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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by Fivefires on May 14, 2008, at 20:59:42
You were all collapsed so I couldn't see you.
Its just me that's all alone. You guys aren't ditchin' me too are ya'????
I'm sad, butt, will someone please share some of their knowledge re: Nardil, as I've inquired above, please?
Pretty please? Green peas? I'm a lunatic; maybe it's workin'!
Body feels 'bad' though and I've got 'cotton puff head', and
LIKE I SAID, IN POST ABOVE, (Don't get me in trouble w/ the 3-post rule sumbutty.) I'M ASCARED CUZ ...
THIS 'ZOMBIE' FEELING I'M HAVING, WELL, AS I SAID ABOVE, WAS TOLD IT IS A 'NERVOUS SYSTEM INSULT'.
That's what the only person (well there was another person who cared about me today) who cared about me today, told me, just b4 we were disconnected :( ...
talk would be nice, 5f
Posted by gardenergirl on May 14, 2008, at 22:26:10
In reply to BAD BABBLERS!, posted by Fivefires on May 14, 2008, at 20:59:42
And how long ago? What are you taking it with?
gg
Posted by Fivefires on May 14, 2008, at 23:12:39
In reply to How much did you take for your first dose? » Fivefires, posted by gardenergirl on May 14, 2008, at 22:26:10
15 mg GG. Ya' think this is gonna' get worse.
I'm too 'damaged' to be doing this alone; this really is wrong. Med guy transferred to thru NAMI, in big metro county next to this one, agreed, and said get out of there. They have no $ for care. I shouldn't be alone. This is terrible.
Any1 wanna plane tic?
I haven't the wherewithall or ability to collect myself and get to an inpatient now.
I couldn't wait though. Fam away really dis'd me hard when asked for phone comfort. I just thought 'what the hell' and began them.
I've said b4 'it's wise to know our limitations' & whoever said this b4 me was right.
Had to order food, which shouldn't re no $, cuz can't fix. No appetite. Bad ache all over and stomachache. Took ranitidine. Didn't know whether it or Zantac.(?) Tylenol takes edge off a bit. I hope my face doesn't stay permanently dropped to my chin like this. Keep feeling like going to throw up. I feel a person alone, small in size, not strong, old, like me, should NOT do this by themselves and if this works out and I get 'me' back, I'm writing to my representatives! All could think today was 'no one will help me if I want to live'. That's unowhat.
Have to call pharmacy to see if can have some chocolate, even tho' don't have any. Knowing don't have; want! Can't believe one would be hungry when feeling like this. No appetite at all. Forcing self to eat.
Cant sit here long. Cant text message. Cant stay on feet long.
TY 4 your care. Wish you well.
5f
Posted by Phillipa on May 15, 2008, at 12:00:00
In reply to Re: How much did you take for your first dose?, posted by Fivefires on May 14, 2008, at 23:12:39
How are you today? I will google some info for you. Phillipa
Posted by Phillipa on May 15, 2008, at 12:35:13
In reply to Re: How much did you take for your first dose? » Fivefires, posted by Phillipa on May 15, 2008, at 12:00:00
FF first site on google. Hope it helps. Phillipa
Prescription Drugs
Brand name:
Nardil
Generic name: Phenelzine sulfate
--------------------------------------------------------------------------------Why is Nardil prescribed?
Return to topNardil is a monoamine oxidase (MAO) inhibitor used to treat depression as well as anxiety or phobias mixed with depression. MAO is an enzyme responsible for breaking down certain neurotransmitters (chemical messengers) in the brain. By inhibiting MAO, Nardil helps restore more normal mood states. Unfortunately, MAO inhibitors such as Nardil also block MAO activity throughout the body, an action that can have serious, even fatal, side effectsespecially if MAO inhibitors are combined with other foods or drugs containing a substance called tyramine.
--------------------------------------------------------------------------------Most important fact about Nardil
Return to topAvoid the following foods, beverages, and medications while taking Nardil and for 2 weeks after stopping it:
Beer (including alcohol-free or reduced-alcohol beer)
Caffeine (in excessive amounts)
Cheese (except for cottage cheese and cream cheese)
Chocolate (in excessive amounts)
Dry sausage (including Genoa salami, hard salami, pepperoni, and Lebanon bologna)
Fava bean pods
Liver
Meat extract
Pickled herring
Pickled, fermented, aged, or smoked meat, fish, or dairy products
Sauerkraut
Spoiled or improperly stored meat, fish, or dairy products
Wine (including alcohol-free or reduced-alcohol wine)
Yeast extract (including large amounts of brewer's yeast)
Yogurt
Medications to avoid:
Amphetamines
Appetite suppressants such as diethylpropion
Antidepressants and related medications such as amitriptyline, bupropion, carbamazepine, citalopram, cyclobenzaprine, fluoxetine, fluvoxamine, mirtazapine, nefazodone, paroxetine, sertraline, and venlafaxine
Asthma inhalants such as albuterol
Cold and cough preparations including those with dextromethorphan
L-tryptophan-containing products
Nasal decongestants in tablet, drop, or spray form such as pseudoephedrine
Sinus medications such as Sinutab
Stimulants such as epinephrine and methylphenidate
Taking Nardil with any of the above foods, beverages, or medications can cause serious, potentially fatal, high blood pressure. Therefore, when taking Nardil you should immediately report the occurrence of a headache, heart palpitations, or any other unusual symptom. In addition, make certain that you inform any other physician or dentist you see that you are currently taking Nardil or have taken Nardil within the last 2 weeks.
