![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 25 of 52. This is the beginning of the thread.
Posted by JayBTV2 on February 23, 2010, at 21:09:27
Hello,
I'm about 3months into a trial of Parnate and the results have been so so. I'm up to 50/60mg for the last couple weeks and I don't think it's helping my depression all that much. I'm not finding interest in things I used like (IE playing guitar) and I'm just pretty blah overall.
I plan on giving Parnate at least 3 more weeks at 60mg (when I see my pDoc next). However at my last visit to him he mentioned we could try Naril or Marplan at somepoint if Parnate doesn't work out.
I had a brief trial w/ Nardil a few years ago but I was smoking pot with it and went manic.
I'm totally clean these days and on Lithium and Lamictal so I'm not really worried about Mania. But I keep hearing about weight gain and sexual side effects of Nardil so if we do decide to switch I think my choice will be Marplan.
Unlike Parnate and Nardil there's very limit anecdotal reviews of Marplan.
Is anyone on this forum currently taking it (hopefully doing well)? I'm interested in any information - preferably from personal experience. I've heard it referred to as Nardil-Lite but is anyone currently having success with it?
Thanks for any info.
-Jay
Posted by Phillipa on February 24, 2010, at 21:27:54
In reply to Is anyone currently taking Marplan?, posted by JayBTV2 on February 23, 2010, at 21:09:27
All I know is that in the book Listening to Prozac marplan is listed as the first Maoi? Phillipa
Posted by stargazer2 on February 26, 2010, at 21:59:03
In reply to Is anyone currently taking Marplan?, posted by JayBTV2 on February 23, 2010, at 21:09:27
I'm not on Marplan now, but I took it in the early 90's and it was very beneficial to me for a few years. It worked as well or better than my current med, Nardil.
The second time I tried it, it did not work. Back inthe 90's, the manufacturor (Roche) stopped making it since it was not a money maker for them, sending those of us on it, into a tailspin for many years, trying to find another med that would give me my life back. That never happened.
Only in the last few years did another company put it back on the market and I think they messed with the formula (of course) and it didn't help me at all. IT could have been my chemistry had changed too, but it's hard to know.
But it's certainly worth trying. I had no real side effects that I can remember, but we forget the bad stuff, if the end result is successful.
Stargazer
Posted by JayBTV2 on February 27, 2010, at 7:39:40
In reply to Re: Is anyone currently taking Marplan?, posted by stargazer2 on February 26, 2010, at 21:59:03
> I'm not on Marplan now, but I took it in the early 90's and it was very beneficial to me for a few years. It worked as well or better than my current med, Nardil.
>
> The second time I tried it, it did not work. Back inthe 90's, the manufacturor (Roche) stopped making it since it was not a money maker for them, sending those of us on it, into a tailspin for many years, trying to find another med that would give me my life back. That never happened.
>
> Only in the last few years did another company put it back on the market and I think they messed with the formula (of course) and it didn't help me at all. IT could have been my chemistry had changed too, but it's hard to know.
>
> But it's certainly worth trying. I had no real side effects that I can remember, but we forget the bad stuff, if the end result is successful.
>
> Stargazer
Thanks for the info. I've heard of formulation changes on Nardil wasn't aware Marplan changed as well (although I did know it went off the market for a bit).Hard to find a lot of anecdotal experiences about it now so that's probably not a good thing.
I've been on Parnate since December 18th (about 2 months now) but only the last month or so over 40mgs. Currently (since last week) trying 60 to 80 to see if we can get it jumpstarted. It not really doing much for me and I tend to crash in the late afternoon and want to take my seroquel to go to bed early (7/8ish).
I took Nardil a few years back but was probably manic by the time I was put on it. I had a doctor who'd give me anything and I was taking it w/ a TCA, ritain (taking more than I should), smoking pot, and a few other things considered recreational (vicodin I believe). Anyway can't blame everything on Nardil but I went psychotic manic which sadly does happen to me if I'm not careful. That was the last time I held a decent job :(
I think I'd be ok trying Nardil again now w/ the Lithium and Lamictal and being clean and stable but I also remember gaining a lot of weight. And I definitely read weight gain and sexual disfunction are SEs of Nardil and (probably) Marplan.
