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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 10 of 10. This is the beginning of the thread.
Posted by ace on June 1, 2003, at 23:11:32
Man, I am just comparing my situation to a week ago- last week I could barely leave the house this week I can walk around without feeling I am on Mars (derealization), and the gutwrenching anxiety is cooling day by day!
Motivation/Happiness is building day by day!!
Unfortunately, the initial OCD action has quelled a bit, but, hey, I got to count my blessings.
I probably will need to augment but Nardil is going nowhere boys and girls, except into my blood stream!
I will give it another 2 weeks on 60, then try 45 for a while.
Tell me what you think of these options...
1. Nardil + Fishoil (I know little about this stuff!)
2. Nardil + Selegiline
3. Nardil + Bromocriptine
4. Nardil + Gabapentin (have to twist my docs arm)
5. Nardil + Zyprexa (2.5mg + Vitamin E therapy)
Tell us all dudes and dudettes...thoughts, abuse, corrections, praise, ....!
AceNardil is going NOWHERE!, 60mg
Posted by Caleb462 on June 2, 2003, at 2:59:06
In reply to NARDIL: Potent Medical ARSENAL!!!!, posted by ace on June 1, 2003, at 23:11:32
> Man, I am just comparing my situation to a week ago- last week I could barely leave the house this week I can walk around without feeling I am on Mars (derealization), and the gutwrenching anxiety is cooling day by day!
>
> Motivation/Happiness is building day by day!!
>
> Unfortunately, the initial OCD action has quelled a bit, but, hey, I got to count my blessings.
>
> I probably will need to augment but Nardil is going nowhere boys and girls, except into my blood stream!
>
> I will give it another 2 weeks on 60, then try 45 for a while.
>
> Tell me what you think of these options...
>
> 1. Nardil + Fishoil (I know little about this stuff!)
>Well, I can't say I know too much about Fish Oil either... BUT, I think adding Fish Oil would definitely be a benefit, no matter how well or unwell you feel. It may not be enough to kill the rest of your OCD, but it could certainly help - and is good for your physical, emotional and mental well-being regardless.
> 2. Nardil + Selegiline
Hmm... well, what exactly would be the aim in doing this? If you want more MAOI action, you would simply need to raise the Nardil dose... I don't see a reason to add on another MAOI.
> 3. Nardil + BromocriptineDon't know anything about this one.
> 4. Nardil + Gabapentin (have to twist my docs arm)
You'd have to twist your doc's arm to get Neurontin? That's odd. I don't know of any literature suggesting an OCD benefit with gabapentin, and there's no reason to believe it would help - but as an anxiety add-on, it could be beneficial.
> 5. Nardil + Zyprexa (2.5mg + Vitamin E therapy)
This one sounds the most promising, to me. Obviously, there's some things you have to consider.. TD, weight gain, etc. But I would seriously consider this one.
Good luck.
Posted by djmmm on June 2, 2003, at 9:47:02
In reply to Re: NARDIL: Potent Medical ARSENAL!!!!, posted by Caleb462 on June 2, 2003, at 2:59:06
Go for the Nardil/Neurontin combo..I was on that along with topamax and inderal for a bit, and was not only free of social anxiety, but very pro-social.
Although, after discontinuing the Neurontin, Topamax and inderal, I continued to find Nardil THE single best drug for atypical depression and social phobia.
I was on Nardil (60mg) Neurontin (1800mg) Topamax (200-400mg) and Inderal LA (60mg)
I think the neurontin and topamax contributed to the "Pro-social" effects, however, I was still social anxiety/depression free after discontinuing them. I took Neurontin/Topamax for an epilepitic condition, which I no longer have.
Posted by cosis on June 2, 2003, at 10:13:09
In reply to NARDIL: Potent Medical ARSENAL!!!!, posted by ace on June 1, 2003, at 23:11:32
> Man, I am just comparing my situation to a week ago- last week I could barely leave the house this week I can walk around without feeling I am on Mars (derealization), and the gutwrenching anxiety is cooling day by day!
>
> Motivation/Happiness is building day by day!!
>
> Unfortunately, the initial OCD action has quelled a bit, but, hey, I got to count my blessings.
