I don't think you are going to avoid experiencing these startup cognitive side effects and secure an antidepressant response by jumping up and down in dosage or skipping days. You can only make things worse. Now, you say that you are experiencing problems at 30 mg/day? How do you interpret this? I would recommend against "pulsing" Nardil on and off. You are probably sensitizing the brain and autonomic nervous system to some of the pharmacological effects of Nardil.
I understand that you can't afford to experience cognitive impairments right now. You can either stop Nardil now and wait for a better time to give it a full trial or go up in dosage very slowly. Cut the pills in half. Try to keep your dosages steady. Perhaps you can restart Nardil at 15 mg/day and increase the dosage by 7.5 mg every week or two.
Please continue to post as you progress through your Nardil trial. I hope people here can help you through it or give you sufficient reason to end it. My period of cognitive impairment weirdness lasted for roughly 3 days once I reached 60 mg/day. I believe it was a sign that Nardil was doing to the brain what it was supposed to. For the most part, the drugs that worked for me gave me some sort of changes in cognition or perception temporarily.
I'm not in your head, so I really don't know what you are experiencing. I may be wrong in my interpretation of your words. Perhaps my suggestions are not appropriate for you. All I can say is that the cognitive side effects that occur briefly at the beginning of treatment is not uncommon.
- Scott
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this signature | Show by default | Change to hide (next time)Some see things as they are and ask why.
I dream of things that never were and ask why not.
- George Bernard Shaw