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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 15 of 15. This is the beginning of the thread.
Posted by Maxime on December 8, 2006, at 21:46:25
I just started Nardil last week at 30 mg.
Questions:
1. How much weight am I going to gain?
2. What can I do to stop the weight gain?
3. What dosage on you on and when do you take it?
4. What's the usual dosage?
5. HOW MUCH WEIGHT AM I GOING TO GAIN?I am taking Aderall XR with it and not experiencing any bad side effects. I used to take it with 80 mg of Parnate.
Thanks.
Maxime
Posted by gardenergirl on December 8, 2006, at 22:14:37
In reply to Questions re. Nardil, posted by Maxime on December 8, 2006, at 21:46:25
> I just started Nardil last week at 30 mg.
>
> Questions:
>
> 1. How much weight am I going to gain?Everyone's different, so it's hard to say. Sorry.
> 2. What can I do to stop the weight gain?
The Adderall might help. I take Provigil, and I think it helps a teensy bit. Actually, I'm not gaining anymore, and I've even lost about 7% from my peak weight. I also take 600 mcg chromium picolinate. I don't know whether that helps or not, but it doesn't seem to hurt. I think it's the Provigil that's helping now that I think about it.
> 3. What dosage on you on and when do you take it?
I'm currently on 60 mg (4 tablets). I take one in the a.m., around 7, two in the afternoon around 2, and one at night, around 10. If I take 67.5 mg (4.5 tablets), I take two in a.m., one and a half at 2, and one at night. I have no real reason for how I do this. I used to split up 60 into one table four times a day, but that was annoying. I've wondered if it would be just as fine to do two tabs twice a day. I might try that, we'll see.
> 4. What's the usual dosage?
Depends on who you ask. I would guess 60-90 mg.
gg
Posted by Maxime on December 8, 2006, at 22:53:45
In reply to Re: Questions re. Nardil » Maxime, posted by gardenergirl on December 8, 2006, at 22:14:37
Thanks GG. I find it SO sedating. The Aderall barely gets me going. I don't know if I could take in the day!
I also take chromium picolinate to keep my blood sugar as level as possible. It does help.
Thanks for your input.
Maxime
Posted by Maxime on December 9, 2006, at 12:20:47
In reply to Questions re. Nardil, posted by Maxime on December 8, 2006, at 21:46:25
Now I KNOW a lot of people here have been on Nardil. I really need to know more about the weight gain. If it's going to be problem, I have to stop the med. I have an eating disorder and gaining weight is not an option right now. I already had one heart attack. If I gain weight I will resort to EXTREME weight loss methods that will put me in danger of another.
Please ... anyone?
Maxime
Posted by Declan on December 9, 2006, at 15:31:53
In reply to URGENT: Re Nardil and Weight gain, posted by Maxime on December 9, 2006, at 12:20:47
G'day Maxi
This will sound ridiculous, but cinnamon decreases insulin resistance.
Possibly including it in your diet may help with weight gain?
I'd wondered whether Metformin might also help?
I know another poster tried it and found bad side effects, but it is recommended by some antiaging doctors, possibly in lowish doses?
In some respects it is alleged to replicate caloric retriction, so I seem to remember.
Declan
Posted by Maxime on December 9, 2006, at 18:38:49
In reply to Re: URGENT: Re Nardil and Weight gain, posted by Declan on December 9, 2006, at 15:31:53
> G'day Maxi
> This will sound ridiculous, but cinnamon decreases insulin resistance.
> Possibly including it in your diet may help with weight gain?
> I'd wondered whether Metformin might also help?
> I know another poster tried it and found bad side effects, but it is recommended by some antiaging doctors, possibly in lowish doses?
> In some respects it is alleged to replicate caloric retriction, so I seem to remember.
> DeclanThanks Declan, I will look it up. :)
The calorie restriction that I do is bad enough. It's when I start taking Ephedra and laxatives by the handful that things get kinda scary for me. I know it's hard for people to understand.
Thanks again for your response.
xxx
Maxime
Posted by Maxime on December 9, 2006, at 18:44:15
In reply to Re: URGENT: Re Nardil and Weight gain, posted by Declan on December 9, 2006, at 15:31:53
> G'day Maxi
> This will sound ridiculous, but cinnamon decreases insulin resistance.
> Possibly including it in your diet may help with weight gain?
> I'd wondered whether Metformin might also help?
> I know another poster tried it and found bad side effects, but it is recommended by some antiaging doctors, possibly in lowish doses?
> In some respects it is alleged to replicate caloric retriction, so I seem to remember.
> DeclanOh, just looked up Metformin, there is no way my doctor would prescribe that for me. I would probably be on the floor face down since my blood sugar is usually too low.
Cinnamon ..
Maxime
Posted by Honore on December 9, 2006, at 19:04:39
In reply to Re: URGENT: Re Nardil and Weight gain » Declan, posted by Maxime on December 9, 2006, at 18:44:15
Hi, Maxime.
I know it's not as much reassurance as you probably want (it didn't really get me to take Nardil, but I probably would give it a try now), but my pdoc said to me that only about 20% of his patients gain more than about 5-7 lbs on Nardil.
I'm not totally sure about the percentage-- but it was in that range. He thought 5-7 lbs was possible-- although not universal by any means. I don't have an eating disorder, but gaining weight would be something I couldn't handle. So I asked him quite a bit about it.