--------------------------------------------------------------------------------How should you take Nardil?
Return to topNardil may be taken with or without food. Take it exactly as prescribed. It can take up to 4 weeks for the drug to begin working.
Use of Nardil may complicate other medical treatment. Always carry a card that says you take Nardil, or wear a Medic Alert bracelet.
If you miss a dose...
Take it as soon as you remember. If it is within 2 hours of your next dose, skip the one you missed and go back to your regular schedule. Do not take 2 doses at once.
Storage instructions...
Store at room temperature.--------------------------------------------------------------------------------
What side effects may occur?
Return to topSide effects cannot be anticipated. If any develop or change in intensity, inform your doctor as soon as possible. Only your doctor can determine if it is safe for you to continue taking Nardil.
Side effects may include:
Constipation, dizziness, drowsiness, dry mouth, headache, liver problems, low blood pressure upon standing, sexual problems, sleep disturbances, stomach and intestinal problems, water retention, weight gain--------------------------------------------------------------------------------
Why should Nardil not be prescribed?
Return to topYou should not take this drug if you have pheochromocytoma (a tumor of the adrenal gland), congestive heart failure, or a history of liver disease, or if you have had an allergic reaction to it.
You should not take Nardil if you are taking medications that may increase blood pressure (such as amphetamines, cocaine, allergy and cold medications, or methylphenidate), other MAO inhibitors, L-dopa, methyldopa, phenylalanine, L-tryptophan, L-tyrosine, fluoxetine, buspirone, bupropion, guanethidine, meperidine, dextromethorphan, or substances that slow the central nervous system such as alcohol and narcotics; or if you must consume the foods, beverages, or medications listed above in the "Most important fact about this drug" section.
--------------------------------------------------------------------------------Special warnings about Nardil
Return to topIn clinical studies, antidepressants increased the risk of suicidal thinking and behavior in children and adolescents with depression and other psychiatric disorders. Anyone considering the use of Nardil or any other antidepressant in a child or adolescent must balance this risk with the clinical need. Nardil is not approved for treating children.
Additionally, the progression of major depression is associated with a worsening of symptoms and/or the emergence of suicidal thinking or behavior in both adults and children, whether or not they are taking antidepressants. Individuals being treated with Nardil and their caregivers should watch for any change in symptoms or any new symptoms that appear suddenlyespecially agitation, anxiety, hostility, panic, restlessness, extreme hyperactivity, and suicidal thinking or behaviorand report them to the doctor immediately. Be especially observant at the beginning of treatment or whenever there is a change in dose.
You must follow the food and drug limitations established by your physician; failure to do so may lead to potentially fatal side effects. While taking Nardil, you should promptly report the occurrence of a headache or any other unusual symptoms.
If you are diabetic, your doctor will prescribe Nardil with caution, since it is not clear how MAO inhibitors affect blood sugar levels.
If you are taking Nardil, talk to your doctor before you decide to have elective surgery.
If you stop taking Nardil abruptly, you may have withdrawal symptoms. They may include nightmares, agitation, strange behavior, and convulsions.
--------------------------------------------------------------------------------Possible food and drug interactions when taking Nardil
Return to topIf Nardil is taken with certain other drugs, the effects of either could be increased, decreased, or altered. It is important that you closely follow your doctor's dietary and medication limitations when taking Nardil. Consult the "Most important fact about this drug" and "Why should this drug not be prescribed?" sections for lists of the foods, beverages, and medications that should be avoided while taking Nardil.
In addition, you should use blood pressure medications (including water pills and beta blockers) with caution when taking Nardil, since excessively low blood pressure may result. Symptoms of low blood pressure include dizziness when rising from a lying or sitting position, fainting, and tingling in the hands or feet.
--------------------------------------------------------------------------------Special information if you are pregnant or breastfeeding
Return to topThe effects of Nardil during pregnancy have not been adequately studied. Nardil should be used during pregnancy only if the benefits of therapy clearly outweigh the potential risks to the fetus. If you are pregnant or plan to become pregnant, inform your doctor immediately. Nursing mothers should use Nardil only after consulting their physician, since it is not known whether Nardil appears in human milk.
