Posted by Sad Panda on May 17, 2004, at 2:07:18
In reply to Re: NARDIL INSOMNIA NEED HELP!! » Sad Panda, posted by flipsactown on May 16, 2004, at 20:36:29
Hi FST,
When I said Remeron, I meant in combination with Nardil. I thought you had tried Remeron for sleep while you were taking Nardil.
Remeron, Trimipramine & Doxepin are heavily sedating AD's that can be used for sleep & safely combined Nardil. They are all potent H1 blockers(infinitely stronger than Benadryl) & 5-HT2A blockers(all equal or more potent than Trzodone or Serzone). I like Remeron because it has 5-HT3 blocking which is great for nausea but Doxepin is dirt cheap ($10 for 60 tablets) & easier to dose.
Cheers,
Panda.
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> > I assume Remeron was a failure? Trimipramine is another one you could ask for, it is a TCA that has no 5-HT or NE reuptake capabilities, it's a little weaker than Doxepin for H1 blockade & it is stronger than all other AD's for 5-HT2A blockade, I think it comes in a generic variety too now.
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> I have never used Remeron by itself. I have used it in combo with Prozac, Wellbutrin, Lamictal and Lithium.
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> Although Nardil seems to be lifting my depression, I don't know how much longer I can stay with it, especially if I don't get more than 2 continuous hours sleep and will have to abandon it and probably go back to something like Lexapro or anything but an MAOI since it appears that Kaiser pdocs are not comfortable rxing anything but the newer ADs. I am tired of researching MAOI's and sharing the info with my pdoc only to be told that Kaiser goes strictly by their PDR'S which apparently does not endorse MAOIs.
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> Although my new pdoc seems more receptive to MAOIs and even promised to do some researching on his own and may even rx Trazodone or any other SAFE Rx, I will believe it when I see it.
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> I think I will give Ambien another week before I decide if I will stay with Nardil since Nardil appears to be lifting my depression. I will keep Trimipramine in mind if I decide to quit Nardil. Thanks for the info.
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> FST
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poster:Sad Panda
thread:347348
URL: http://www.dr-bob.org/babble/20040515/msgs/347660.html