Posted by Escapee on August 27, 2016, at 5:58:45
In reply to ..........., posted by Escapee on August 20, 2016, at 12:06:34
To start with I had an awful time 2 weeks prior to Thursdays appointment.
When I decided to switch from Marplan (isocarboxazid) to Nardil (phenelzine) I called my doc's secretary and I emailed her a detailed (but not complicated) plan to reduce all my med dosages and which ones I was stopping & keeping. She said she would forward the email to my doc. With no reply via mobile or landline, Email or post that was enough for me to carry on titrating everything downwards.
When I finally started washout, the start of the 2nd week went bad. I admitted myself to A&E (suggested by NHS Direct 111) for 1 night asking if they could give me a bed in the psychiatric in-patient ward. There declined my request. They gave me a bed for the night (actually it was a lovely soft reclining leather chair) and I went home the next day. Next night I went in again doped to the eye balls on Quetiapine & Zopiclone. It was technically an OD compared to my prescribed dosage of 150mg. 700mg to 800mg maybe more quetiapine plus 7.5mg Zopiclone but I never intentionally meant to end my life. No way! But I did want a long deep sleep. Never thought much of it until my legs went like jelly And my head spun. So I called for ambulance and again they kept me in for the night.
I was seen by several 'liaison' psychiatrists. They were all very helpful, except when the last Psych came to discharge me and dropped the bomb. She said she had spoken to my Pdoc and said he was shocked and said he never told me to come off anything and for me to get back on everything ASAP! His plan was to simply cross-titrate the MAOIs! I could not believe it. So the secretary never forwarded my email? And if he never read the email how did he know I wanted to switch the phenelzine?? Did I mention it and forgot? Dam
So I went back on everything except for Marplan. Couple dose changes. Amitriptyline up to 100mg instead of 150 & Clonazepam from 4 to 2.5mg.
Since 12+yrs ago they are still the same 15mg pills. They need refrigeration, smell LUSH & are deep orange colour. Can't remember them being that strong a colour, plus I actually had the Nardil brand pills. I thought I used to get generic phenelzine. Memory loss perhaps.
I'm just glad I'm back on Nardil. I wonder what will happen.....
Escapee
Amitriptyline 100mg
Bupropion 300mg
Quetiapine 150mg
Clonazepam 2.5mg
Pregablin 400mg
Phenelzine (Nardil) 15mg increase to 45mg
poster:Escapee
thread:1091031
URL: http://www.dr-bob.org/babble/20160819/msgs/1091560.html