Posted by gardenergirl on September 28, 2006, at 12:07:42
In reply to Re: Can you add Provigil? » gardenergirl, posted by SLS on September 27, 2006, at 2:04:22
> I would hate to be the agent to upset that balance, but I have to ask, have you ever thought to try Marplan?
No upset here. :) Actually, I always forget about Marplan when I think of MAOI's. I have a pdoc appt. in about 10 days. I might ask her about it, although I need to devote most of the appt. time to re-establish expectations and the working relationship (long story). So I may have to keep that in the back of my head for now. Thanks for suggesting it, though.
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> With MAOIs, don't let insomnia be a deal-breaker. Use benzodiazepines if you have to. To make the whole thing work, you treat the insomnia as aggressively as you treat the depression. Why hold back?I agree. Usually ambien works well for me. I went through a phase when I was waking up and getting up. I didn't do anything dangerous, although yoga in the dark without my contacts in while in the ambien "stagger" mode might be on the edge...:) Also, when it's not working well in letting me get to sleep, it seems to be correlated with eating something before I went to bed.
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> The akathisia is a new one on me. Can you describe what you experienced?I had extreme restlessness. I couldn't get into a comfortable position and felt like I was "jumping out of my skin." It was awful! I think the insomnia was actually more related to the restlessness versus a separate effect since I couldn't lie still. The Gabitril didn't help at all, but it went away as soon as I lowered the Nardil back to 60 mg. I can tolerate 67.5 mg, although at that dose I often get peripheral edema and urinary retention, so I try to stay lower.
Now, if only there were a good way to deal with the effect of hormones on my mood. During PMS I get way more sensitive and emotional. That doesn't help one feel stable with depression. Bah.
Thanks for sharing your thoughts.gg
poster:gardenergirl
thread:689393
URL: http://www.dr-bob.org/babble/20060927/msgs/689927.html