Posted by SLS on September 28, 2006, at 16:03:10
In reply to Re: Can't Take it AnyMore !!!!!!!! » SLS, posted by ed_uk on September 28, 2006, at 14:47:23
> >I'm afraid that might be a problem with Nardil too.
>
> True, but Nardil is probably more anxiolytic, so the insomnia might not be so distressing!I guess there is no way to predict who will get insomnia with Nardil. When it strikes, it can be very stubbon. With either drug, it might become an issue that will have to be treated aggressively.
How do you feel about combining Ambien with Valium?
Emsam seems to have a reduced side effect burden compared to Nardil. That makes it attractive as a first choice of a MAOI. With Nardil, one must be prepared for things like hypotension, sedation, urinary hesitency or retension, edema, weight gain, constipation, insomnia, and anorgasmia. The problem with Emsam, though, is that it probably doesn't work to get as many people well as Nardil.
If I were in Phillipa's situation, I would choose Nardil. I would take the plunge. The side effects I listed are usually not too problematic and often disappear with continued treatment. After being on Nardil for 2-3 months, I could not even tell I was taking a drug. There were no side effects. In addition, I think she may have a comorbid anxiety disorder - perhaps GAD. Of the two drugs, Nardil is the one that is more apt to treat it.
- Scott
poster:SLS
thread:688552
URL: http://www.dr-bob.org/babble/20060927/msgs/689981.html