Posted by myco on February 27, 2009, at 11:10:58
In reply to Re: MOST EFFECTIVE MED FOR SOCIAL PHOBIA! » rick_number1001@yahoo.com, posted by mickapoo on February 26, 2009, at 9:57:34
I think it's time to augment. It's possible and safe (for some - although there are always risks) to go above the therapeutic dose max of 90mg. Generally speaking though a gp will not approve this idea...you would need a knowledgeable or understanding pdoc. Some people can actually lower nardil dose with addition of another med that potentiates nardil effects...although this looks better on paper than in the patient. It can work but will take trial and error. I've been looking at augments myself...maoi+tca has/is been done for ages despite 'neon danger lights' of taking tca's with maois. Many studies show desipiramine and nortriptyline as safe with maois.
Look up 'maoi tca' on pubmed for guidance.
myco> So how can you escalate it with 1 table every 1-3 weeks when you're already at 90 mg? It's pooping out for me but I'm not sure what to do.
poster:myco
thread:35977
URL: http://www.dr-bob.org/babble/20090223/msgs/882801.html