Posted by stargazer2 on September 26, 2007, at 18:25:36
In reply to Re: Help! Your opinion? I messed up on Nardil » UGottaHaveHOPE, posted by tecknohed on September 26, 2007, at 15:06:34
Michael, great to hear from you but not under these circumstances. I'm also at 45 and I thought you were on a higher dose than that. I tried to go down 30 but felt a bit worse so I went back to 45. Above 45, I have severe hypotension and my GI system shuts down. So I've been at 45 for a few months now.
My combination now includes Nortriptyline (Pamelor) and Synthroid.
I decided to see an endocrinologist to evaluate my depression resistence and she told me my TSH (Thyroid Stimulating Hormone)was within a normal range (0.5 - 5.0) but for someone with severe depression, she wanted to get the TSH down to 1. Mine was in the high 2's and mid 3's, considered "normal" but possibly impacting the severity of the depression or it's lack of response to medications. So that's why she started Synthroid.
Just something else to consider with depression (not sure about anxiety). I was always told my thyroid tests were "normal" but until an expert was seen I have never heard that the TSH should be closer to 1. It might be true for anxiety too, since the two are so closely linked. YOu could ask your doc about this since he is such an expert and would know the impact of thyroid on anxiety.
The Pamelor was added to boost Nardil's effects. Not sure what it is doing but I take it at night with 30 of Nardil and sleep well. I take 15 of Nardil in the AM since more than that makes me too lethargic.Hope you get relief soon, I'll be thinking of you and wishing you a quick response to 45!
Stargazer
poster:stargazer2
thread:785314
URL: http://www.dr-bob.org/babble/20070919/msgs/785367.html