Posted by Nadezda on October 17, 2008, at 16:46:44
In reply to Re: clarification, posted by Jnew12 on October 17, 2008, at 9:55:24
> ... My one doctor is ignorant to MAOI's I am not sure if he has treated a single patient in his life. ... . Without hesitation he said he would give me anything I wanted (he must know I am a bad case because I told him the laundry list of other meds I been on) So, I asked him for Nardil, Benzo's (Klonopin for the morning, and Xanax as needed like my other psych did) and either Focalin, or Daytranna patch for ADD.
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> He asked me if I really wanted nardil, but did not try to get my to try something else like my other psych did. Of course I said yes, but told him I wanted parnate if this did not work and told him about the formulation and how it does not work as good, he looked at me crazy.
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> Then, he took out his little book looked Nardil up and seen that has food restriction. He told me I needed a list so I could sign so if anything happened he would not get sued. I said I seen the list on the internet many time, but still he made me sign it as the list was right in front of me and I agreed to adhere w/ food restrictions, and if I did it was my problem.~~ And do you follow the food restrictions?
What other med interactions did this doctor tell you about?
This doctor, I hate to say it, sounds pretty irreponsible. If he would give you "anything" you wanted-- it has nothing to do with his idea about you, and everything to do with his commitment to practicing a certain kind of medicine. You need to be seen by someone who's familiar with Maois and has prescribed them before. What you don't want is a doctor who knows nothing about them, and gives you pretty much what you ask for, as long as you sign a statement saying he won't be sued.
This doctor, in other words, is worried about protecting himself, not you.
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> Then he checked on the ADD medication, and so that no stims are allowed to be prescribed with Nardil.
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> He saw that I had really bad ADD he made me do an evaluation before he found out nardil would clash with it, and I don't think he probally seen someone that bad..lol
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> I told him that stims have been done before with someone as treatment resistant as me before, but I think him being new to prescribing this medication, all he had to go by is his little boook.
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>...
> So what I did is I had to go to a DOC as an emergency because I hurt my knee. But while I was there I brought up I had ADD and took meds as a child, and my granadpa was there to tell him all the bad things I do. Again I think he knew how important it was for me to be on medication, and was happy to help me. Except he gave me Adderal instead of Daytrana and Focalin, because that what he said he likes to prescribe.
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> I did not tell him about the Nardil because simply he did not ask,...~~ Actually, from what you say, you didn't tell him about the Nardil because you were afraid he wouldn't prescribe the stimulants.
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> I have been mixing Adderal 20mg XR for 5 days now without any negative side effect. Except yesterday I was falling in sleep alot in class, that might of been the klonopin I took before though.
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> If I did not have my head hurt for this long don't you think I am passed the stage of death due to nardil+adderal. All the cases I have seen which was not alot the people died in the first day of taking it, and like I said this is my 5th day. If I do feel a headache I will stop taking immeditaly matter of fact is there a med I can take to stop it if it does happen, there are meds for hypertensive crisis right?
~~ Not, that's not right. If you feel a serious headache-- and/or your blood pressure elevates significantly and/or your heartbeat starts to be very fast,-- you should go to a hospital, ASAP. You are completely underestimating the seriousness of this. And your reasoning about five days etc, is incorrect. Even if you can tolerate a dose one two or three days, you may not be able to tolerate it on day six. It's not as if you started on a low dose of stimulant and slowly titrated up, under a doctor's supervision. You decided on a dose that you wanted-- and took it, and waited to see if anything went wrong.You don't know what might go wrong, how serious it could be, or what steps to take if a serious problem arises. This is not only self-medication, it's really risky behavior.
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> So really, I am being monitored by both doctors, whether they both know what drugs I am taking or not. Even if did tell them don't you think there is anything they could do differently except give me less of each drug????~~ No you are NOT being monitored by anyone, since neither doctor has the slightest idea that you're taking both contraindicated drugs together. One has outright said he wouldn't prescribe both, and the other is simply unaware of what you're doing-- and yes-- they might give you less. That is precisely the point.
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> And my Psychatrist he does not really know much about this class of drug, I am sure some people on this board knows more than he does, the med has been stopped being used since like the 60's!
~~That's why you need a pdoc who knows more about the Nardil, as others have suggested.
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> And, I know the guy who gives me adderal is intelligent, he seems to care, instead of just throwing a med at me he is trying to involve other people.~~You know the involvement of other people, no matter how intelligent, who know nothing about these drugs is irrelevant, right ?
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> If I were to get off stimulants then that would pull a plug off of everything and people would get mad at me for chosing the Nardil over the ADD medication, because they think I need it. Like my grandpa I told him the interaction of the two could be possibly dangerous, he keeps on asking me why do you have to be on that nardil stuff!! I want my nardil!! But I don't want to die either, im so confused, what should I do??????????
~~I'm pretty sure you know what you should do. You don't want to do it. I understand that you want to take adderall. But that doesn't change the fact that what you're doing is risky, and that while you may be fine, you may not be. You say you don't care about taking the adderall-- it's just to get other people to stop bothering you. That doesn't stack up with your actions-- you wouldn't take these risks, including misleading a doctor, doing what another doctor explicitly told you not to do, etc, if you didn't have some reason of your own to take the adderall.What you should do is this: stop taking the adderall. Find a pdoc who knows about Maois. Explain to him your situation and your symptoms and follow his advice about what meds to take. This may not be what you want to hear, but it is definitely what you should do.
Nadezda
poster:Nadezda
thread:857718
URL: http://www.dr-bob.org/babble/20081016/msgs/857965.html