Posted by softheprairie on February 25, 2009, at 23:49:10
In reply to Nardil exhaustion, so tired, posted by n_wolfie on February 25, 2009, at 10:39:01
I don't know if your doctor is cooperative and open to this, but I love a certain article that I think is relevant, and you might be able to use it to ask for the augmenters it recommends. It is from doctors affiliated with McLean Hospital and Harvard Medical School. I've quoted this before.
It is
MAO inhibitors: An option worth trying in treatment-resistant cases. JO Cole, JA Bodkin. Current Psychiatry, V. 1, No. 6, June 2002. The original is not available for free from the publisher, but it is copied onto another dr's personal website at http://www.drtonyromack.com/MAOIs.htmIt states "[a]n altered diurnal sleep cycle is another MAOI-related side effect. Some patients get extremely drowsy in the late afternoon but then may have insomnia at night. 26 Attempts to alter this odd cycle by changing the timing of administration have generally not helped." The authors offer these patients on MAOIs a low dose of a stimulant for the afternoon and a sleep agent (such as trazodone) for the insomnia.
> I've been on 30 mg of Nardil for about 2 weeks, and my mood is marginally better, but I'm so tired I can barely function. I have to take a nap about an hour after I wake. then another around 5, then I'm exhausted again by 11pm, and then I don't sleep that well. Is this is temporary side effect? Are there any augmentation strategies to keep me awake? Even though my mood is slightly better, I'm just as dysfunctional as when I was severely depressed.
poster:softheprairie
thread:882376
URL: http://www.dr-bob.org/babble/20090223/msgs/882542.html