The main reason I asked about Marplan was to hope that maybe it 1) didn't have those SEs for some and 2) was effective. My doc mentioned it to me as an option at our last vistit although he doesn't currently have any patients taking the "new" Marplan. I'm determined to give Parnate a long fair trial but I really need it to work for me - hopefully that'll happen soon.
Thanks for the post though guys and if anyone else has any semi-recent Marplan experiences please chime in. It's most likely my next course if Parnate doesn't kick in now that I'm in the "higher" ranges.....
Posted by jch on September 19, 2011, at 19:05:53
In reply to Re: Is anyone currently taking Marplan?, posted by JayBTV2 on February 27, 2010, at 7:39:40
> > I'm not on Marplan now, but I took it in the early 90's and it was very beneficial to me for a few years. It worked as well or better than my current med, Nardil.
> >
> > The second time I tried it, it did not work. Back inthe 90's, the manufacturor (Roche) stopped making it since it was not a money maker for them, sending those of us on it, into a tailspin for many years, trying to find another med that would give me my life back. That never happened.
> >
> > Only in the last few years did another company put it back on the market and I think they messed with the formula (of course) and it didn't help me at all. IT could have been my chemistry had changed too, but it's hard to know.
> >
> > But it's certainly worth trying. I had no real side effects that I can remember, but we forget the bad stuff, if the end result is successful.
> >
> > Stargazer
>
>
> Thanks for the info. I've heard of formulation changes on Nardil wasn't aware Marplan changed as well (although I did know it went off the market for a bit).
>
> Hard to find a lot of anecdotal experiences about it now so that's probably not a good thing.
>
> I've been on Parnate since December 18th (about 2 months now) but only the last month or so over 40mgs. Currently (since last week) trying 60 to 80 to see if we can get it jumpstarted. It not really doing much for me and I tend to crash in the late afternoon and want to take my seroquel to go to bed early (7/8ish).
>
> I took Nardil a few years back but was probably manic by the time I was put on it. I had a doctor who'd give me anything and I was taking it w/ a TCA, ritain (taking more than I should), smoking pot, and a few other things considered recreational (vicodin I believe). Anyway can't blame everything on Nardil but I went psychotic manic which sadly does happen to me if I'm not careful. That was the last time I held a decent job :(
>
> I think I'd be ok trying Nardil again now w/ the Lithium and Lamictal and being clean and stable but I also remember gaining a lot of weight. And I definitely read weight gain and sexual disfunction are SEs of Nardil and (probably) Marplan.
>
> The main reason I asked about Marplan was to hope that maybe it 1) didn't have those SEs for some and 2) was effective. My doc mentioned it to me as an option at our last vistit although he doesn't currently have any patients taking the "new" Marplan. I'm determined to give Parnate a long fair trial but I really need it to work for me - hopefully that'll happen soon.
>
> Thanks for the post though guys and if anyone else has any semi-recent Marplan experiences please chime in. It's most likely my next course if Parnate doesn't kick in now that I'm in the "higher" ranges.....
>
>I took Marplan in the early 80's and it was fabulous. However I came by it in a very strange fashion. It was reccomended by a friend of my mothers' that I see a specific doctor in Washington, D.C. (I lived in NYC) and so I did. He handed me a print out of several multiple choice questions, which I filled out on the spot. He scanned it and said I was a good candidate for his treatment and handed me a bottle of pills, told me the dosing and said call him in a week.
I never saw him again, and spoke with him regularly only for the first 3 weeks. After that I would call when I needed more medication and he would send me some(for a price). I referred to him as "the quack".
As for the drug, it was a miracle. I loved it; I loved life, and all was good as long as I was busy. The only side effects I had was jumping legs while falling asleep, which was alleviated by a large dose of a B vitamin and I slept much less than normal.
