Posted by Questionmark on February 18, 2009, at 3:35:37
In reply to Nardil and insomnia, posted by RT on October 21, 2003, at 4:12:44
Most important thing i would tell anyone on Nardil to minimize side effects and produce best overall benefit: space them throughout the day. Unfortunately, it would be difficult and frustrating and just a real pain in the *** to space them four times a day, as you would need to with 60mg. It's pain enough at 3x per day. (I have never been on more than 45mg when i spaced them evenly throughout the day, so i'm not sure how difficult it would actually be.) But yeah at 60mg i would say if not 4x/day evenly spaced then do: one in morning, two midday, and one before sleep, or maybe two in morning, one midday, one before sleep. The latter (two in morning) would be better for insomnia almost definitely.
If you are anything like me, if you have two at night and you don't fall asleep before they start effecting, you will not be able to fall asleep, and if/when you do you might sleep very lightly or awaken, as you were describing.
Honestly too at some point you may want to consider seeing if 45mg is enough for you. I find that they often seem to prescribe an unnecessarily higher dose of an MAOI-- or of most other psychiatric drugs for that matter-- than is needed. Albeit i am fairly sensitive to psychoactive drugs. But despite this i still think they often overprescribe (dosage wise) MAOIs. I may be wrong though and I'm pretty sure our Nardil veteran, ace, here would disagree with me. I know he often thinks the opposite. And he may be right. But i think it's always at least best to try the lowest sufficiently-effective dose for long enough before trying increased doses.
Good luck. Nardil can be a miracle in a pill (Not perfect, but still a miracle).
> Just started Nardil a few weeks ago , up to 60 mg a day. I think its starting to kick in alittle but having trouble with insomnia, is there anything that will help , and does this eventually get better
poster:Questionmark
thread:271359
URL: http://www.dr-bob.org/babble/20090213/msgs/880866.html