Posted by myco on March 22, 2009, at 12:03:37
In reply to Re: HEY MYCO, posted by g_g_g_unit on March 22, 2009, at 4:05:50
> personally i'd prefer not to use stimulants, though even caffeine isn't helping much atm. i get the latter - a feeling of overwhelming fatigue without actually being able to fall asleep. still, it doesn't really allow me to engage in CBT, which to me is more important than meds
stims are a tough call but weight out the pos vs negs here. in a tiny dose and well monitored by your pdoc they are safe and may just give you that added boost in the day. coffee will wear off...i swear (havent read in literature to confirm though) that nardil effects caffeine. i dont get jittery or more awake from coffee. it relaxes me actually on nardil - complete opposite of when not taking nardil. talk to dr about supplemental stims like tyrosine or mucuna pruriens (velvet bean) or something. do get a dr's ok with these though...i can speak from experience that supps and herbs can be a bit of a challenge when on maois...a very unpleasant challenge if you dont be careful. so if you need to be awake for cbt....then you must do what you need to do to stay awake (dont bail on nardil just for this yet)....talk to dr and find a away...augment etc...something will work for you, may take some time finding it but its out there.
> having read about the initial euphoria i thought i would be prepared for it. unfortunately, i failed to recognise i was in the midst of it at the time, and now that it's gone i do miss it. i'm not chasing it however; what i want is relief from my anxiety and 60mg feels like too low a dose to achieve that. i can recognise that the euphoria was just a mask that temporarily allowed me to forget my problems. it wasn't in any way a practical state to be in full-time; i'd choose a more stable state of anxiety relief over it any day
studies will show you that "anxiety" patients in general need more nardil than depressed patients to be effective. have no fear or hesitation at going to 75....it's really not that much different than 60, although the sides are a bit more in your face but you know the sides already so you are prepared...nothing will surprise you in terms of sides really. dont even let the sides scare you from goin up in dose, they pass in a few weeks and nardil shines through. luv this med.
one thing that does make me concerned is youre using a gp....not to put you off gps but ive more horror stories of ignorance about gps than good ones. these people are generalists...the mere mention of augmenting nardil may send them into a tizzy. your better off getting on a wait list for a pdoc and seeing this gp in the interim while you wait. unless he/she is super cool ditch them because your treatment (in terms of options etc) may suffer alot. the mere word "benzo" makes my gp turn his nose up and change the convo immediately.
poster:myco
thread:885861
URL: http://www.dr-bob.org/babble/20090322/msgs/886546.html