Posted by softheprairie on September 16, 2008, at 16:18:08
In reply to Re: PLEASE HELP ME!!! (I'm Desperate), posted by streetsk8er794 on September 16, 2008, at 11:48:42
You might have a hard time getting your doctor to agree to mixing Nardil with stimulants. The med. incompatibility is more dangerous than the food and drinks that are not supposed to be mixed with Nardil. If you are allowed the combo., the safer way is to start Nardil first without any stim., then slowly add very small amounts of the stimulant and go up on it in small increments.
You mention doing badly when stopping stimulants. Keep in mind that some of the worsening is due to discontinuation/withdrawal, and will resolve with time. I know I was very depressed when going off of stimulants, even with a sensible taper.
You also mention a hard time with rage and impulsivity. Some poster(s) have suggested mood stabilizers. I also wanted to throw out the possibility that an antipsychotic may help with that. Many people who take antipsychotics have never been psychotic, but the meds. still help. I take an old one called perphenazine to help with my depression, and previously took Zyprexa, then Seroquel, then Abilify. The mood stabilizers and antipsychotics can be mixed with Nardil, but have other foul risks or side effects of their own. Still, they may be worth it.
I hear you on the perfectionism. It really impairs me. I had to drop out of a graduate/professional program partly because I had too high of an ideal and couldn't get my work started and finished. I was miserable with stress over the work. I have not found any med. or combo. to effectively treat it. (Tho' I admit I haven't been on Nardil, but was on a high dose of selegiline, which is also an MAOI.)
We're thinking of you and wish you luck.
poster:softheprairie
thread:852205
URL: http://www.dr-bob.org/babble/20080915/msgs/852328.html