one. I'm taking it no more effexor? Phillipa
Posted by SLS on April 16, 2010, at 8:03:43
In reply to Re: Marplan versus Nardil., posted by bleauberry on April 15, 2010, at 18:18:38
Hi guys.
Thanks for the feedback.
I have tried to discontinue Lamictal and Abilify individually on several occasions. I deteriorated significantly each time. I guess it would be difficult to parse out a worsening of the illness versus a withdrawal reaction. I am reluctant to give up either one of them at this time. They allow me to survive independently.
- Scott
Posted by floatingbridge on April 16, 2010, at 20:54:10
In reply to Re: Marplan versus Nardil., posted by SLS on April 16, 2010, at 8:03:43
Good luck, Scott. I think it could work.
fb
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