Posted by Questionmark on November 2, 2008, at 23:24:53
In reply to Nardil - may of upped daose to fast!, posted by that_guy23 on November 1, 2008, at 18:31:13
Yeah, your dose was raised way too fast.
I was a little confused about exactly what you're asking in some respects, but I can try to offer some advice.
First, you definitely should still have high hopes for Nardil. It is an amazing drug, especially for SA and depression, as well as other conditions i'm sure. Try to give it some time. It's possible your receptors are "out of whack" a bit now from all that dosage alteration and as a result may take a bit longer to even out, so to speak. And even 75mg is on the higher end (at least for a lot of/ some people), so if your depression does start to get kicked in the proverbial groin, you should consider lowering the dose to lessen the side effects.
If you decide not to lower the dose or some of your side effects are still too bothersome, Ritalin (methylphenidate) can certainly be employed, (preferably under a doctor's cautious supervision, of course). I have taken Ritalin while on Nardil with no adverse effects at all. Definitely stay away from Adderall-- i had unpleasant effects even at very low doses (like 2 or 3 mg), and it's too risky and too many different amphetamines anyway. As azalea i think mentioned dextroamphetamine-- low dose probably-- can potentially be utilized, however. I would think that Provigil should be fine, too, but i'm not sure-- though i doubt that would be as helpful for hypotension, if that's for what you were considering it.
As far as the daytime drowsiness i can't really think of anything else to suggest though except for, well obviously, try to get enough sleep, make sure you spread your doses out throughout the day (like 3x/day), and staying hydrated might help some (as well as with the hypotension a bit too actually). The only thing that really helped me with that significantly was lowering my dose.
Good luck to you, and may Nardil be the blessing (albeit imperfect) for you that it has been for me and so many others.
> I have ben on nardil for 8 weeks and 2 days. I think I thought because the euphoria was lessening, the drug was losing effect.
>
> I think incresed dosage far too soon far too high! I started at 15 mgs 1 week, upped to 45 mgs for 2 weeks, then at 75 for weeks 4 and 5, I had that euphoria, mood change, attiutude change, and more motivation. Not extreme , but it was noticible, even to me.
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> Here is where me or my psychiatrist made a big mistake, I know I didn't ask for a dose this high considering i thought the highest wasat 90 mgs, she upped my dose for the 6th week to 105! I didn't know any difference! So I went on starting that dose, a day or 2 most I could feel major side effects. Orthostatic Hypotension, you can google it, it is a normal side efect of nardil,but I had it very bad. Along with the tiredness, all the time, and the other minor effects which I had already, don't know if they got worse.
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> It got so bad I couldn't walk around or sometimes even stand staight up with out, getting dizzy eyes gradually lossing sight, which if they did would last like 30 sec - 1 min, and my ears would ring, or things got so loud, I felt weak,This is Orthostatic Hypotension in a nutshell. And most time's could lie down and fall asleep, almost immediately. I stuck 105 out for a week, like to do doses weekly, bi-weekly, etc. This way I can keep track easier.
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> Then I called my psychiatrist to tell her I had to drop the dosage, to 90. I was supposed to see her in one week after this, my ride got cancelled and couldn't make it. I see her every 2 weeks as of now, and now at my time of need I had to wait 4 weeks.
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> I stuck at 90, which was just as bad, for 13 days, and dropped back to 75 mg's, that was where I had the best results in the beginning. This was thursday 2 days ago.
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> Since a few days of the big increase to 105 mgs,over 3 weeks now, I haven't been good. I'm really hoping that it's the way I was feeling, TERRIBLE, and not being able to do really anytihng, except minor excersice I started 8 weeks ago, that I never miss. I guess I'm coming around with the orthostatic hypotension, still there though, as wel as the minor side effects I had since almost starting.
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> So now at just over 8 weeks at 75, i'm feeling depressed again. So theres no possitive change now, but there was.
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> I would just like to know if I keep at this dose or even lower it, will this fix the problem eventually? If so will this mistake slow my recovery process?
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> I had originaally had chose the drug for my SA, which I suffer from pretty bad. I am going to try and get somthing to counteract with it when I see her next thursday.
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> Please anyone with any advice on this post, please tell me you've seen similar cases, or if not, just give me your input.
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> I had, and still have high hopes for this drug, any drug that can be safely monterd to counteract with narl?
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> Hope to hear from someone soon
>
> later
poster:Questionmark
thread:860267
URL: http://www.dr-bob.org/babble/20081027/msgs/860488.html