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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 23 of 23. This is the beginning of the thread.
Posted by J Kelly on March 30, 2016, at 10:55:35
My pdoc said yes to a Nardil trial. I start in two weeks after a Ritalin wash-out.
Fingers crossed.
Jade
Posted by Lamdage22 on March 30, 2016, at 11:51:36
In reply to Yay :) Nardil trial, posted by J Kelly on March 30, 2016, at 10:55:35
Good luck
Posted by Lamdage22 on March 30, 2016, at 13:38:11
In reply to Re: Yay :) Nardil trial, posted by Lamdage22 on March 30, 2016, at 11:51:36
Take the precautions we talked about.
Posted by Tomatheus on March 30, 2016, at 13:51:10
In reply to Yay :) Nardil trial, posted by J Kelly on March 30, 2016, at 10:55:35
Yes, much luck to you, Jade. :)
Out of curiosity, what dose of Nardil will you be started at?
Tomatheus
Posted by Tabitha on March 30, 2016, at 14:09:20
In reply to Yay :) Nardil trial, posted by J Kelly on March 30, 2016, at 10:55:35
> My pdoc said yes to a Nardil trial. I start in two weeks after a Ritalin wash-out.
>
> Fingers crossed.
>
> JadeGood luck! I hear some people have had amazing results with Nardil.
Posted by J Kelly on March 30, 2016, at 16:26:40
In reply to Re: Yay :) Nardil trial, posted by Lamdage22 on March 30, 2016, at 13:38:11
> Take the precautions we talked about.
No worries Lamdage. Pdoc's keeping me on 5mg Zyprexa. We've talked about Lamictal twice but he doesn't want me on that for some reason. Plus no stim this time.
I spoke with my T at length about the possibility of psychosis (I see her weekly) and she says she'll recognize it immediately. I told her how good I am at hiding it so she'll watch me closely.
We agreed that its worth the risk considering the level of depression I'm dealing with :(
Thanks for caring.
Jade
Posted by J Kelly on March 30, 2016, at 16:33:06
In reply to Re: Yay :) Nardil trial » J Kelly, posted by Tomatheus on March 30, 2016, at 13:51:10
> Yes, much luck to you, Jade. :)
>
> Out of curiosity, what dose of Nardil will you be started at?
>
> TomatheusHey there,
My pdoc wrote on his pad:
15mg 1 x day 3 days
15mg 2 x day 3 days
15mg 3 x day 3 daysHe wrote the script for 15mg tabs /3 x day/ 90 days.
Now that I'm researching it that seems slow. Any thoughts? Anyone?
Thanks,
Jade
Posted by J Kelly on March 30, 2016, at 16:34:57
In reply to Re: Yay :) Nardil trial, posted by Tabitha on March 30, 2016, at 14:09:20
> > My pdoc said yes to a Nardil trial. I start in two weeks after a Ritalin wash-out.
> >
> > Fingers crossed.
> >
> > Jade
>
> Good luck! I hear some people have had amazing results with Nardil.
>Thanks Tabitha :)
I've heard the same thing!
Jade
Posted by J Kelly on March 30, 2016, at 17:18:01
In reply to Re: Yay :) Nardil trial » Tomatheus, posted by J Kelly on March 30, 2016, at 16:33:06
Oops...90 pills (not days)
>
> My pdoc wrote on his pad:
>
> 15mg 1 x day 3 days
> 15mg 2 x day 3 days
> 15mg 3 x day 3 days
>
> He wrote the script for 15mg tabs /3 x day/ 90 pills.>
Posted by Tomatheus on March 30, 2016, at 19:49:21
In reply to Re: Yay :) Nardil trial » Tomatheus, posted by J Kelly on March 30, 2016, at 16:33:06
> Hey there,
>
> My pdoc wrote on his pad:
>
> 15mg 1 x day 3 days
> 15mg 2 x day 3 days
> 15mg 3 x day 3 days
>
> He wrote the script for 15mg tabs /3 x day/ 90 days.
>
> Now that I'm researching it that seems slow. Any thoughts? Anyone?
