Posted by papillon2 on July 30, 2012, at 12:02:11
In reply to Re: nardil to parnate and general rant, posted by quasimotor on July 30, 2012, at 5:29:56
Hello Quasi,
I have been recovered/in remission from restrictive anorexia for about 9 years, never had b/p issues, but I also found Remeron and AAPs a nightmare when I trialled (sp?) them last year. I didn't eat any more than usual, but the insatiable hunger and uncontrollable weight gain despite this and copious amounts of exercise was EXTREMELY distressing, triggering and anxiety provoking (despite not being sick with AN for many years!). The mental bashing I was getting from ED thoughts was unbelievable. So I understand your quandary from this perspective!!!
Scott would know more about it than me, but I am wondering if one of the more sedating tricyclic anti-depressants might be an option for you? You don't seem to have tried meds in this class. TCAs can cause appetite and weight disturbances, how bad compared with MAOIs I'm not sure. Still, you might not get those side effects. I have had no problems on Nortriptyline, but I suspect it's one of the more activating TCAs since psychomotor retardation plays a big part in my depression, unlike agitation for you. So it may not be suitable.
I hope this helps. More than anything I wanted to reach out to you and say, I get it. A lot of doctors don't understand EDs. IMO, some of their med suggestions are just plain dangerous in this context. It's like they forget that eating disorders can kill, too.
Oh, one last thing, I've found DBT and CBT really useful for distress tolerance, anxiety and suicidal ideation (doesn't make me less suicidal but has so far stopped me from making further attempts). I understand they are indicated for bulimia too. Might want to check them out if you haven't done these types of therapy before.
Hang in there!! And let us know how things go, ok?
Ring the bells that still can ring
forget your perfect offering
there is a crack in everything
that's how the light gets in
~ Leonard Cohen
poster:papillon2
thread:1022406
URL: http://www.dr-bob.org/babble/20120718/msgs/1022425.html