Posted by jedi on March 18, 2011, at 13:28:32
In reply to Re: New GAVIS Nardil vs. Pfizer » Michael Bell, posted by pedr on March 16, 2011, at 14:16:46
Hi guys, I just started my generic Nardil after not being able to get it for a couple of months while Gavis was ramping up production. Most insurance companies are going to require using the generic, when available. I've fought them for years about medications that they say are equivalent and are not. With my insurance, an individual Lifewise policy, the price difference is huge. Brand is $150 per month. Generic is $15. I have to take my chances on the generic.
I've been on phenelzine sulfate(Nardil) for most of 12 years. I got through the formula change of 2003. I will get through this change. I'm just glad that Gavis saw an opportunity in this nitch market. I hope Pfizer continues to produce the brand. Just having one source, for the only medication that has ever worked for me, is very scary.
Having just started the new medication I have nothing to report on change in efficacy or side effects. Any change in MAO inhibition will take weeks to manifest. My side effects, at this point, are related to the degree of MAO inhibition in my body; I don't expect any changes for at least a few weeks. I can usually notice a change of side effects, MAO inhibition and my level of depression within a few weeks of a 15mg dosage change. I have been on the brand Nardil for so long I know exactly what to expect. I am currently stable at 60mg daily. 45mg reduces all side effects, but it does not provide enough MAO inhibition to keep my major depression at a comfortable ams length away. When I am going through a really hard time I will raise my dosage to 75mg or 90mg. This usually knocks back any major depression within a few weeks. However, the major side effects of insomnia, delayed orgasm, and carbohydrate cravings are much worse at the higher dosages. I have been on dosages as high as 120mg per day to knock back a really bad relapse.
For me, it is all related to the degree of MAO inhibition. The efficacy and the side effects. I will post an changes I feel with the new generic.
Best of luck to all,
Jedi
Jedi
Treatment resistant, atypical, double depression with social anxiety.
Nardil + clonazepam
poster:jedi
thread:980127
URL: http://www.dr-bob.org/babble/20110220/msgs/980671.html