I worked freelance and if I was without a job for a period of time, I would be bouncing off the wall. I was considering lowering the dosage when "the quack" killed himself. Stopped taking the drug.
Since then I have seen a number of therapists, always requesting Marplan. All the doctors said no and I ended up taking 9 drugs in various combinations to no avail. Finally, in the late 90s I found a doctor, who after looking over my list of drugs taken and their effects, suggested I try an Maoi again. I nearly cried. We found that Marplan had dissapeared and I went on Nardil. It worked for my mental state but left me with no energy. We added Ritalin and for several years I did fine.
A few years ago I found that my meds were no longer working that well for me. I had found that Marplan was back on the market and was so excited. Disapointment followed when I discovered that Marplan was not as effective as Nardil and 3/4 time as expensive. I then tried Parnate and was unable to walk more than 5 steps without collapsing to the floor.
Am now back on Nardil, and looking to add something to alleviate the lack of interest in doing anything.
Posted by zonked on September 21, 2011, at 11:28:27
In reply to Is anyone currently taking Marplan?, posted by JayBTV2 on February 23, 2010, at 21:09:27
Gave it two months at the maximum dosage my doctor at the time would allow, 60mg. Nothing.
There are people who have done well on Marplan since it changed hands here, I believe maoi_wowee was one of them.
Good luck... seems to be a hit or miss med.
-z
Posted by stargazer2 on September 23, 2011, at 15:24:18
In reply to Re: Is anyone currently taking Marplan? » JayBTV2, posted by zonked on September 21, 2011, at 11:28:27
I've been on Marplan for a few months now (end of July) starting at 10 mg, progressing to 40 and now, just in the last week to 50.
My depression had reached an all time low, with undergoing ECT in May with limited success.
Marplan has been a life saver as I was contemplating suicide seriously.Along with Marplan I take 300 mg Lithium for a total of 600/day. At night I take 50 mg Seroquel XR. Do not take Marplan after mid afternoon else it may affect your sleep.
I have taken Nardil in the past with success but the last time it was ineffective.
Stargazer
Posted by zonked on September 23, 2011, at 16:48:28
In reply to Re: Is anyone currently taking Marplan?, posted by stargazer2 on September 23, 2011, at 15:24:18
Maybe I didn't stay on it long enough - do you remember how far into your trial you noticed anything?
-z
> I've been on Marplan for a few months now (end of July) starting at 10 mg, progressing to 40 and now, just in the last week to 50.
>
> My depression had reached an all time low, with undergoing ECT in May with limited success.
> Marplan has been a life saver as I was contemplating suicide seriously.
>
> Along with Marplan I take 300 mg Lithium for a total of 600/day. At night I take 50 mg Seroquel XR. Do not take Marplan after mid afternoon else it may affect your sleep.
>
> I have taken Nardil in the past with success but the last time it was ineffective.
>
> Stargazer
Posted by stargazer2 on September 23, 2011, at 17:51:25
In reply to Re: Is anyone currently taking Marplan? » stargazer2, posted by zonked on September 23, 2011, at 16:48:28
z...I think only a month but I went right up to 40 rather quickly. You can go higher too. I wonder what the Lithium is doing in combination with Marplan but it's too risky to make any changes.
The only MAO that never worked for me was Parnate.
This has been a 30+ year battle.
SG
Posted by zonked on September 23, 2011, at 18:15:32
In reply to Re: Is anyone currently taking Marplan?, posted by stargazer2 on September 23, 2011, at 17:51:25
> z...I think only a month but I went right up to 40 rather quickly. You can go higher too. I wonder what the Lithium is doing in combination with Marplan but it's too risky to make any changes.
>
> The only MAO that never worked for me was Parnate.
>
> This has been a 30+ year battle.Parnate worked for me too, but tolerance came; and with that, the effective dose also became hypo/(non-hypo?)-euphoric-mania inducing dose.
Nardil worked for me twice before. First time, I stopped it due to weight gain which I now accept as a regrettable but acceptable side effect. Second time, it pooped out; although psychosocial stress was VERY high at the time.