>
> I probably will need to augment but Nardil is going nowhere boys and girls, except into my blood stream!
>
> I will give it another 2 weeks on 60, then try 45 for a while.
>
> Tell me what you think of these options...
>
> 1. Nardil + Fishoil (I know little about this stuff!)
>
> 2. Nardil + Selegiline
>
> 3. Nardil + Bromocriptine
>
> 4. Nardil + Gabapentin (have to twist my docs arm)
>
> 5. Nardil + Zyprexa (2.5mg + Vitamin E therapy)
>
> Tell us all dudes and dudettes...thoughts, abuse, corrections, praise, ....!
>
>
> Ace
>
> Nardil is going NOWHERE!, 60mgI tried fish oil once and got a huge azz zit !!
Posted by stjames on June 2, 2003, at 13:15:27
In reply to NARDIL: Potent Medical ARSENAL!!!!, posted by ace on June 1, 2003, at 23:11:32
for me, it seems AD's actions take weeks to stabalize, so any augmentation sould wait till
taht point. Any effects in the first weeks can be
counted as long term effects till 1-2 months have passed.
Posted by stjames on June 2, 2003, at 16:29:25
In reply to Re: NARDIL: Potent Medical ARSENAL!!!!, posted by stjames on June 2, 2003, at 13:15:27
Let me clean that up:
for me, it seems ADs actions take weeks to stabilize, so any augmentation should wait till
that point. Any effects in the first weeks can not be counted as long term effects till 1-2 months have passed.
Posted by temoigneur on June 3, 2003, at 22:23:57
In reply to NARDIL: Potent Medical ARSENAL!!!!, posted by ace on June 1, 2003, at 23:11:32
Ace, how goes it, sorry I haven't gotten back to you in a while. For you're sake and to the degree that I relate my own condition to yours, I'm so glad you're feeling better on Nardil. I'm on day 15 of Nardil right now, at 60mg and I feel okay, just okay, I mean for the agonizing hell I went through, I hope it gets better, but I'm also on 10mg zyprexa, and 7 mg clonazepam, so I'd have to be on crack to be full of energy. On this combination I just feel tired, HOWEVER, I am noticing that my OCD is a little less. Where as before I had masacistic, (sp) tendancies, they are starting to subside. Before I could have never worked with another person, but now, in the interim job trial I'm in before hopefully going back to school, I'm able to work with others, which is a huge improvement. I suppose it's like anything, at any level of cognition one is going to have difficulties and pleasure, it's up to me to decide if the glass if half full - doesn't that sound noble, it's not how I feel, I'm not depressed, but I'm not on fire either, I definately wouldn't say I have anhedonia, I do take small enjoyment in things, I guess i need to give the nardil time, on the whole, perhaps I'm receiving some placebo effect although my situation has usually been too acute for that to go very far, so chin up, smile, and wait.I think of you as a very good friend.
> Man, I am just comparing my situation to a week ago- last week I could barely leave the house this week I can walk around without feeling I am on Mars (derealization), and the gutwrenching anxiety is cooling day by day!
>
> Motivation/Happiness is building day by day!!
>
> Unfortunately, the initial OCD action has quelled a bit, but, hey, I got to count my blessings.
>
> I probably will need to augment but Nardil is going nowhere boys and girls, except into my blood stream!
>
> I will give it another 2 weeks on 60, then try 45 for a while.
>
> Tell me what you think of these options...
>
> 1. Nardil + Fishoil (I know little about this stuff!)
>
> 2. Nardil + Selegiline
>
> 3. Nardil + Bromocriptine
>
> 4. Nardil + Gabapentin (have to twist my docs arm)
>
> 5. Nardil + Zyprexa (2.5mg + Vitamin E therapy)
>
> Tell us all dudes and dudettes...thoughts, abuse, corrections, praise, ....!
