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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 16 of 16. This is the beginning of the thread.
Posted by Maxime on December 8, 2006, at 21:38:12
Hi.
Yes, I am back from the dead. Not a real suicide attempt, just complications from my eating disorder ... a heart attack.
I don't really know what else to say. Nothing is better. Everything is wrong.
I just started Nardil last week. I am so freaking scared of weight gain. I tried to restart the Parnate, but it gave me wicked headaches. I couldn't tolerate Nardil before, and now I can. I am only at 30 mg and don't feel any effects.
How soon before I get edema? Seriously, I need to know.
Maxime
Posted by gardenergirl on December 8, 2006, at 22:09:13
In reply to Back from the dead .. literally, posted by Maxime on December 8, 2006, at 21:38:12
Holy cow, Maxime! It's great to see you here again. A heart attack? How scary. I'm glad you're through that all right.
I don't get edema on Nardil til over 60 mg. And even then, it's not a constant thing. It's worst if I have to take an anti-inflammatory for something, even an over-the-counter dose of ibuprofen. But then, I've always been prone to swelling from anti-inflammatories for some reason.
Hope you feel it kick in soon.
gg
Posted by Maxime on December 8, 2006, at 22:27:33
In reply to Re: Back from the dead .. literally » Maxime, posted by gardenergirl on December 8, 2006, at 22:09:13
Thanks GG.
But a LOT of people gain weight from Nardil .. I know this, and I am scared.
I accidently took some cold medication about 2 hours ago! I am not used to being on an MAOI again. So I took 100 mg of Thorazine. God, I am so stupid.
If Nardil can help me .... please let it help me (with NO weight gain). If I start to gain weight I will go off it.
xx
Maxime
> Holy cow, Maxime! It's great to see you here again. A heart attack? How scary. I'm glad you're through that all right.
>
> I don't get edema on Nardil til over 60 mg. And even then, it's not a constant thing. It's worst if I have to take an anti-inflammatory for something, even an over-the-counter dose of ibuprofen. But then, I've always been prone to swelling from anti-inflammatories for some reason.
>
> Hope you feel it kick in soon.
>
> gg
Posted by madeline on December 9, 2006, at 8:33:38
In reply to Re: Back from the dead .. literally » gardenergirl, posted by Maxime on December 8, 2006, at 22:27:33
Does your doc know that you are taking thorazine and Nardil together?
Interactions between those two drugs have been reported.
I would be very careful there.
Posted by Phillipa on December 9, 2006, at 10:17:20
In reply to Re: Back from the dead .. literally » Maxime, posted by madeline on December 9, 2006, at 8:33:38
Maxime welcome back and I hope the nardil doesn't cause weight gain and swelling. A pretty much new group here now. Love Phillipa
Posted by Maxime on December 9, 2006, at 11:04:37
In reply to Re: Back from the dead .. literally » Maxime, posted by madeline on December 9, 2006, at 8:33:38
Um yeah, right. Thorazine is the med you take to prevent and treat a hypertensive reaction on Nardil. So yes my doctor knows as he precribed it.
Maxime
> Does your doc know that you are taking thorazine and Nardil together?
>
> Interactions between those two drugs have been reported.
>
> I would be very careful there.
Posted by Maxime on December 9, 2006, at 11:06:00
In reply to Re: Back from the dead .. literally, posted by Phillipa on December 9, 2006, at 10:17:20
> Maxime welcome back and I hope the nardil doesn't cause weight gain and swelling. A pretty much new group here now. Love Phillipa
Thanks. If it causes weight gain, I will stop the med.
Not sure how much I will be around ...
Maxime
Posted by madeline on December 9, 2006, at 16:22:52
In reply to Re: Back from the dead .. literally » madeline, posted by Maxime on December 9, 2006, at 11:04:37
no need for the attitude, just expressing concern here.
Thorazine is used to treat a hypertensive crisis and serotonin syndrome in an overdose of an MAOI or when an MAOI is used with an SSRI.
Maybe the cold medicine was pushing you there, and if that is where you were, then by all means you should take it. But it's just so rare to see an outpatient on thorazine.
Is anyone else out there on it?
Posted by Maxime on December 9, 2006, at 18:30:18
In reply to Re: Back from the dead .. literally, posted by madeline on December 9, 2006, at 16:22:52
I come with attitude, but I am also a caring person. It's just when people give misinformation, I get VERY hot-headed. I'm not here to be popular. I am very blunt and to the point.
I took the Thorazine to counteract the cold meds. I believe I said that in my post. That's why I have the Thorazine. That's why I took the thorazine. Thank you for your permission to take the thorazine. :)
My pdoc also prescribes Tryptophan(serotonin)to take with the Nardil. A lot of people would say that's dangerous, but I don't have reactions to it.
