Posted by Questionmark on March 4, 2006, at 1:44:11
In reply to MAOI/cymbalta washout question, posted by Chairman_MAO on March 3, 2006, at 13:07:30
> Has anyone here stopped an SSRI drug with a 24-hour halflife or less and started an MAOI in less than two weeks?
No, but i assume that it would be far more risky to stop Nardil and start an SSRI in less than two weeks. But..
i think you should start the Nardil after 72 hours to a week. Just start with half a pill-- a 1/4 if you really want to be safe and youre taking it in a few days-- then wait about 60 mins and if you're okay take the rest of the 15mg. i can't guarantee safety of course but this is what i would do. Do you happen to have any Remeron or cyproheptadine on hand just in case?
Anyway, in my opinion, you can start cautiously taking low doses of Nardil after several days or so. Just be careful, and sufficiently patient.
Also, remember that the pain you're feeing and the terrible thoughts you're thinking will go away soon, once you can quell this withdrawal, and esp once you can get on Nardil again. Heck, you may even want to write some of your thoughts down so you can analyze their accuracy and such when you're on Nardil again. i wish you the best.If I do not get out of this hole soon I am not going to be able to continue supporting myself and will have to go back to my parents' house. They do not understand me whatsoever and will only do whatever it is contributes to my getting worse and more dependent on them.
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> I feel absolutely miserable despite 20mg d-amphetamine 3x/day and cannot do this anymore. I am in too good a situation to lose the battle now. I only took one 30mg dose of cymbalta the past tuesday; it made me so much worse I had to fight to keep from planning a suicide. I have tried to convince my doctor the necessity of my combining an MAOI with d-amphetamine. I cannot afford to be either euthymic and in a fog, unable to work a job, or have focus but want to die. He will not listen. Apparently--despite the fact I have used psychostimulants on that medication without permission quite a few times to no ill effect--the risk of hypertensive crisis not being able to be managed by an emergency hypertensive is so bad that it is worth totally eliminating any chance I have to get better.
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> I am so fed up with the fraudulent, disingenuous tradition of American psychiatry. These people only have customers because they never cure patients. I could do a better job of treating myself with a psychologist monitoring me.
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> I need to know what the risk of serotonin syndrome is after, let's say, 4-7 days of taking the last dose. I have my own ideas, but I do not trust myself to make that determination right now.
poster:Questionmark
thread:615431
URL: http://www.dr-bob.org/babble/20060227/msgs/615736.html