>
>
> Ace
>
> Nardil is going NOWHERE!, 60mg
Posted by temoigneur on June 3, 2003, at 22:27:47
In reply to Re: NARDIL: Potent Medical ARSENAL!!!!, posted by temoigneur on June 3, 2003, at 22:23:57
Hi Ace, one other thing, you said you were going to post an email on how going up to 90mg might have been a mistake, was that one up here
All the best
> Ace, how goes it, sorry I haven't gotten back to you in a while. For you're sake and to the degree that I relate my own condition to yours, I'm so glad you're feeling better on Nardil. I'm on day 15 of Nardil right now, at 60mg and I feel okay, just okay, I mean for the agonizing hell I went through, I hope it gets better, but I'm also on 10mg zyprexa, and 7 mg clonazepam, so I'd have to be on crack to be full of energy. On this combination I just feel tired, HOWEVER, I am noticing that my OCD is a little less. Where as before I had masacistic, (sp) tendancies, they are starting to subside. Before I could have never worked with another person, but now, in the interim job trial I'm in before hopefully going back to school, I'm able to work with others, which is a huge improvement. I suppose it's like anything, at any level of cognition one is going to have difficulties and pleasure, it's up to me to decide if the glass if half full - doesn't that sound noble, it's not how I feel, I'm not depressed, but I'm not on fire either, I definately wouldn't say I have anhedonia, I do take small enjoyment in things, I guess i need to give the nardil time, on the whole, perhaps I'm receiving some placebo effect although my situation has usually been too acute for that to go very far, so chin up, smile, and wait.
>
> I think of you as a very good friend.
>
>
>
>
>
> > Man, I am just comparing my situation to a week ago- last week I could barely leave the house this week I can walk around without feeling I am on Mars (derealization), and the gutwrenching anxiety is cooling day by day!
> >
> > Motivation/Happiness is building day by day!!
> >
> > Unfortunately, the initial OCD action has quelled a bit, but, hey, I got to count my blessings.
> >
> > I probably will need to augment but Nardil is going nowhere boys and girls, except into my blood stream!
> >
> > I will give it another 2 weeks on 60, then try 45 for a while.
> >
> > Tell me what you think of these options...
> >
> > 1. Nardil + Fishoil (I know little about this stuff!)
> >
> > 2. Nardil + Selegiline
> >
> > 3. Nardil + Bromocriptine
> >
> > 4. Nardil + Gabapentin (have to twist my docs arm)
> >
> > 5. Nardil + Zyprexa (2.5mg + Vitamin E therapy)
> >
> > Tell us all dudes and dudettes...thoughts, abuse, corrections, praise, ....!
> >
> >
> > Ace
> >
> > Nardil is going NOWHERE!, 60mg
>
>
Posted by ace on June 4, 2003, at 2:30:36
In reply to Re: NARDIL: Potent Medical ARSENAL!!!!, posted by temoigneur on June 3, 2003, at 22:23:57
>
> Ace, how goes it, sorry I haven't gotten back to you in a while. For you're sake and to the degree that I relate my own condition to yours, I'm so glad you're feeling better on Nardil. I'm on day 15 of Nardil right now, at 60mg and I feel okay, just okay, I mean for the agonizing hell I went through, I hope it gets better, but I'm also on 10mg zyprexa, and 7 mg clonazepam, so I'd have to be on crack to be full of energy. On this combination I just feel tired, HOWEVER, I am noticing that my OCD is a little less. Where as before I had masacistic, (sp) tendancies, they are starting to subside. Before I could have never worked with another person, but now, in the interim job trial I'm in before hopefully going back to school, I'm able to work with others, which is a huge improvement. I suppose it's like anything, at any level of cognition one is going to have difficulties and pleasure, it's up to me to decide if the glass if half full - doesn't that sound noble, it's not how I feel, I'm not depressed, but I'm not on fire either, I definately wouldn't say I have anhedonia, I do take small enjoyment in things, I guess i need to give the nardil time, on the whole, perhaps I'm receiving some placebo effect although my situation has usually been too acute for that to go very far, so chin up, smile, and wait.
>
> I think of you as a very good friend.
>
>
>
>
>
Great to hear from you Ben!,
I was getting worried about you...I know how bad things to get - you just wan't to shut the world out. 2 weeks on Nardil is still early days, but just you wait and see...you'll know when it has kicked in...either slowly or fastly kicked in. There will be NO probs working with others. You'll have a grin ear to ear! With the Zyprexa and Clonazepam...is there any way to lower these? The Clonazepam is at a preety high dose in particular....maybe when the Nardil kicks in you might feel you don't need as higher doses. I am starting 2.5 Zyprexa real soon....what did you notice when you first started it? Tell me your experience, if you feel well enough.Yeah with the message...forget it! When 60mg was reinstated for some reason my OCD was briefly in almost complete remission...but it's back a little, so back up to 90mg I go! Give yourself 2 more weeks at 60mg, then I say raise to 75mg for 4 days then 90mg.
