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Re: Nardil update: Still hasn't kicked in » Tomatheus

Posted by ace on December 4, 2005, at 7:32:30

In reply to Re: Nardil update: Still hasn't kicked in » ace, posted by Tomatheus on December 2, 2005, at 19:02:37

> > All I can say is you should have been up to 90mg at the 6 week mark. Increase dose to 90mg NOW!!!!
>
> Ace,
>
> I think I'll consider increasing the dose to 90mg if and when I get a poor response at 75mg/day. Some patients respond to Nardil at 60mg/day,


Clinical trials have shown if no response after 4 -6 weeks at 60mg, increase dose.

others require 75mg/day, and yes, some (like yourself) find that the best dose is 90mg/day. But, with all due respect Mr. Nardil champ, the best dose for you is not necessarily the best dose for everyone.

Just about everyone.

I don't think that it would be a good idea to just jump straight up to 90mg/day without first trying 75mg/day.

Man, it's cool for you to do want you and your MD want, but I personally would go straight to 90mg for maximum MAOI inhibition.

There's no reason to take extra (and spend extra) if I don't need to.
>
> And (once again with all due respect), don't you think your response was a little demanding.

No.

I've read in other posts that you've said that you're planning on becoming a psychiatrist.

I'm a register in 2 months. So I am not 'planning', I am 'being' a psychiatrist. Arent I so good!!! ha ha!!


I don't know if saying things such as "increase dose to 90mg NOW!!!!" would make for good relations with your patients.

I would not say that in a excited or agressive tone, I would strongly reccommend it in a matter of a fact way. In my capacity as a member of psychobabble, I act in a way I would NEVER act with actual patients. You are not my patient. With patients I will be very warm and caring, but at the same time keep a healthy distance from them and be matter of fact about medications. But on this board I am just being my crazy self.

Then again, it seems like such an approach is really not so far outside the norm in psychiatry.

Yes it is. Not many doctors would say "INCREASE TO 90MG!!!!"


Hmmm. Maybe you would be well-suited for the profession, after all.

You seem bitter about psychiatry, or psychiatrists? Am i right?


>
> Tomatheus


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poster:ace thread:584142
URL: http://www.dr-bob.org/babble/20051203/msgs/585321.html