Posted by ndlsdz on August 4, 2002, at 15:21:30
In reply to Re: beginning dosage/ rate of increase for Nardil, posted by missliz on August 4, 2002, at 4:01:34
> Nardil is totally unlike any beast you've met before, and starting at 30 mg is way too high. Most people don't have side effects from SSRI's- why do you think every GP and OBGYN hands them out like candy?
> Start at one tab, in the morning. Some people have a paradoxical effect and find it sedating, so you may prefer to take it at bedtime. Most people get trouble with insomnia, for which the best thing is Ambien.Thanks, I'll keep that in mind. I've used Ambien in the past.
Do not take Desyryl or trazodone with an MAOI. Do not use Zyprexa with an MAOI, use Risperdal if you need it. Tegretol/Trileptal are now off limits too.
not a problem as I'm unipolar, but yes now many medications are off limits
Moniter your blood pressure and heart rate. I assume you have the current redone Johns Hopkins diet? And the list of cold medicine that can kill you? Google Nardil and look around.
> I took this drug for years and it's great, but you have to be fully informed. MAOIs are a lifestyle.
> Many doctors at iffy residency programs have never been trained in the use of these drugs as they were dissed as relics from the past after SSRI's came out., and I wonder if all your guy knows about Nardil is from a quick peek at the PDR. 30 to 60 mg is the average maintence dose, not the starting dose. You need to titrate this up slowly. MAOIs metabolize into amphetamines, and this is really quite cool,it's an enjoyable drug but thats why you start slowly. It can screw with your heart if you overload the system, It can flip you into mania if you turn out to be BP1, or even if you're not.That would be a welcome change.
You have to keep a constant dose on a constant schedule. I was up to 100mg a day on Prozac, but when I went to Nardil 30 mg was all I needed. Throw those assumptions out the window!
> This is a great medication, but it demands respect and informed use. once you get there, Nardil is great. It takes about eight weeks, but you'll be amazed how together your head will get. It does a big rewiring job.
>
> Miss Liz
Thanks for the advice. I suppose I should adopt a somewhat more cautious attitude.
poster:ndlsdz
thread:114874
URL: http://www.dr-bob.org/babble/20020731/msgs/115179.html