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Dr. Bob is Robert Hsiung, MD,
[email protected]Shown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by zonked on May 19, 2009, at 8:48:34
Hi again,
Sorry if I ramble - I am so frustrated...
I have been on 90mg of Nardil (45 at wake and 45 at 12-1 pm) since getting out of the hospital. It "worked" for about a week (I know what Nardil feels like, I was on it for two years), then stopped working (this was the last week of March.)
Since then, I can count on ONE hand the number of days I have felt it working. I have tried dividing the dose in 3 doses of 30, taking the second dose at a different time of day, even taking it with a little alcohol or honey to improve absorption as was suggested on a post here--to no effect.
My doctor, in the public health system here (lost job and insurance due to going off Nardil; went off of it and onto Parnate, which made me manic, due to weight gain side effect) told me yesterday that she ABSOLUTELY REFUSES to go above 90 because that's what the FDA says is the maximum.
Is anyone taking a dose above 90? I don't know what to do, guys, I am so sick of the world tasting like cardboard (and not like the world), having to force myself to do basic things, and now I'm applying for SSDI/SSI because I am not able to work like this and my state disability insurance (CA) will run out in July.
She only agreed to prescribe me Deplin (which took about half an hour of convincing, and which I will pay out of pocket for, luckily it's cheap) if my blood folate levels test low (more on this in another post), even though I presented the studies and MD information to her which explains that it isn't necessarily used because folate levels are low, it's because it's instantly bioavailable to the brain. She didn't even want to read what I brought into her office.
I sound desperate, that's because I am. I am pretty damned sure it wouldn't hurt to try a higher dose of Nardil--but I am out of luck. I am going to ask my social worker if I can change doctors, but only after I get the Deplin out of this lady. Obviously, she has never had a patient on an MAO inhibitor (and has said as much.)
Back to my original question -- is anyone above 90? Did it "kick in" after that? It's been a few months now.
zonked
Posted by Phillipa on May 19, 2009, at 10:43:03
In reply to Nardil poop-out at 90 - anyone above 90?, posted by zonked on May 19, 2009, at 8:48:34
Can I ask a question what is state Disability different from medicaire? Phillipa
Posted by zonked on May 19, 2009, at 12:19:20
In reply to Re: Nardil poop-out at 90 - anyone above 90? » zonked, posted by Phillipa on May 19, 2009, at 10:43:03
Some states (I think about 3-4) you pay a tiny little bit per year into State Disability (like unemployment). California is one of them.
The reimbursement rates, if you become physically or mentally disabled, are about the same as unemployment.
Doesn't include medical care, I am applying for Medi-Cal for that. (Which is a terrible process.)
Posted by Zana on May 19, 2009, at 13:41:23
In reply to Re: Nardil poop-out at 90 - anyone above 90?, posted by zonked on May 19, 2009, at 12:19:20
Wish I could help with the Nardil question. Sounds like rough going. Hope others have more helpful information about the Nardil.
Keep on keeping on.
Zana
Posted by jedi on May 19, 2009, at 22:41:56
In reply to Nardil poop-out at 90 - anyone above 90?, posted by zonked on May 19, 2009, at 8:48:34
Hi Zonked,
I have been on 105 and 120mg of Nardil. At the time it did not seem to make much difference. One med that did make a difference was bupropion, but it is contraindicated and your MD will not go for that. Another augmenter might be nortriptyline, again contraindicated but no problem with the right doc. I used clonazepam with much success on Nardil. This was mostly for the social anxiety, but they work well together.Scott (SLS) has augmented the MAOIs a lot. Use the search function or Google to find his Nardil posts.
Good Luck,
Jedi
Posted by Lebrada on May 21, 2009, at 20:39:12
In reply to Re: Nardil poop-out at 90 - anyone above 90? » zonked, posted by jedi on May 19, 2009, at 22:41:56
> Hi Zonked,
> I have been on 105 and 120mg of Nardil. At the time it did not seem to make much difference. One med that did make a difference was bupropion, but it is contraindicated and your MD will not go for that. Another augmenter might be nortriptyline, again contraindicated but no problem with the right doc. I used clonazepam with much success on Nardil. This was mostly for the social anxiety, but they work well together.
>Have you tried Dexamphetamine with Nardil?
I found Nardil amazing at times and at most other times non-existant.
In the end lead to Paranoia when ever my anxiety levels were very high!
Came with a bunch of side effects too!
I never rated SSRIs untill I tried Lexapro - much more consistent than Nardil - although never achieve that pro-social state; that's an amazing state to be in for anyone who suffers from Generalized Social Anxiety!
Clonazepam(0.5mg) with Nardil (90mg) just made me sleepy - not good when your always falling asleep at work and crap for concentration and focus!
Good Luck!
> Scott (SLS) has augmented the MAOIs a lot. Use the search function or Google to find his Nardil posts.
> Good Luck,
> Jedi
>
This is the end of the thread.
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