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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 stargazer2 on April 25, 2009, at 11:35:18
I'm desparate on just Nardil and I proposed adding wellbutrin for my ADD symptoms except I can't find anyone here that has taken the two together or knows if it is safe.
I have used an old article (2002) in the past written by 2 pdocs at Mclean (bodkin, Cole) in Boston. The article had said Bupropion and Nardil was safe together. But not the XL version.
I guess I can try one dose and take a risk of a hypertensive reaction, had one before when I took Nardil and generic adderall together.I'm just concerned with Wellbutrin XL and Nardil since I think it is different than straight Bupropion and variations of the same med can cause a different reaction depending on the half life, etc.
Anyone taken Nardil and Wellbutrin XL together successfully????
Like I said I'm desparate right now, my depression is RAGING out of control...
Stargazer
Posted by Phillipa on April 25, 2009, at 12:57:50
In reply to NARDIL AND WELLBUTRIN XL together??, posted by stargazer2 on April 25, 2009, at 11:35:18
Stargazer may be able to get an answer for you. Love Phillipa
Posted by sowhysosad on April 25, 2009, at 15:07:04
In reply to NARDIL AND WELLBUTRIN XL together??, posted by stargazer2 on April 25, 2009, at 11:35:18
There's a big alarm marked "hypotensive crisis" ringing here, what with Wellbutrin being a powerful norepinephrine reuptake inhibitor.
However, I know it's safe to take Nardil with tricyclics that are NRI's, so perhaps not.
Can any of our boffins advise?
Posted by stargazer2 on April 25, 2009, at 16:40:14
In reply to Re: NARDIL AND WELLBUTRIN XL together?? » stargazer2, posted by sowhysosad on April 25, 2009, at 15:07:04
Do you mean HYPERtensive, rather than HYPO, which is more likely the effect. I thought gardenergirl had taken the two together.
Even though all of the warnings are against the two, I know others here have tried Nardil with other meds (myself included). Like I said, that article in "Current Psychiatry", June 2002 claims Nardil could be administered with Bupropion since it doesn't affect serotonin reuptake inhibition...I'm just not sure of the newer XL version.
Didn't gardener girl use the 2 together recently?
I just took the first dose of 150 XL at noon (on Nardil 45) and wanted to get info first but couldn't wait. Small window of desaprateness.
HELP Nardil experts...Thanks for responses philippa and WSS.
Posted by Zana on April 25, 2009, at 17:40:15
In reply to GARDENER GIRL ALERT! Didn't U combine the 2, posted by stargazer2 on April 25, 2009, at 16:40:14
I don't think the XL version is any different but I'd check with your pdoc. A hypertensive crisis is not an OK thing to have. You could have a stroke. Hang on until you can check with you pdoc or see if Larry is around. I'd trust Larry Hoover's judgement.
Zana
Posted by gardenergirl on April 25, 2009, at 18:10:08
In reply to GARDENER GIRL ALERT! Didn't U combine the 2, posted by stargazer2 on April 25, 2009, at 16:40:14
Posted by stargazer2 on April 25, 2009, at 18:16:22
In reply to Nope, they are contraindicated AFAIK (nm) » stargazer2, posted by gardenergirl on April 25, 2009, at 18:10:08
Posted by sowhysosad on April 25, 2009, at 18:25:22
In reply to GARDENER GIRL ALERT! Didn't U combine the 2, posted by stargazer2 on April 25, 2009, at 16:40:14
> Do you mean HYPERtensive, rather than HYPO, which is more likely the effect. I thought gardenergirl had taken the two together.
Dur! Yeah, of course I did!
I thinnk "HYPOtensive" was front-of-mind as I've had stinking imipramine-induced postural HYPOtension for 4 months!
Posted by stargazer2 on April 25, 2009, at 19:49:08
In reply to Re: GARDENER GIRL ALERT! Didn't U combine the 2, posted by sowhysosad on April 25, 2009, at 18:25:22
I've been checking my BP ever since I took the Wellbutrin around noon...
Last reading was 98/60, so it is low right now. I only had a reaction to Nardil and generic Adderall once, BP went up to 230/110 so I am being very cautious right now. And I have some Nifedepine capsules should I have a hypertensive reaction. They helped me control the elevated BP to avoid having to go to an ER. That is not where I ever want to end up. Hospitals are no the safe places they once were, I know from many personal experiences.
Cure theyself is my motto except with this bloody depression. Might as well be dead than live like this. Too many relapses in 35 years to ever feel that depression is a treatable condition.
