![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 2 of 2. This is the beginning of the thread.
Posted by satsumas on July 30, 2008, at 14:30:51
Hi,
I've just started taking Nardil this week. I was on a series of meds in quick succession that either didn't work, worked to well (and caused hypomania) or caused bad side effects. I had a two week washout, and the only thing I was on was 450 lithium and Mirapex 1.5mg.The mirapex was my idea about two months ago, and it was added when I was trying Effexor. At first I thought it was doing something positive for the anhedonia, motivation, but it may have just been the effexor, as i titrated up pretty quickly.
Recently, however, I've been getting bad restless legs, almost akithasia. I beleive it started a few days before I started on Nardil (30mg at night). Since Mirapex is an RLS med, but typically used at much lower dosages, I'm a bit confused was what to to do. My Doctor doesn't have any experience with Mirapex for TRD, so I'm hoping someone on this board can help before I call him up again as I seem to be bothering him quite a bit lately.
Would *increasing* mirapex dose help with the restless legs/akithasia that seemed to have emerged on its own, or as a function of the nardil? Not sure why nardil would cause this, as it's more of a sedative, and my RLS is all day long, not just at night when I take the nardil.
Or, given that I'm not sure how effective the mirapex is, and i'm already strugglign with compulsive internet use and fatigue, if its not just a good idea to get off the mirapex alltogether. If I do that, what would be the appropriate withdrawal schedule? I'm at 0.5mg 3x day.
Thanks!
Posted by dcruik518 on August 4, 2008, at 8:06:49
In reply to Mirapex plus Nardil, posted by satsumas on July 30, 2008, at 14:30:51
Perhaps you should try switching to Requip; there's a chance it might work better for the RLS. Another option would be bromocriptine. All work on the the D2 and D3 receptors. It sounds to me like your experiencing a paradoxical reaction to the Mirapex, and those sorts of reactions are common for many psychiatric meds.
DRC
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.