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Re: NARDIL QUESTION - ACE » falconman

Posted by ace on December 9, 2003, at 19:30:18

In reply to NARDIL QUESTION - ACE, posted by falconman on December 9, 2003, at 8:24:17

> Hi mate,
>

'Mate'? Are you an Aussie too!! It's good to hear, with all the 'yanks' on this site!!!

How has Nardil/Amisulpride mix effected you?

No real effect yet. I feel confident but. I have been on 50mg for only 1 week 3 days. I'll give it a month- I'm sure it will kick in before that though. I let you know when it kicks in!


Can you briefly explain the 'prolactin problem'with zyprexa/amisulpride?

Yeah sure. As you probably know both Amisulpride and Zyprexa both on their own raise prolactin levels. So when combine this will be more so. A high serum level concentration of prolactin can lead to potency, headaches, visual problems and more. I really don't think that there is too much chance of this however. Just monitor the two and all should be cool.

> My Pdoc said when I reach the highest tolerable dose of Nardil he'd add zyprexa. I'm on 60mg of Nardil/day.

I believe you should raise to 90mg after 4 weeks on 60mg. Also, I would keep Zyprexa at 2.5mg, no higher- this is my experience though. At higher than 2.5mg it felt like it worked against Nardil and cause me a bad depression.


I've been on it for 6 weeks and the side effects are pretty bad- Very low blood pressure,

I've never has this really.

cognitive dysfunction(worst,I can't remember words for things etc.)

Had this BIG TIME for a short while- it passed though.


,Shakey limbs


Had a bit. Passed but.

,can't exersize,


I never really exercise anyway!!


disorientated,

Had this for a while too- it passed.


water retention,

didn;t really have it I think.

constipation,


Yeah, got this right now. It does pass but does take quite some time usually. Eat bran.


not to mention my little man doesn't work but I fully expected that one.

Dude, I know about that! Mine has just died recently after 9 weeks or so back on Nardil. I thought I had made it, but my penis just had to go on me!!!!!!!!!!! Can't believe it!!

When I begun it was much worse than now, butI seem to have stabalized at this point(which isn't great). This is very annoying

Please be patient. Nardil s/effects nearly all pass. Just time, sweet time.


cause it is helping the depression,social phobia,depersonalization a little bit. I wish I could get more down me, but this is the most I will get out of nardil.

For the moment. Give it a bit more time for the s/effects to pass, then I recommend raising dosage again.


>
> I'm seeing my Pdoc tommorrow and its time to augment. I'm a bit weary of zyprexa, I don't want any more side effects + won't it actually reduce dopamine/seratonin levels?

Probably not at 2.5mg that I'm aware off- but, yeah, I wouldn't be too confident at the moment with this. Why not try...
1 Amisulpride? (DA added activity completely)
2. Lithium? (5HT added activity mostly)
2. Pindolol? (5HT added activity mostly)
3. Trazadone? ( reckon this would be great with Nardil) (5HT added activity mostly)


I know I need a dopamine hit so I'm going to push for the amisulpride instead.

Good idea!! Remeber there is Mirapex too. Too bad this is not in Australia- I would probably give it a go.


> I wish I could get more nardil in me man
> peace Mark

Peace to you brother. I reckon give the Nardil some more time to lett s/eefects pass- believe me most do- just for some they take a while.

good luck!

Ace.


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URL: http://www.dr-bob.org/babble/20031208/msgs/288130.html