Posted by Phoenix1 on January 27, 2008, at 19:23:36
In reply to Re: Nardil-Help please!Teck » Phoenix1, posted by tecknohed on January 27, 2008, at 18:34:30
> > What is the best dosing strategy for Nardil when you are on a higher dose. Taking it later in the day can worsen insomnia, but taking it all at once can worsen side effects. I take 45mg in the morning at 30mg around 3pm. I expect next week to raise the dose to 90mg, unless my pdoc disagrees. But maybe I should take the second dose earlier. What seems to work best for those of you on it or who have taken it before?
> >
> > Phoenix1
>
> For myself (and for most others I think) Nardil's insomnia dissapeared completely once I reached a steady dose for a week or so. Increasing the dose could inevitably bring it back & if you've been continuously raising the dose since you've been on it then no wonder the insomnia is still there.
> Once you've been at your effective dose for a while you're more likely to fall asleep EASILY than have insomnia.
> Whilst on 90mg my dosing was 30mg morn, midday & eve. I would often fall asleep during the day if I wasn't busy - one of the most common complaints with Nardil.
>
> So how long have you been taking Nardil for?
>
> teckHi teck,
Thanks for the response. And Justherself, sorry for "hijacking" your post. Haven't heard from you in a couple of days, but it sounds like you are doing a bit better with the dose increase?
Teck, I've been on Nardil for about 2 months. Yes, my dose has been increased once a week or more often since then. (started at 15 mg, now at 75) I definitely notice an increase in minor side effects after each increase. But overall, far more effective, and far fewer side effects than SSRIs for me.
I sleep well right now, but can't reduce seroquel (50mg) or zopiclone (7.5mg) or else the insomia returns. I've also recently eliminated clonazepam from the mix. I think once I stabilize on my 90mg (if the pdoc raises it next week), I will wait a month or so and then try to reduce the sleep meds. I would like to eliminate the seroquel if possible, then see if I still need the zopiclone. Did you find the 3x a day dosing to be the best strategy?
Thanks,
Phoenix
poster:Phoenix1
thread:808830
URL: http://www.dr-bob.org/babble/20080124/msgs/809230.html