--------------------------------------------------------------------------------Recommended dosage for Nardil
Return to topADULTS
--------------------------------------------------------------------------------The usual starting dose is 15 milligrams (1 tablet) 3 times a day. Your doctor may increase the dosage to 90 milligrams per day.
It may be 4 weeks before the drug starts to work.
Once you have had good results, your doctor may gradually reduce the dose, possibly to as low as 15 milligrams daily or every 2 days.
OLDER ADULTS
--------------------------------------------------------------------------------Because older people are more likely to have poor liver, kidney, or heart function, or other diseases that could increase the likelihood of side effects, a relatively low dose of Nardil is usually recommended at the start.
CHILDREN
--------------------------------------------------------------------------------Nardil is not recommended, since safety and efficacy for children have not been determined.
--------------------------------------------------------------------------------Overdosage
Return to topAny medication taken in excess can have serious consequences. An overdose of Nardil can be fatal. If you suspect an overdose, seek medical help immediately.
Symptoms of overdose may include:
Agitation, backward arching of the head, neck, and back, cool, clammy skin, coma, convulsions, difficult breathing, dizziness, drowsiness, faintness, hallucinations, high blood pressure, high fever, hyperactivity, irritability, jaw muscle spasms, low blood pressure, pain in the heart area, rapid and irregular pulse, rigidity, severe headache, sweating
Posted by gardenergirl on May 15, 2008, at 18:33:56
In reply to Re: How much did you take for your first dose?, posted by Fivefires on May 14, 2008, at 23:12:39
Hi,
I didn't have symptoms like that when I started, at least not that I recall. So I wondered if maybe you'd taken a higher dose to start than I did. But of course we're all different. Scott's post was reassuring to me, I hope you found it so, too.About chocolate, I eat more than I should weight-wise, and it's never interacted with the Nardil. I don't have the really fancy-shmancy European kind, so I don't know if that would be a problem, but everyday chocolate seems fine.
I'm sorry you're alone in this. It's scary and hard, I know. I got a lot of support here when I was considering it and since I've been taking it. I'll try to keep my eyes peeled for your posts, though I'm not here as much as I used to be.
Take care. I'm thinking of you.
gg
Posted by Fivefires on May 17, 2008, at 3:28:44
In reply to Re: How much did you take for your first dose? » Fivefires, posted by Phillipa on May 15, 2008, at 12:00:00
Another here suggested I not start dosage so high/frequent. Being only weigh 110lbs (and I'm losing) I was right on this! So, called pharmacy who said can't score, so will take the 15mg Nardil 2x a day for this first 5-7days, then the 3x a day next 5-7days (the way it was started). Tks guys for looking at this.
I just awoke 'after midnight' after an appt w/ an N.P. I only rec'd because another county got after this one about my not being seen right away. I said 'wherever Kath is, need to start a vigil I get care elsewhere'. Daughter went w/ me and doesn't want me to go back.
Not really the fault of the practioners, counties w/ no $ have lesser to give.
I'm lonely tonight, like most since realized sig-rel going nowhere, for me anyway. Other person spread too thin to be w/ me.
I've spoken about Sierra Tucson in other thread. If my medicare advantage plan approves out of network it has a dual program for chronic pain and behavioral health. So, if I can't get inpatient Scottsdale because 'i want to live instead of die', pray my pcp 'can request pre-cert auth for coverage down south a bit'.
It's gonna' be a long wkend so I'd like to keep in touch w/ you all, here alone.
hope all well, 5f
Posted by Fivefires on May 17, 2008, at 3:42:35
In reply to Re: How much did you take for your first dose?, posted by Phillipa on May 15, 2008, at 12:35:13
Just deleted whole post. Maybe should end this one and move back to one called NARDIL DAY1 KNEW WOULD LOSE SELF.
I'm not gonna do the 15mg 3xa day for this first 5-7days, but instead 2xa day. Think already said.
Did I mention Sierra Tucson? Did so in other thread mentioned here. It's possible addressing my chronic pain and its management might be a do-able if can get there, and w/ proper ins. approach can do.
What about 'yogurt' and 'soy sauce'. A nurse line said they were listed as no-nos. Is there tyramine in these or what it is I'm not sure. Too bad this 'amino acid?' isn't listed as an ingredient huh?
Cut back on soda, coffee, chocolate. Can't afford much more than Buddig for meat. Good gosh hope there's no tyramine in it. All have is some french bread and this and some sliced cheese.
Is it just the tyramine or something else used in 'soy sauce' ... not MSG? Yogurt ... a preservative?
Tyramine is an amino acid isn't it? I'm so 'not with it'.
I shared on other post NARDIL DAY 1 KNEW WOULD LOSE SELF some plans re: Sierra Tucson. Shall we go there?
Wish you all good wkends, and once again want say appreciate' I'd not be here today if not for this site.
5f
This is the end of the thread.
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