Thanks for your concern (sincerely).
Maxime
> no need for the attitude, just expressing concern here.
>
> Thorazine is used to treat a hypertensive crisis and serotonin syndrome in an overdose of an MAOI or when an MAOI is used with an SSRI.
>
> Maybe the cold medicine was pushing you there, and if that is where you were, then by all means you should take it. But it's just so rare to see an outpatient on thorazine.
>
> Is anyone else out there on it?
Posted by madeline on December 9, 2006, at 19:07:21
In reply to Re: Back from the dead .. literally » madeline, posted by Maxime on December 9, 2006, at 18:30:18
Alright, I can certainly respect with Maxime comes attitude. Not a problem.
Just be careful with the cold meds okay? Promise?
There actually has been speculation that thorazine might be banned in the US because of all sorts of badness associated with it, including interactions with a host of drugs. What may come of that - well your guess is as good as mine.
Even in serotinin syndrome, there are better drugs than thorazine to treat those symptoms.
Do you have online access to the New England Journal of Medicine?
If you're interested, I could get you a paper on serotonin syndrome and it's treatments.
I guess I'm just not a fan of thorazine. Sorry. I'll shut up now.
Posted by Maxime on December 9, 2006, at 21:41:04
In reply to Re: Back from the dead .. literally, posted by madeline on December 9, 2006, at 19:07:21
I'll watch my 'tude! :)
I live in Canada. My pdoc is from the UK and very old. I actually like Thorazine. I tried to use is for sleep. But it makes me lactate as I have high prolactin levels. But it actually did help me feel better. I felt calmer on it. But then the lactation started. So now it's just for emergencies.
I don't have access to the New England journal of medicine.
I never get serotonin syndrome. It's usually just when I take a cold med or something by mistake. Or once I had home made red wine and I thought I was going to die (I could drink bottled red wine). So reactions like that. I do have a high tolerance to tyramine ... that much I know.
But sure if you want to post some info, I'd be interested.
Maxime
> Alright, I can certainly respect with Maxime comes attitude. Not a problem.
>
> Just be careful with the cold meds okay? Promise?
>
> There actually has been speculation that thorazine might be banned in the US because of all sorts of badness associated with it, including interactions with a host of drugs. What may come of that - well your guess is as good as mine.
>
> Even in serotinin syndrome, there are better drugs than thorazine to treat those symptoms.
>
> Do you have online access to the New England Journal of Medicine?
>
> If you're interested, I could get you a paper on serotonin syndrome and it's treatments.
>
> I guess I'm just not a fan of thorazine. Sorry. I'll shut up now.
Posted by LlurpsieBlossom on December 10, 2006, at 0:48:08
In reply to Re: Back from the dead .. literally » madeline, posted by Maxime on December 9, 2006, at 21:41:04
Maxime,
sounds like you're taking some pretty aggressive drugs, and like you've been putting your body through a lot.please follow your pdoc's directions closely, and listen to your body. You have a very intelligent mind, but it will be useless if your body is not strong enough to to sustain it.
-Ll
Posted by 10derHeart on December 10, 2006, at 14:32:35
In reply to Re: Back from the dead .. literally » madeline, posted by Maxime on December 9, 2006, at 18:30:18
Thanks to you both - for working that little 'bump in the road' to communication out yourselves - I'm thrilled to NOT be posting a PBC.....:-)
I wish you both well....
-- 10derHeart, posting as
a poster, and
a deputy for Dr. Bob
Posted by Maxime on December 11, 2006, at 10:44:49
In reply to Re: Back from the dead .. literally, posted by LlurpsieBlossom on December 10, 2006, at 0:48:08
I really don't know what you are talking about. Can you be more specific? I've been taking Nardil and then I have had to take Thorazine because I accidently took some cold meds.
Is that what you mean?
Maxime
> Maxime,
> sounds like you're taking some pretty aggressive drugs, and like you've been putting your body through a lot.
>
> please follow your pdoc's directions closely, and listen to your body. You have a very intelligent mind, but it will be useless if your body is not strong enough to to sustain it.
>
> -Ll
Posted by LlurpsieBlossom on December 11, 2006, at 11:32:48
In reply to Re: Back from the dead .. literally » madeline, posted by Maxime on December 9, 2006, at 21:41:04
hi Maxime,
I was just worried about you because you just got out of the hospital with a heart attack.you wrote:
"Yes, I am back from the dead. Not a real suicide attempt, just complications from my eating disorder ... a heart attack.
I don't really know what else to say. Nothing is better. Everything is wrong.
