Posted by SLS on September 7, 2012, at 17:22:49
In reply to Re: Nardil dizziness PLS Help!! » SLS, posted by Roslynn on September 7, 2012, at 16:39:27
You know, you might actually respond to 15 mg/day. It would take 3 weeks to know for sure. In the old days, doctors would test a patient's blood pressure and use the results as a gauge to determine proper dosing of the MAOI. A drop of 10% or more upon orthostatic challenge (standing up) was taken to indicate sufficient MAO inhibition. I imagine yours is greater than 10%.
The other possibility is that your autonomic nervous system is out of balance (dysautonomia) due to the depressive disorder. If this is the case, you might actually feel better at the higher dosage with less dizziness. However, I don't feel it is appropriate to test this hypothesis at this point.
If it were me, I would talk to my doctor and come to a mutual decision as to how many more days to continue with Nardil treatment at 15 mg/day. Do you think you could hold out another 5 - 7 days? I would definitely ask your doctor about adding Florinef at this juncture. This might allow you to continue with Nardil and slowly raise the dosage.
If Nardil doesn't work out, I would then try Parnate before moving to another class of drug.
- Scott
Some see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1025064
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