Posted by 4WD on February 24, 2008, at 22:25:05
In reply to Re: Go for it! » 4WD, posted by medjuggler on February 24, 2008, at 21:06:30
Thanks for being such a support for me as I prepare to start Nardil (the date I start is March 6). I do plan to lower my Klonopin dosage as rapidly as possible if the Nardil begins to help with the anxiety. I have been worried for a long time about how much Klonopin I have been requiring. My doctor has given me a prescription for Valium to try and see if I can get by with a lower dose of that but I am kind of reluctant to change horses in midstream. I am trying it this week anyway though.
I am glad to know the side effects don't start right away. I had the idea that I would take Nardil for one day and immediately not be able to sleep that night. I am glad they creep up. I will be better able to handle that.
Thanks for the referral to the abstract. I read and feel much better about it. I will see what happens with the carb cravings. I really need to start eating better (and more). Some days I don't eat anything except drink milk, partly because the anxiety makes me too scared to eat and partly because I have been taking Provigil some days. I will force myself to eat something tonight.
And I will get a b-vitamin complex to start taking when I start the Nardil. Although it's weird, b-vitamins have a tendency to increase my anxiety slightly - maybe because they provide energy?
I'll eat more salt. As far as the anorgasmia goes, I'm not too worried about that at this point. I have had no interest in sex for over a year now. Who am I kidding? For 3-4 years now.
Anyway thanks for all the info and support. I will try to quit bothering you so much with so many questions.
Marsha
> Hey Marsha.
>
> Please dont EXPECT anything. That can lead to dissapointment and cofusion - a real mess. I hope you do feel calmer quickly but I simply cant garantee that. Though I think it would be worth starting to titrate down from your Klonopin a little as soon as you start Nardil. Maybe aim for half the dose you're on now.
>
> As for the side effects, they dont usually start strait away but rather they creep up on you, usually after 3-6 weeks. And they last!
>
> I dont think you should be too worried about your bulimia returning. A good number of studies have shown that Nardil can help the condition.
> http://archpsyc.ama-assn.org/cgi/content/abstract/41/11/1105
> http://archpsyc.ama-assn.org/cgi/content/abstract/41/11/1105
>
> Yes you may get more of an appetite with Nardil but there are ways to control it. I suggest you make sure your meals are about 50/50 carbs/protein. The higher protein content will help avoid carb cravings which is normally the culprit for Nardil weight gain. And try and stick with low GI carbs.
> L-Glutamine is an amino acid supplement that will also reduce carb craving by providing an alternative fuel for the brain. Try 3g first thing in the morn before breakfast & between meals on empty stomache. Its cheap & good quality here: http://www.1fast400.com/?products_id=2460 I use this company all the time & highly rate them.
>
> And I suggest a high strength multi vit too, or a b-50 complex to include 50mg B6. Nardil can interfere with B6 matabolism so supplements help, but you must balance it with the whole b complex. Taking p-5-p (Pyridoxal-5-Phosphate), the active form of B6 would provide even better protection.
>
> Insomnia shouldn't last long & is 'usually' one of the first side effects to come, and go. Your Trazodone should suffice. Or, I used diphenhydramine effectively which is safe and can be purchased OTC. For constipation simply use laxatives.
>
> The hard ones are hypotension, anorgasmia and (if you're unlucky) urine retention, but thats pretty rare.
>
> For hypotention you can use sodium based salt to help lift blood pressure. For Anorgasmia you can try Horney Goat Weed http://www.1fast400.com/?products_id=1644 (works for both sexes, try 0.5-1g) or meds like Cyproheptadine.
>
> Hope that wasn't all TOO honest & didn't scare you, but I'm just trying to share what I know.
>
> I really hope you can be 'Marsha' again! Good luck!
> mj
>
>
poster:4WD
thread:814017
URL: http://www.dr-bob.org/babble/20080221/msgs/814530.html