>
> Thanks,
>
> Jade
>
>Jade,
I think it's conceivable that you might respond to 45 mg of Nardil daily and that your pdoc's decision to basically start you at that dose (after having you take smaller amounts for the first six days, if I'm understanding things correctly) makes some sense, especially considering that you experienced psychosis previously while taking Parnate. From what I've read, Nardil doses ranging from 60 to 90 mg daily seem to be the most likely to produce therapeutic benefits, but responding to 45 mg of the medication daily isn't completely unheard of. I personally like the idea of starting with a dose that's relatively low and then looking at the possibility of trying higher doses later on if you don't respond to what basically seems to be your starting dose. I'd imagine that your pdoc would probably be receptive to the idea of increasing your dose if there seems to be a need for it, so I don't so much see the need to start at a higher dose right away unless there's a really urgent need to do so. Taking a larger dose of Nardil seems like it would likely be something that you could do later on if you feel like more of the medication might suit you well.
So, my view is that what your pdoc prescribed seems to make sense, but that the possibility of taking more Nardil later on is something that you also might want to consider. Others here might have different views, though.
Tomatheus
Posted by J Kelly on March 31, 2016, at 9:11:41
In reply to Re: Yay :) Nardil trial » J Kelly, posted by Tomatheus on March 30, 2016, at 19:49:21
> I think it's conceivable that you might respond to 45 mg of Nardil daily and that your pdoc's decision to basically start you at that dose (after having you take smaller amounts for the first six days, if I'm understanding things correctly) makes some sense, especially considering that you experienced psychosis previously while taking Parnate. From what I've read, Nardil doses ranging from 60 to 90 mg daily seem to be the most likely to produce therapeutic benefits, but responding to 45 mg of the medication daily isn't completely unheard of. I personally like the idea of starting with a dose that's relatively low and then looking at the possibility of trying higher doses later on if you don't respond to what basically seems to be your starting dose. I'd imagine that your pdoc would probably be receptive to the idea of increasing your dose if there seems to be a need for it, so I don't so much see the need to start at a higher dose right away unless there's a really urgent need to do so. Taking a larger dose of Nardil seems like it would likely be something that you could do later on if you feel like more of the medication might suit you well.
>
> So, my view is that what your pdoc prescribed seems to make sense, but that the possibility of taking more Nardil later on is something that you also might want to consider. Others here might have different views, though.
>
> TomatheusI agree with your view Tomatheus. I'm just impatient. And I'm hoping he won't baulk at the idea of going higher than 45mg if need be.
Jade
Posted by Lamdage22 on April 1, 2016, at 3:48:29
In reply to Re: Yay :) Nardil trial » Lamdage22, posted by J Kelly on March 30, 2016, at 16:26:40
> > Take the precautions we talked about.
>
> No worries Lamdage. Pdoc's keeping me on 5mg Zyprexa. We've talked about Lamictal twice but he doesn't want me on that for some reason. Plus no stim this time.
>
> I spoke with my T at length about the possibility of psychosis (I see her weekly) and she says she'll recognize it immediately. I told her how good I am at hiding it so she'll watch me closely.
>
> We agreed that its worth the risk considering the level of depression I'm dealing with :(
>
> Thanks for caring.
>
> Jade
>
>You will see if the 5mg Zyprexa is enough or not. Some people take Zyprexa and dont gain weight let alone develop diabetes.
Have you asked about Metformin?
Posted by J Kelly on April 1, 2016, at 8:36:12
In reply to Re: Yay :) Nardil trial, posted by Lamdage22 on April 1, 2016, at 3:48:29
>
> You will see if the 5mg Zyprexa is enough or not. Some people take Zyprexa and dont gain weight let alone develop diabetes.
>
> Have you asked about Metformin?I was on 10mg Zyprexa for depression for a long time. I felt it wasn't working so I started to wean off. At 5mg I started dropping weight. By the time I was off it I had lost all the weight. Now back at 5mg and I'm gaining again. SO frustrating!
The only reason I'm continuing Zyprexa is to cover me for psychosis while I'm on Nardil. I hope it doesn't interfere with my response.
I forgot to ask for Metformin. You know how fast those appts go! I was just happy to get the script for Nardil. Next time I'll ask for it.
Jade
Posted by swim on April 1, 2016, at 14:20:55
In reply to Yay :) Nardil trial, posted by J Kelly on March 30, 2016, at 10:55:35
Good luck!
Enjoy your depression free time while on Nardil! It will start out great, trust me!
