Posted by zonked on May 5, 2009, at 14:56:10
In reply to Re: Nardil success!! » zonked, posted by bleauberry on April 26, 2009, at 15:52:48
> That is not enough alcohol to have any kind of psychoactive effect. What is the theory or the reason that you combined a dropperful with Nardil? Is it an absorption thing?
It may have been psychosomatic.
I am still having trouble with 90mg, and my doctor admits she has no experience prescribing MAO inhibitors, and will not take me above 90 *no matter what i say*. I mentioned Deplin to her, and she told me to take a regular folic acid supplement.
In short, I am kind of screwed - I have a city assigned psychiatrist (and this typifies my experence with government doctors when I've ran out of insurance before) who takes no interest in me, my symptoms, or my case and goes strictly by whatever version of the PDR she has loaded into her PalmPilot. Hell, I could do that.
When I was in the hospital, I felt a surge of relief--the doctors there are on the psychiatry faculty of the local medical school and I felt really, really comfortable with them, and they were ready to try a few augmentation strategies I was comfortable with (T3 and/or Lithium), but called the government outpatient doctor first and she said "not yet". I have since come to find out that she knows *nothing* about augmenting with T3 or Lithium, *nor does she care to*. I have about 10 minutes with her each visit and she doesn't even remember what I'm taking from visit to visit.
I even brought her the STAR study which compared T3 and Lithium augmentation (that I had the doctor in the hospital print me a copy of) and she took no interest and said "I know nothing about that."
So, some days I can feel the Nardil working, and other days I could swear I wasn't taking anything.
What to do now? Besides exercise and keep myself busy, I am writing a few letters--one each to the prescribing physician in the hospital and to the director of the community health network here asking for a referral to someone within the network who *specializes* in treatment resistant, refractory, bipolar II depression; who has experience prescribing MAO inhibitors and other nonconventional strategies for treating depression. SAM-e is effective as an augmentation agent, but I can't afford it.
(I should add that I do not respond, or respond well enough to, EVERY SSRI on the market, Wellbutrin, Effexor, etc)
The last year has been hell for me. I hope to be back working (and have private insurance again) within 8 months.
It really is horrible not having insurance in the US - those of you in civilized European countries are lucky.
zonked
Nardil 45mg b.i.d (90mg total, trying to take it at wake and 7:00pm - does anyone have feedback on dosage timing?)
Lamictal 200mg at bed time (she switched it from A.M., I wonder why?)
Klonopin 0.5mg up to twice a day as needed for anxiety
Temazepam 15mg at bedtime
poster:zonked
thread:892512
URL: http://www.dr-bob.org/babble/20090505/msgs/894367.html