Posted by 4WD on February 24, 2008, at 18:19:32
In reply to Go for it! - 4WD, posted by medjuggler on February 23, 2008, at 17:22:45
Thanks for the thumbs up, Medjuggler. I'm both nervous and excited about starting the Nardil. And I've decided to go for and start at 45mg. I figure the side effects will be harsh. I am going to ask for some Ambien to add to my trazadone if it becomes necessary.
I'm glad to hear that the anxiolytic effects kick in right away. I'm currently requiring 4-6mg of Klonopin a day. That is about 60-70 percent of my problem. The anxiety is a large part of what is making me depressed.
I'm a bit worried about hypotension, too. I already have low blood pressure (on a good day it's 110 over 70. On a bad day it's 100 over 60.)
I think the Celexa I've been on lowers my blood pressure though so now that I'm off it maybe it will be higher.Still, the insomnia is what scares me most. I also worry about the food cravings. I could stand to gain some weight (5'4" and 110 pounds) but I'm a recovering bulimic and I'm afraid the Nardil cravings will send me back into full blown bulimia. I mean I'll eat all the stuff you crave on Nardil but I probably won't gain much weight since I'll just go throw up the doughnuts or whatever.
Just the same, I'm willing to be a constipated, bulimic, anorgasmic, hypotensive if it means I will be "Marsha" again, which I haven't been for almost 4 years now. And I will just have to trust that I will find a way to mitigate the insomnia.
Thanks for answering.
Marsha
> Marsha, if thats the case then YES go for the full dose your pdoc recommended. But stay at that dose for at least 4 weeks. 'Normally' it kicks in after 3-4 weeks, though some wait ALOT longer. If after 5 weeks there is NO response at all then go to 60. Like I said before, the dosage-to-weight idea is a good one but its not set in stone.
> If you start at the full dose then I believe this will speed up the MAO inhibiting process. Ideally you want a 90%+ inhibition for the antidepressant effect, though you should feel it's anxiolytic effects (from GABA) much sooner. I felt that from practically day one at 15mg.
>
> GO FOR IT! GOOD LUCK!
> mj
>
poster:4WD
thread:814017
URL: http://www.dr-bob.org/babble/20080221/msgs/814494.html