Posted by J Kelly on April 1, 2016, at 14:37:52
In reply to Re: Yay :) Nardil trial, posted by swim on April 1, 2016, at 14:20:55
> Good luck!
> Enjoy your depression free time while on Nardil! It will start out great, trust me!Splain yourself Lucy!
But really what does this mean? Are you saying the beginning will be great? (how long?) But then will fade? (when?)
What has worked for you since? What has failed miserably?
Jade
Posted by swim on April 1, 2016, at 16:25:45
In reply to Re: Yay :) Nardil trial..WAIT come back lol » swim, posted by J Kelly on April 1, 2016, at 14:37:52
If this is your first time, you could expect a nice smooth long honey-moon! I won't make any assumptions how it's going to end up for you, because i can't, i'v read about numerous of stories of people taking it 30+ years without it losing it's efficacy, i mean without the depression coming back. For me it worked best (even for 2 years straight) as i started it aprox 10 years ago. During that time i have been forced to go off on many occasions, but always, after restarting, it works best in the beginning and then starts to fade out. I hate that it happens but it's like that for me. I'v tried to make it work for longer by supplementing it with many different kind of sh*t- legal and illegal, some of which have proven to work better than others. I even tried supplimating it with Ketamine and Prozac(an SSRI), notice the later being nr. 1 type of drug you should not mix it with, so don't try this at home.
Posted by J Kelly on April 2, 2016, at 10:36:16
In reply to Re: Yay :) Nardil trial, posted by swim on April 1, 2016, at 14:20:55
I'll take a month, a week, a day at this point. Sh*t I'll take 10 minutes. Anything but this. Ten more days til I start Nardil and I'm tempted to start it early.
I want to be swim :(
Posted by Lamdage22 on April 2, 2016, at 12:36:52
In reply to Re: Yay :) Nardil trial, posted by J Kelly on April 2, 2016, at 10:36:16
Wait with the hooraying until you feel the AD effect without psychosis. May or may not happen.
Posted by Lamdage22 on April 2, 2016, at 14:33:13
In reply to Re: Yay :) Nardil trial, posted by Lamdage22 on April 2, 2016, at 12:36:52
i hope Nardil helps you
Posted by J Kelly on April 3, 2016, at 10:41:07
In reply to Re: Yay :) Nardil trial, posted by Lamdage22 on April 2, 2016, at 12:36:52
> Wait with the hooraying until you feel the AD effect without psychosis. May or may not happen.
>
Haha, there's my ray of sunshine :)I can tell you have been where I have been. Believe me I'm more than a little sketched out about this med trial. But it has to happen. I cant go on like this. I am simply not functioning.
I have supports in place and if "it" happens I think it will be caught early.
Thanks for all your concern.
Jade
Posted by Lamdage22 on April 3, 2016, at 14:14:00
In reply to Re: Yay :) Nardil trial » Lamdage22, posted by J Kelly on April 3, 2016, at 10:41:07
Well it just reminds me of my history. Yours is somewhat different but still.
I was feeling like a champ when the Dr. agreed to put me on Parnate...
Posted by J Kelly on April 3, 2016, at 14:51:37
In reply to Re: Yay :) Nardil trial, posted by Lamdage22 on April 3, 2016, at 14:14:00
> Well it just reminds me of my history. Yours is somewhat different but still.
>
> I was feeling like a champ when the Dr. agreed to put me on Parnate...Can you remind me, my memory is horrible. Had you ever been psychotic prior to Parnate or Nardil? Is it the case that even after you d/c'd MAOIs you continued to suffer from schizo-affective disorder? What doses were you on and how long did it take? Did augments play a role?
Thanks,
Jade
Posted by Lamdage22 on April 4, 2016, at 4:02:03
In reply to Re: Yay :) Nardil trial » Lamdage22, posted by J Kelly on April 3, 2016, at 14:51:37
> > Well it just reminds me of my history. Yours is somewhat different but still.
> >
> > I was feeling like a champ when the Dr. agreed to put me on Parnate...
>
> Can you remind me, my memory is horrible. Had you ever been psychotic prior to Parnate or Nardil?No.
Is it the case that even after you d/c'd MAOIs you continued to suffer from schizo-affective disorder?
Unfortunately yes.
What doses were you on and how long did it take? Did augments play a role?
90mg=psychotic, but even 45mg=psychotic :( and even without augmenters.
This is the end of the thread.
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