Posted by Ritch on February 24, 2003, at 22:08:39
In reply to Re: Nardil + anti-OCD - PLEASE, PLEASE HELP!!!!! » Ritch, posted by ace on February 24, 2003, at 18:51:23
> > > OK guys, It's me again. I'm starting to get a bit worried. As you know from my previous posts Nardil has had a tremendous impact on my SP, Phobic Anxiety, Derealization, and episodic depression. I LOVE IT.
> > >
> > > But this is the prob -- 12 at 90mg, and OCD is not really being helped (only by 30% or so). I'm still getting OCD processes (ego-dystonic ideas, which say it's 'bad' forever if you do this or that, and it will be on your mind forever, then a idea pops up to say 'yes' to the 'bad' thought. I try to say 'no' to 'cover myself'), and ruminations.
> > >
> > > I have three options. I can't bear the thought of stopping Nardil I love it so much.
> > >
> > > Please, ANY comments or alternatives PLEASE SUGGEST!!!!
> > >
> > >
> > > 1. Nardil + Zyprexa (for OCD)
> > >
> > > 2. Nardil + Risperidone (for OCD)
> > >
> > > 3. Nardil + Tramadol (for OCD) #carefully
> > >
> > > 4. Cease Nardil, institute low dose TCA (Anafrnail?), restart Nardil
> > >
> > > 5. Klonopin, Anafranil (for OCD) - THIS is last line -- I almost cry when considering ceasing Nardil.
> > >
> > >
> >
> >
> > What about Nardil+Neurontin? Wouldn't have any drug interaction there.
> >
>
> Hey Ritch!,
> Thanks for the input. But as a mood stabilizer...do you think it would work?
> I'll put a search on here. Thanks again.
>
> ACE,
> NARDIL, 90mg.It is only a very mild antimanic. I have found very good anti-anxiety/anti-agitation qualities with it (without worsening depression as benzos and Depakote can do and without aggravating hypomania like AD's). I get some weird chest muscle and inner ear spasms from it which keeps me from taking it, otherwise I could get by on just that and a little Effexor most of the time (with a little Depakote thrown in to keep me off Pluto). The main reason I mentioned it was hearing a warning about sudden discontinuation of it in epilepsy patients that had co-morbid OCD, and that their OCD was greatly aggravated when they stopped it. Which makes me wonder if it could be helpful if you can't take (or don't want to attempt) an SSRI or Anafranil (highly serotonergic) trial while on an MAOI that is very beneficial.
poster:Ritch
thread:203189
URL: http://www.dr-bob.org/babble/20030224/msgs/203558.html