I could accept 5 lbs (not happily, but could put up with it), and maybe even 7 lbs. for a great AD, but not more.
I'm not sure if that would be acceptable for you.
If you gained a few pounds would that be okay? or would you be too hard? I mean, you could always put a limit, like 5 lbs. and then stop if you went up. Which you might not.
Has your pdoc considered Emsam? It's a more activating sort of Maoi, which I found much better for myself than Parnate, which also was sedating in my case.
Honore
Posted by Maxime on December 9, 2006, at 21:47:46
In reply to Re: URGENT: Re Nardil and Weight gain, posted by Honore on December 9, 2006, at 19:04:39
You are so sweet. :)
Weight gain is not acceptable. I eat about 500 calories a day. I try to eat less, but it's hard. Since my heart attack, I've been staying away from Ephedra and laxatives (not all the time).
Parnate made you tired? It made me wired, but I liked it. But then it pooped out on me. I tried it twice since then but had horrible headaches.
I had tried Nardil before, but couldn't tolerate it. Now I can tolerate it. I don't understand. But I NEED the Aderall XR to stay awake. :)
EMSAM isn't available in Canada. :(
Maxime
> Hi, Maxime.
>
> I know it's not as much reassurance as you probably want (it didn't really get me to take Nardil, but I probably would give it a try now), but my pdoc said to me that only about 20% of his patients gain more than about 5-7 lbs on Nardil.
>
> I'm not totally sure about the percentage-- but it was in that range. He thought 5-7 lbs was possible-- although not universal by any means. I don't have an eating disorder, but gaining weight would be something I couldn't handle. So I asked him quite a bit about it.
>
> I could accept 5 lbs (not happily, but could put up with it), and maybe even 7 lbs. for a great AD, but not more.
>
> I'm not sure if that would be acceptable for you.
>
> If you gained a few pounds would that be okay? or would you be too hard? I mean, you could always put a limit, like 5 lbs. and then stop if you went up. Which you might not.
>
> Has your pdoc considered Emsam? It's a more activating sort of Maoi, which I found much better for myself than Parnate, which also was sedating in my case.
>
> Honore
>
>
Posted by Maxime on December 11, 2006, at 17:19:00
In reply to Questions re. Nardil, posted by Maxime on December 8, 2006, at 21:46:25
I've only been on the Nardil for 10 days, but I feel a little better. I guess that's possible. I don't know. I'm only at 30 mg. I don't feel great or even good, but I don't feel like putting a gun to my head.
Maxime
Posted by stargazer on December 11, 2006, at 20:16:20
In reply to Maybe it's helping?, posted by Maxime on December 11, 2006, at 17:19:00
I took Nardil at 30 mg many years ago. Better to be at a low lose when you start so if it stops working you can always increase the dose.
Nothing wrong with what seems like a low dose if it is working. I believe many of the so called normal dosages are actually too high for some of us. I always had a better response to a lower dose and higher doses only gave me severe SE's which caused me to have to stop many meds too early.
Don't be in a hurry to increase the dose yet. 30 mg may be enough for you.
Stargazer
Posted by Maxime on December 12, 2006, at 6:12:11
In reply to Re: Maybe it's helping?, posted by stargazer on December 11, 2006, at 20:16:20
Thanks for the advice. :)
I will see how it goes. Like I wrote, I am not even feeling good yet. I will give it a few more weeks. Maybe I will only have to go to 45 mg? That would awesome. I was on 80-100 mg of Parnate. That was high, but it's what I needed.
Stay tuned!
Maxime
> I took Nardil at 30 mg many years ago. Better to be at a low lose when you start so if it stops working you can always increase the dose.
>
> Nothing wrong with what seems like a low dose if it is working. I believe many of the so called normal dosages are actually too high for some of us. I always had a better response to a lower dose and higher doses only gave me severe SE's which caused me to have to stop many meds too early.
>
> Don't be in a hurry to increase the dose yet. 30 mg may be enough for you.
>
> Stargazer
Posted by Maxime on December 12, 2006, at 6:13:49
In reply to Re: Maybe it's helping?, posted by stargazer on December 11, 2006, at 20:16:20
>I always had a better response to a lower dose and higher doses only gave me severe SE's which caused me to have to stop many meds too early.
>Forgot to ask, what were the SEs you experienced on higher doses of Nardil?
Maxime
Posted by stargazer on December 12, 2006, at 21:46:46
In reply to Re: Maybe it's helping? » stargazer, posted by Maxime on December 12, 2006, at 6:13:49
Sorry, I never did take higher doses of the MAOi's. I was luck enough to have had a response at rather low levels. I must have been referring to other AD's, esp. SSRI's, when I made that statement.
The other thing with Nardil was that I took 15 mg twice a day. Is this still recommended?
SG
Posted by Maxime on December 13, 2006, at 11:59:47
In reply to Re: Maybe it's helping?Maxime, posted by stargazer on December 12, 2006, at 21:46:46
> Sorry, I never did take higher doses of the MAOi's. I was luck enough to have had a response at rather low levels. I must have been referring to other AD's, esp. SSRI's, when I made that statement.
>
> The other thing with Nardil was that I took 15 mg twice a day. Is this still recommended?
> SGI was prescribed to take it all at night. It actually helps me sleep which is a really good thing. I heard that Nardil cause insomnia.
Maxime
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