I just started Nardil last week. I am so freaking scared of weight gain. I tried to restart the Parnate, but it gave me wicked headaches. I couldn't tolerate Nardil before, and now I can. I am only at 30 mg and don't feel any effects."
I'm sorry that things are so hard for you right now. I want you to take good care of yourself, even though it may be difficult to accept taking a medication that *may* cause weight gain/edema, even though such a medication that may help you think more clearly, and feel better about yourself in the long run.
later, you wrote:
"I accidently took some cold medication about 2 hours ago! I am not used to being on an MAOI again. So I took 100 mg of Thorazine. God, I am so stupid.
If Nardil can help me .... please let it help me (with NO weight gain). If I start to gain weight I will go off it."
That's why I wrote for you to extra safe and carefully follow your pdocs instructions. You deserve it to yourself to give Nardil a fair trial, and I would hate for you to end up in the hospital because of the cold medicine accident. (how's your cold, by the way? feeling better yet?)
you also wrote:
"My pdoc also prescribes Tryptophan(serotonin)to take with the Nardil. A lot of people would say that's dangerous, but I don't have reactions to it."
and later:
"I do have a high tolerance to tyramine ... that much I know."
Clearly, you know your body well. But you also know how to push your body to the limits (i.e. eating disorder). Try to keep your body healthy, and remember that your sensitivity to various chemicals and drug-interactions may change with body weight/body fat percentage and all kinds of hormonal/immune system conditions. So, listen to your body, and if you feel yourself getting ill, please go to the hospital or contact your doctor/s.
Everyone's body chemistry is unique, and I hope that you can find a combination of meds that helps you in the short run AND the long run. I also wish you a safe and gentle recovery from your heart attack. That must have been scary. I hope I haven't offended you. I really do care about your well-being (even though I don't know you. Funny huh?)
best,
-Ll
Posted by Maxime on December 11, 2006, at 15:35:10
In reply to Re: Back from the dead .. literally » Maxime, posted by LlurpsieBlossom on December 11, 2006, at 11:32:48
Thanks for your kindness, but I never said I just got out of the hospital from a heart attack. I had the heart attack SEVERAL months ago.
I know what I am doing with meds. I also know that I am killing myself with an eating disorder, yet I cannot stop.
But don't worry about me, really. And no, you did not offend me at all.
Maxime
> hi Maxime,
> I was just worried about you because you just got out of the hospital with a heart attack.
>
> you wrote:
>
> "Yes, I am back from the dead. Not a real suicide attempt, just complications from my eating disorder ... a heart attack.
>
> I don't really know what else to say. Nothing is better. Everything is wrong.
>
> I just started Nardil last week. I am so freaking scared of weight gain. I tried to restart the Parnate, but it gave me wicked headaches. I couldn't tolerate Nardil before, and now I can. I am only at 30 mg and don't feel any effects."
>
> I'm sorry that things are so hard for you right now. I want you to take good care of yourself, even though it may be difficult to accept taking a medication that *may* cause weight gain/edema, even though such a medication that may help you think more clearly, and feel better about yourself in the long run.
>
> later, you wrote:
>
> "I accidently took some cold medication about 2 hours ago! I am not used to being on an MAOI again. So I took 100 mg of Thorazine. God, I am so stupid.
>
> If Nardil can help me .... please let it help me (with NO weight gain). If I start to gain weight I will go off it."
>
> That's why I wrote for you to extra safe and carefully follow your pdocs instructions. You deserve it to yourself to give Nardil a fair trial, and I would hate for you to end up in the hospital because of the cold medicine accident. (how's your cold, by the way? feeling better yet?)
>
> you also wrote:
>
> "My pdoc also prescribes Tryptophan(serotonin)to take with the Nardil. A lot of people would say that's dangerous, but I don't have reactions to it."
>
> and later:
>
> "I do have a high tolerance to tyramine ... that much I know."
>
> Clearly, you know your body well. But you also know how to push your body to the limits (i.e. eating disorder). Try to keep your body healthy, and remember that your sensitivity to various chemicals and drug-interactions may change with body weight/body fat percentage and all kinds of hormonal/immune system conditions. So, listen to your body, and if you feel yourself getting ill, please go to the hospital or contact your doctor/s.
>
> Everyone's body chemistry is unique, and I hope that you can find a combination of meds that helps you in the short run AND the long run. I also wish you a safe and gentle recovery from your heart attack. That must have been scary. I hope I haven't offended you. I really do care about your well-being (even though I don't know you. Funny huh?)
>
> best,
> -Ll
This is the end of the thread.
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Dr. Bob is Robert Hsiung, MD,
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