So good hearing from you man, I think of you as a real friend too. Just keep me posted on your progress...I really am excited that Nardil is going to make you a very happy person. And you deserve that.
God Bless,
Andrew.
Posted by temoigneur on June 5, 2003, at 0:02:00
In reply to Re: NARDIL: Potent Medical ARSENAL!!!! » temoigneur, posted by ace on June 4, 2003, at 2:30:36
> >
> > Ace, how goes it, sorry I haven't gotten back to you in a while. For you're sake and to the degree that I relate my own condition to yours, I'm so glad you're feeling better on Nardil. I'm on day 15 of Nardil right now, at 60mg and I feel okay, just okay, I mean for the agonizing hell I went through, I hope it gets better, but I'm also on 10mg zyprexa, and 7 mg clonazepam, so I'd have to be on crack to be full of energy. On this combination I just feel tired, HOWEVER, I am noticing that my OCD is a little less. Where as before I had masacistic, (sp) tendancies, they are starting to subside. Before I could have never worked with another person, but now, in the interim job trial I'm in before hopefully going back to school, I'm able to work with others, which is a huge improvement. I suppose it's like anything, at any level of cognition one is going to have difficulties and pleasure, it's up to me to decide if the glass if half full - doesn't that sound noble, it's not how I feel, I'm not depressed, but I'm not on fire either, I definately wouldn't say I have anhedonia, I do take small enjoyment in things, I guess i need to give the nardil time, on the whole, perhaps I'm receiving some placebo effect although my situation has usually been too acute for that to go very far, so chin up, smile, and wait.
> >
> > I think of you as a very good friend.
> >
> >
> >
> >
> >
> Great to hear from you Ben!,
> I was getting worried about you...I know how bad things to get - you just wan't to shut the world out. 2 weeks on Nardil is still early days, but just you wait and see...you'll know when it has kicked in...either slowly or fastly kicked in. There will be NO probs working with others. You'll have a grin ear to ear! With the Zyprexa and Clonazepam...is there any way to lower these? The Clonazepam is at a preety high dose in particular....maybe when the Nardil kicks in you might feel you don't need as higher doses. I am starting 2.5 Zyprexa real soon....what did you notice when you first started it? Tell me your experience, if you feel well enough.
>Yeah I'm definately hoping to wean off the clonazepam, completely if possible. If I don't I'll just start taking it in escalating amounts when I start feeling overwhelemed. About the zyprexa, first as a safety issue, my pdoc explained that since Nardil is so old and zyprexa is so new, he couldn't find much information indicating any interaction between the two. However, for me the Atypicals only made me sleepy, and to that degree took away the anxiety. Don't loose hope though, as I'm sure you know, many find that adding a small dose of an atypical can do good things, sometimes wonders for OCD. I'm hoping to come off the zyprexa really soon, is got me so heavy, combined with Nardil. I'm not sure what else to say. Just that there's lots of reason to hope!!
> Yeah with the message...forget it! When 60mg was reinstated for some reason my OCD was briefly in almost complete remission...but it's back a little, so back up to 90mg I go! Give yourself 2 more weeks at 60mg, then I say raise to 75mg for 4 days then 90mg.
>
that's pretty much what my pdoc says he wants to keep me at 60 for a few weeks then up. Hey Ace would you say for the most part nardil is pretty dependable, or does it frequently cycle in efficacy. Gosh right now I'm trying to decide what to do with my life. I'm looking into all kinds of programs, actually I'm really lucky b/c I have a neuropsycologist who's really in the know about the different programs and entrance requirements for the different psychology and neurobiology programs I'm looking at.
> So good hearing from you man, I think of you as a real friend too. Just keep me posted on your progress...I really am excited that Nardil is going to make you a very happy person. And you deserve that.Thanks Ace you're da best.
>
> God Bless,
> Andrew.
This is the end of the thread.
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