Posted by ed_uk on August 15, 2005, at 16:26:04
In reply to Despair, posted by Tom Twilight on August 15, 2005, at 16:13:36
Hi Tom,
>I hope to give it a fair trial
You must :-) I'd give it at least 6 weeks at the highest tolerated dose before switching to a different treatment. I'd try up to ~ 80mg if you can.
>I really want to try Nardil, but no UK Psychiatrist I’ve spoken to has been willing to prescribe it.......
That's odd. As far as I can tell, Nardil is prescribed more often than Marplan in the UK. Perhaps your new pdoc will let you try Nardil or Parnate if Marplan doesn't work out.
>bad constipation
Have you tried Fybogel? I like Fybogel, it tastes quite nice. Movicol is also good. Fybogel and Movicol are both suitable for long term use. Senna can be useful if Fybogel and Movicol don't work.
>sleep/insomnia
Zolpidem (Stilnoct) might be useful. Trimipramine (Surmontil) is an alternative. I'm scared that you might develop the SS if you take amitriptyline when you're on a high dose of Marplan.
>my parents think I should stop trying to get treatment....
I don't. Why do your parents think that?
>what you really need is CBT...
Have you had CBT?
~ed
poster:ed_uk
thread:542003
URL: http://www.dr-bob.org/babble/20050811/msgs/542011.html