Posted by jedi on October 14, 2011, at 1:02:58
In reply to Re: nardil physical symptoms, posted by ger man on October 13, 2011, at 12:45:50
Hi ger man,
I have been on Nardil for over a decade. The MAOIs can and do work for an extended period for many people. I am diagnosed treatment resistant, double(dysthymia also), atypical depression, with social anxiety. Nardil + clonazepam is the only combination that has worked for all of my symptoms. This is out of 45+ different combinations of antidepressants and augmenters.Nardil is the "BOMB" for atypical depression and social anxiety. As the Chairman alluded to, don't mistake the initial hypomania as the antidepressant effect of the medication. Many people will have this, I did. But don't chase the dragon! It is very intoxicating after being depressed for so long.
In my very non-expert opinion, Nardil should be 2nd tier and not last resort for atypical depression with social anxiety. It will often work when 10s of other medications have failed.
I am in the end phases of a 4 month taper off Nardil. I took 90mg for years. I have taken 60mg for the past few years. I'm a large man, about 240 lbs. 60mg is the dose that I have to be at to get the level of MAO inhibition I need for serious depression.
I am currently on 15mg Nardil and .25mg of clonazepam. I've tried stopping Nardil at least 5 times in the past. This has always lead to a return of depressive symptoms within a few months. This is the slowest taper I have ever done, and so far I am happy with the results.
On a side bar. I still have a prescription for 90mg of Nardil. I fill it every month. I will never quit an MAOI without an emergency stash of several months. In the past, I have had P-Docs retire or leave town, leaving me with no source of the medication. I saw one P-Doc for 9 months when I was off Nardil. He would have let me die before putting me back on the only medication that had ever worked for me. There is a huge amount of misinformation about the MAOIs in the medical community. You have to take your own study to another level to use these drugs. I've known at least 10 people on this board that have more knowledge of the MAOIs than any MD I have ever seen. I am not joking.
This medication can and does work long term for many people. It absolutely blows away any other meds for severe atypical depression with social anxiety. Your mileage may vary, but Nardil + clonazepam worked synergistically for me. I would not be here to write this without phenelzine!
Good Luck and be Well,
JediPS Sorry everyone. I haven't been on the board very much during this long taper. It just seems better for me to concentrate on things other than the disease during this time. I probably won't be on much for a while. But feel free to babble-mail me anytime, if you want to pick my limited brain!
> > I know that's more than you asked, but the gist of it is that yeah, it was somewhat effective (at 60mg), but 60mg was nothing like one or two tablets more.
>
> My pdoc decided to titrate it up slowly as im very med sensitive. How long did you take the nardil?? was it effective long term in you?
Jedi
Treatment resistant, atypical, double depression with social anxiety.
Nardil + clonazepam
poster:jedi
thread:999595
URL: http://www.dr-bob.org/babble/20111006/msgs/999672.html