This time, weeks into it I got a SURGE of relief followed by nothing for months until I added testosterone. I have yet to determine whether the T would work as monotherapy or if it allowed the Nardil to kick in this time. (I am male.)
Marplan: I was on 2mo @ 60. Nothing.
Emsam: never tried the patch, but I did try the selegiline pills - helped a lot with depression but made me anxious and irritable much like Wellbutrin did.
That's my MAOI history. My SSRI history is less interesting: Zoloft: Amazing remission for two years followed by maximum dose, followed by poop out. I proceeded to try every SSRI on the market except Luvox, every last one, without effect.
SNRI: Both Effexor XR and Cymbalta made me so anxious I felt as thought I swallowed 10 sudafed. Couldn't sit still. Couldn't relax. Paced the floor all day for weeks until I happily threw them down the toilet.
Wellbutrin: See above, except with added anger at the least little thing. (not my personality.)
Remeron: No fair trial; it made me too sleepy so I quit it and got back on Parnate after 1 week.
TCAs: Nortriptyline, one of the worst experiences of my life. Panic attack pill. Made me rage at people which is not at all my personality. Like what I describe about Wellbutrin or Effexor only amplified. Scared me away from the entire class.
10 years for me, but that's almost my entire adult life. I'm just thankful for days like today and really, my overall improvement since I added testosterone.
So it's a fight many of us are so familiar with; I'm glad you're getting relief. :-)
Posted by stargazer2 on September 23, 2011, at 18:48:21
In reply to Re: ...taking Marplan? (My AD-history-in-a-box.) » stargazer2, posted by zonked on September 23, 2011, at 18:15:32
Thank you...without getting relief life is not worth living anymore...When I started this battle in 1987 I was under the impression that my depression was treatable. I became aware of the resistent nature of my depression and began to live a life of utter hopelessness. No matter what I tried, remission was elusive.
The only other combination that did something for a few years was Celexa, Wellbutrin and adderall.
I also took Emsam with little effect.
I also have been on Lamictal, Zyprexa, Seroquel, Risperdal and scads of AD's too numerous to mention.
If the Marplan didn't work, we were going to try Amino Acids, which for a psychiatrist is unheard of.
I also toyed with the idea of Transmagnetic Stimulation or Vagus Nerve Stim but as with ECT, I'm terrified by those treatments.
I just want "normal" depression that responds to medications like most people's do. I don't know why my life has been so difficult, it seems like I was chosen to suffer and not be given a fair chance at life. I always wondered why.
Maybe this is my time to shine.
SG
Posted by jaybtv2 on September 26, 2011, at 18:54:28
In reply to Re: Is anyone currently taking Marplan?, posted by jch on September 19, 2011, at 19:05:53
I don't frequent this forum too much anymore but just wanted to say I'm still taking Marplan (30mg) and the last year and a half has been great.
Some of the success has to do with positive life changes like a move and quitting drinking completely but I know Marplan has done a lot to keep me from dropping into depression.
Posted by stargazer2 on September 26, 2011, at 19:18:57
In reply to Re: Is anyone currently taking Marplan?, posted by jaybtv2 on September 26, 2011, at 18:54:28
Jay, that's great.
I have had a relapse in the last day or so with feeling suicidal on 50 mg Marplan, so I'm going back to 40 to see if perhaps 50 was too much. Also I;m increasing the seroquelXR from 50 to 150.
My doc is very worried about some of the things I said to him today so he wants to see me tomorrow. He mentioned putting me into the hospital but that's not going to happen.
All of these meds are so tempermental. I just hope I can get back to a baseline and stabalize as nothing else has worked so well that I'm afraid to have this fail me.