Posted by Phillipa on April 25, 2009, at 20:49:25
In reply to Blood pressure being monitored, posted by stargazer2 on April 25, 2009, at 19:49:08
Hang in there sweetie hope you got the info. Love Phillipa. I'm always here for you. One of my favorite people. ps did you try U Gotta?
Posted by Jedi on April 25, 2009, at 21:41:45
In reply to Blood pressure being monitored, posted by stargazer2 on April 25, 2009, at 19:49:08
> I've been checking my BP ever since I took the Wellbutrin around noon...
>
> Last reading was 98/60, so it is low right now. I only had a reaction to Nardil and generic Adderall once, BP went up to 230/110 so I am being very cautious right now. And I have some Nifedepine capsules should I have a hypertensive reaction. They helped me control the elevated BP to avoid having to go to an ER. That is not where I ever want to end up. Hospitals are no the safe places they once were, I know from many personal experiences.
>
> Cure theyself is my motto except with this bloody depression. Might as well be dead than live like this. Too many relapses in 35 years to ever feel that depression is a treatable condition.Hi,
I have taken high dosage Nardil with up to 300mg of bupropion together (not the extended release, though that should not make a difference). I never had a problem with the two meds, though they are contraindicated. I finally quit when the PDOC I was seeing retired and another psychiatrist at a major university freaked out when I told him that I was taking the combination. After this, my GP did not want to prescribe the combo.I thinks the main problem is the research has not been done. So doctors are going to error on the side of safety.
It was a good combo for me.
As I've said before, be careful with the Nifedipine bite & swallow capsules. I spent a night in the hospital once with very low BP after a tyramine reaction wore off long before the nifedipine did.
Good Luck,
Jedi
Posted by stargazer2 on April 26, 2009, at 0:31:49
In reply to Re: Blood pressure being monitored, posted by Jedi on April 25, 2009, at 21:41:45
Before I read the response from Jedi, I got an email from the pdoc who wrote the article I referred to in my first post and he confirmed he had treated 20 or so patients using the combination of Nardil and Wellbutrin without any reaction, so that was music to my ears (or eyes).
He also said Abilify and Nardil was a good safe and "sometimes effective" combination, which I have tried myself. He also has prescribed Remeron with MAOs without problems.
So there you have it from Jedi and other esteemed experts who helped me out of another messy situation as so many are when you are struggling with a disease as tortuous as depression. I am greatly appreciative of all of your help and support.
What we all go through at times is nothing short of a living hell and this forum proves its worth when I have had my most serious bouts with the demons. They are not easily controlled but the fight continues as it has for 30+ years. It is wearing me down though. Getting older makes this fight even more difficult. At least with youth, you think you can beat it. After 30 years I realize it will never release its hold on me. I thought it would but I have been proven wrong. I'm now aware that this disease may actually kill me, I suppose just like any other disease. Somehow I never thought depression could be a fatal disease but I have now revised my thoughts on this.
Good night friends.
SG2
Posted by yuliy davidov on August 2, 2015, at 20:21:51
In reply to THANKS Jedi and Phillipa/Update, posted by stargazer2 on April 26, 2009, at 0:31:49
hello from ukraine,now from israel
stargazer2
I am now before the same choice as you
me 43 years, and 20 years I treat himself
experience of despair is much more than experience remission
Now my friend - Nardil
but to be friends with him is not easy
if it is possible
tell me
Can I talk to you
I do not know the rules here leave you my email
I hope you will answer in this topic
Posted by yuliy davidov on August 2, 2015, at 20:23:46
In reply to THANKS Jedi and Phillipa/Update, posted by stargazer2 on April 26, 2009, at 0:31:49
hello from ukraine,now from israel
stargazer2
I am now before the same choice as you
me 43 years, and 20 years I treat himself
experience of despair is much more than experience remission
Now my friend - Nardil
but to be friends with him is not easy
if it is possible
tell me
Can I talk to you
I do not know the rules here leave you my email
I hope you will answer in this topic
Posted by stargazer2 on August 3, 2015, at 14:41:20
In reply to after 6 years » stargazer2, posted by yuliy davidov on August 2, 2015, at 20:23:46
Hi, What do you need to know?
I still take Nardil. Its the only med that can help me And I know this from exhaustive med trials.
Currently I take Nardil 30 mg every morning, along with Ritalin, Methylphenidate, 10 mg for focus.
At night I take Seroquel 200mg. I really take
the generic called Quetiapine Fumarate. I also Take 300mg of Lithium.That is my current routine. If I can offer you any assistance please let me know. Depression is the worse illness in the world...if you have had it you know..
This is the end of the thread.
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