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Re: Brief immediate responses to meds?? - Advice Pls

Posted by bulldog2 on September 8, 2008, at 15:40:36

In reply to Brief immediate responses to meds?? - Advice Pls, posted by Four Feathers on September 8, 2008, at 9:04:00

> I am currently taking Nardil at 22.5 mg per day and have been taking this at different doses (as high as 45mg) now for about 6 weeks. About 3 weeks ago I had written about how the effects were amazing. Unfortunately these were short lived. I am frustrated and was hoping someone may be able to shed some light on why meds may be initially successful and then quickly fall off for me? Here's the details:
>
> I have seen these effects the most from Wellbutrin, Strattera, and Nardil. When starting, increasing, or decreasing any of these meds I will feel better (calmness, focus, organization, better time management, motivation, better mood) for a period of 4-7 days after the dosage adjustment (usually see effects the next day). Then literally, on about the 7-10th days I will feel myself sliding back into my unmotivated, unorganized, hypersomnia self. This has been very frustrating b/c I get this brief feeling of how it was years ago before my anxiety and depression reared its ugly head.
>
> Does anyone have any thoughts on why I would see such a quick and obvious response that lasts for such a short period? I wondered if there may be a mild bipolar component to my case, but I can't identify any true "manic" phases? I should mention that I have also experienced the same thing when decreasing the dosage of Lexapro (not increasing).
>
> Any thoughts are greatly appreciated as I see my pdoc this Wednesday. Thanks!

I have heard that there is often a fast response to Nardil that fades away and than comes back later as the dose is increased. I think jumping around with your doses is not a good thing..Stay at a dose for awhile and than move up if there's no response.

 

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