Posted by bobbiedobbs on June 10, 2004, at 23:23:17
In reply to Nardil specific dosing (thanks you two)- more Q., posted by Questionmark on June 10, 2004, at 21:54:50
For me the response time for changes in dose were generally shorter than the 4-8 days that you note. It would generally take about 2-3 days before I would experience the effect of a dose adjustment, whether up or down. It is possible there was some placebo effect here, however.
That said, I seemed to be highly sensitive to changes in dose in 15 mg increments.
Re the "holidays", I was realliy just referring to skipping a day (at most), to help with constipation, urinary retention or sexual difficulties. There was no noticable change in anxiety given such short hiateses, but others I've spoken to are leery about this. I'd be more inclinced to just adjust doseage rather than skip.
By the way, the other poster that I earlier mentioned, as I recall, would go up to say 60 mg until he felt benefit, then drop down to 30-45 once things stabilized- particuarly to help with side effects. Then, when things got knotty, he's go back up to 60 mg. That seemed to work in his case. My adjustments tended to much shorter.
I don't think onc should tinker too much, but as anxiety worsens and or side effects become more pronounced, some medication management may be in order. Hope that helps.
poster:bobbiedobbs
thread:351768
URL: http://www.dr-bob.org/babble/20040608/msgs/355599.html