Psycho-Babble Medication Thread 822981

Shown: posts 1 to 10 of 10. This is the beginning of the thread.

 

Nardil insomnia

Posted by 4WD on April 12, 2008, at 21:48:53

How can I deal with the Nardil insomnia? I am going to bed at 11 and waking up at 1 or 2 or 3. Im a zombie the rest of the day unless I can get a nap and end up having to take extra benzos to get a nap during the day.

How long will this last? Is it relatively short lived and I can look forward to its eventually passing or at least getting better? Or is this something that is going to last forever?

What is the best dosing schedule to avoid the insomnia? I take 15mg three times a day.

Marsha

 

Re: Nardil insomnia » 4WD

Posted by Phillipa on April 12, 2008, at 22:54:36

In reply to Nardil insomnia, posted by 4WD on April 12, 2008, at 21:48:53

Hi Marsha sorry about the insomnia truly I am. Maybe you will just have to up that klonopin for a bit? What did the pdoc say and any of the other nardil users? Love Phillipa

 

Re: Nardil insomnia

Posted by undopaminergic on April 13, 2008, at 0:49:11

In reply to Nardil insomnia, posted by 4WD on April 12, 2008, at 21:48:53

> How can I deal with the Nardil insomnia? I am going to bed at 11 and waking up at 1 or 2 or 3. Im a zombie the rest of the day unless I can get a nap and end up having to take extra benzos to get a nap during the day.
>
> How long will this last? Is it relatively short lived and I can look forward to its eventually passing or at least getting better? Or is this something that is going to last forever?
>
> What is the best dosing schedule to avoid the insomnia? I take 15mg three times a day.
>
> Marsha

In theory, taking the whole dose in the morning could help reduce insomnia, but I'm afraid it may be an inevitable result of the irreversible MAO inhibition, which lasts more than a week after stopping the drug.

Anyway, I had similar disturbances of sleep while taking sertraline, and suspect that it may be a results of increased stimulation of 5-HT2 serotonin receptors, and for that reason, I would suggest trying the sedative antihistamine cyproheptadine 15-30 minutes before bedtime. I think it's available without a prescription.

 

Re: Nardil insomnia » 4WD

Posted by Jedi on April 13, 2008, at 2:32:02

In reply to Nardil insomnia, posted by 4WD on April 12, 2008, at 21:48:53

Hi Marsha,
The best thing I have found for Nardil insomnia is a very small dose of Seroquel. Some doctors may think using an atypical antipsychotic for insomnia is too far out there. But if you can't sleep, you can't get well. I only use 25mg nightly and it has almost never failed. I've been on Nardil for the better part of eleven years and this is the best I've found. My MD writes the perscription for 25 to 75mg nightly, so one perscription lasts me three months. I am very sensitive to antihistamine products such as diphenhydramine(Benadryl), they knock me out, but the tolerance builds up fairly quickly. With Seroquel, I have had no tolerance buildup in over a year of nightly use.
Good Luck,
Jedi

> How can I deal with the Nardil insomnia? I am going to bed at 11 and waking up at 1 or 2 or 3. Im a zombie the rest of the day unless I can get a nap and end up having to take extra benzos to get a nap during the day.
>
> How long will this last? Is it relatively short lived and I can look forward to its eventually passing or at least getting better? Or is this something that is going to last forever?
>
> What is the best dosing schedule to avoid the insomnia? I take 15mg three times a day.
>
> Marsha

 

Re: Nardil insomnia

Posted by 4WD on April 13, 2008, at 14:53:14

In reply to Re: Nardil insomnia » 4WD, posted by Phillipa on April 12, 2008, at 22:54:36

Thanks to all who replied. I am already taking Geodon so I'm not sure about adding Seroquel. Seroquel also tends to make me eat like a pig. But I'll have to check what dosage I have. I may have been taking 75 mg when it was originally prescribed.

I'mwilling to try anything. You just can't get by on 3 hours sleep a night. And coffee is no substitute for sleep.

Thanks,
Marsha

 

Re: Nardil insomnia » 4WD

Posted by kaleidoscope on April 13, 2008, at 16:46:13

In reply to Re: Nardil insomnia, posted by 4WD on April 13, 2008, at 14:53:14

Hi Marsha

Best of luck with whatever you try. Let us know how you do.

 

Re: Nardil insomnia

Posted by undopaminergic on April 15, 2008, at 2:56:09

In reply to Re: Nardil insomnia, posted by 4WD on April 13, 2008, at 14:53:14

> Thanks to all who replied. I am already taking Geodon so I'm not sure about adding Seroquel.
>

The sedative properties of Seroquel is due to its antihistaminic (and possibly 5-HT2-antagonistic) action, so it's better to use a real antihistamine that doesn't have the antidopaminergic and antiadrenergic properties of Seroquel. Cyproheptadine is ideal because it also blocks the 5-HT2-receptor (like Seroquel), an action that most (or all) other antihistamines lack.

>
> I'mwilling to try anything. You just can't get by on 3 hours sleep a night. And coffee is no substitute for sleep.
>

Try something like modafinil instead of coffee. It has been used with Nardil without dangerous interactions, but it should still be introduced with caution.

 

Re: Nardil insomnia

Posted by 4WD on April 15, 2008, at 16:26:22

In reply to Re: Nardil insomnia, posted by undopaminergic on April 15, 2008, at 2:56:09

I am doing better. I have found that if I take my last Nardil of the day by 3 pm, I can sleep through the night. It's worked for the last two nights, anyway. We'll see what happens in the future but for now things are better. I Slept 8 hours the last two nights !

Marsha

 

Re: Nardil insomnia » 4WD

Posted by Phillipa on April 15, 2008, at 19:29:50

In reply to Re: Nardil insomnia, posted by 4WD on April 15, 2008, at 16:26:22

Yeah for you Marsha. Isn't it wonderful!!!! Love Phillipa

 

Re: Nardil insomnia » Phillipa

Posted by 4WD on April 15, 2008, at 21:38:52

In reply to Re: Nardil insomnia » 4WD, posted by Phillipa on April 15, 2008, at 19:29:50

> Yeah for you Marsha. Isn't it wonderful!!!! Love Phillipa

Thanks, Phillipa. Yes, it has been great getting a couple of nights of sleep!

Marsha


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