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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by Conundrum on September 26, 2010, at 18:59:25
...contraindicated with the drugs in my signature? 30 mg remeron(strong antihistamine) and lamictal which is 412mg now but soon to be going down since I'm forgetting words and just feel out of it and has not helped my mood at all.
Posted by Maxime on September 26, 2010, at 21:53:07
In reply to Would Nardil be..., posted by Conundrum on September 26, 2010, at 18:59:25
I think there might be a problem with the mirtazapine, but I am not sure.
Sorry, I guess this was a useless answer. :(
Posted by Phillipa on September 26, 2010, at 22:17:21
In reply to Re: Would Nardil be... » Conundrum, posted by Maxime on September 26, 2010, at 21:53:07
That's a high dose of lamictal? Phillipa
Posted by Conundrum on September 27, 2010, at 6:44:51
In reply to Re: Would Nardil be..., posted by Phillipa on September 26, 2010, at 22:17:21
Its the highest dose of Lamictal I've ever heard of someone being on. I didn't take the full amount today since I have a mid term and can't afford to have cotton brain.
Posted by bulldog2 on September 27, 2010, at 9:08:42
In reply to Would Nardil be..., posted by Conundrum on September 26, 2010, at 18:59:25
> ...contraindicated with the drugs in my signature? 30 mg remeron(strong antihistamine) and lamictal which is 412mg now but soon to be going down since I'm forgetting words and just feel out of it and has not helped my mood at all.
Probably with remeron. So why not dump that and try the nardil? If 412 mg is not helping your mood why not get off of that. Nardil is a strong ad and might get the job done by itself.
Posted by Conundrum on September 27, 2010, at 10:17:30
In reply to Re: Would Nardil be..., posted by bulldog2 on September 27, 2010, at 9:08:42
What is the normal starting dose for nardil?
Posted by bulldog2 on September 27, 2010, at 14:48:15
In reply to Re: Would Nardil be... » bulldog2, posted by Conundrum on September 27, 2010, at 10:17:30
> What is the normal starting dose for nardil?
Starting dose is 15 mg. Each pill is 15 mg and you would titrate up to 60 mg. Seems like many need at least 75 mg on the new formulation.
Nardil gives you more serotonin and also gaba which makes it better for social phobia than parnate. Though some say it has more sides. On askapatient.com it gets a very high rating. Something like 4.2 while most ads get ratings in the 3.0 + range.
Posted by sigismund on September 29, 2010, at 16:27:39
In reply to Re: Would Nardil be..., posted by bulldog2 on September 27, 2010, at 14:48:15
There was one person here recently who had results from 15mg/d (I think).
Posted by benzo85 on October 1, 2010, at 18:26:26
In reply to Would Nardil be..., posted by Conundrum on September 26, 2010, at 18:59:25
Positive effects at 15/d were transient at best.. I bumped up to 45/d for meantime and it's definitely better. I have read of people being fine or even going hypomanic on 15/d, which is pretty crazy, imo; but everyone's different. Perhaps on the old formulation 15/d actually did something for most people and was a suitable maintenance dose, but presumably that was after 'remission' was achieved and maintained for an adequate period with a higher dose.
Here's interesting snippet:
Continuation and maintenance treatment of major depression with the monoamine oxidase inhibitor phenelzine: a double-blind placebo-controlled discontinuation study.
Robinson DS, Lerfald SC, Bennett B, Laux D, Devereaux E, Kayser A, Corcella J, Albright D.
Bristol-Myers Squibb Company, Wallingford, CT 06492.
AbstractLong-term treatment with antidepressant drugs has received little attention until recently. A study is reported comparing the effectiveness of maintenance treatment with phenelzine in responding major depression patients. If they responded initially to nonblind phenelzine treatment and sustained remission for 16 weeks, patients were randomized to 2-year double-blind treatment with phenelzine 60 mg/day, phenelzine 45 mg/day, or placebo. Both doses of phenelzine were significantly better than placebo in preventing relapse of depression. Phenelzine 45 mg/day may be an optimal maintenance dose for many patients.
Posted by benzo85 on October 2, 2010, at 21:40:56
In reply to Would Nardil be..., posted by Conundrum on September 26, 2010, at 18:59:25
Mirtazapine can be used safely in combination with MAOIs, and the agent has been reported to acutely treat serotonin syndrome
Posted by medamorphosis on October 16, 2010, at 17:10:42
In reply to Would Nardil be..., posted by Conundrum on September 26, 2010, at 18:59:25
> ...contraindicated with the drugs in my signature? 30 mg remeron(strong antihistamine) and lamictal which is 412mg now but soon to be going down since I'm forgetting words and just feel out of it and has not helped my mood at all.
Sorry, im a bit late on this one, but as far as I'm aware there isn't actually any proven interactions with mirtazepine! It can be taken with almost anything (psychotropic). Its even been used to treat serotonin syndrome.
As for Lamictal, my pdoc put me on it whilst I was on Nardil without hesitation hoping for a boost. Unfortunitely all I got was brain fog.med
Posted by medamorphosis on October 16, 2010, at 17:13:34
In reply to Re: Would Nardil be... » Conundrum, posted by medamorphosis on October 16, 2010, at 17:10:42
>...Its even been used to treat serotonin syndrome.
Oops, I see benzo85 already mentioned this.
This is the end of the thread.
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