SG
Posted by Phillipa on September 26, 2011, at 21:19:29
In reply to Re: Is anyone currently taking Marplan?, posted by stargazer2 on September 26, 2011, at 19:18:57
SG hang in there it will work. I know it will. Love Phillipa
Posted by shot_away on October 4, 2011, at 11:00:46
In reply to Re: Is anyone currently taking Marplan?, posted by jch on September 19, 2011, at 19:05:53
I take Marplan! Thinking of changing tho. Since I've been on Abilify (which has helped) my BP has plumetted so much I'm constantly getting dizzy spells and collapsing. Some siezures too. Its not all down to Marplan but I do take 90mg of it and it produced hypotension by itself.
Next step is to come off Marplan and also drop Valdoxan in exchange for Parnate which I've never tried but have big hopes for. If that fails its back to Nardil- its been a while so I'd be hoping for that Nardil 'magic' again! Who knows...
Yep, Marplan is a hit-or-miss/come-and-go med alright!!! More of a background effect IMHO.
Posted by Lamdage22 on October 5, 2011, at 4:22:29
In reply to Re: Is anyone currently taking Marplan?, posted by shot_away on October 4, 2011, at 11:00:46
Im contemplating to do a 1 month Marplan trial. Currently on Nardil. Nardil works but not anything like it once used to
Posted by Chairman_MAO on October 5, 2011, at 22:58:18
In reply to Re: Is anyone currently taking Marplan?, posted by Lamdage22 on October 5, 2011, at 4:22:29
I'm hoping to get on Marplan soon; the weight gain from Nardil was too much.
Right now my pdoc does not seem too keen on adding an MAOI to a stimulant instead of vice-versa, but he said he is not ruling it out yet. I tried to take Viibryd for 10 days, I felt so horrible (anxious, GI upset, just utterly rotten) I had to quit it. I hope he doesn't take that as a sign of "noncompliance", but man that was awful. All you guys who feel good on SSRIs have got it made! ;-)
Posted by Lamdage22 on October 6, 2011, at 11:29:01
In reply to Re: Is anyone currently taking Marplan? » Lamdage22, posted by Chairman_MAO on October 5, 2011, at 22:58:18
So i hear occasionally that Marplan isn't nearly as bad on weight gain as Nardil.. Is that true??
I've been gaining like mad, too. From 90mg nardil.The changes i have done is i started dieting and started severe exercise.. (as much as my body is ready to take at this point)
My diet secret is a no-carb policy, At least 2g per kg Bodyweight Protein and moderate intake of healthy fats.
Really since I've kicked the carbs i can control my hunger awesomely. The second i start eating bread again theres an urge to binge-eat coming on.
I have lost good 8 pounds.22 to go.. cheer for me:)
No carb doesn't mean no carbs at all, but trying to stay as low as possible. It means no eating bread, no noodles, no rice and no all the other high carb foods.
Its good old bodybuilding knowledge;) They know how to diet. I will soon make a thread with my diet strategy in detail, as it works great and may for others, too.
Greetings, Ld
> I'm hoping to get on Marplan soon; the weight gain from Nardil was too much.
>
> Right now my pdoc does not seem too keen on adding an MAOI to a stimulant instead of vice-versa, but he said he is not ruling it out yet. I tried to take Viibryd for 10 days, I felt so horrible (anxious, GI upset, just utterly rotten) I had to quit it. I hope he doesn't take that as a sign of "noncompliance", but man that was awful. All you guys who feel good on SSRIs have got it made! ;-)
Posted by Chairman_MAO on October 6, 2011, at 12:07:39
In reply to Weight gain. Successful diet despite nardil!, posted by Lamdage22 on October 6, 2011, at 11:29:01
Marplan is not nearly as bad, I don't think.
If you stick to your diet, the weight gain should be minimal. That is in line with my [layman's] understanding of the Nardil weight problem. It has to do primarily with phenelzine and/or its active metabolite (PEH) on http://en.wikipedia.org/wiki/Gluconeogenesis
Posted by Lamdage22 on October 6, 2011, at 12:20:41
In reply to Re: Weight gain. Successful diet despite nardil! » Lamdage22, posted by Chairman_MAO on October 6, 2011, at 12:07:39
> Marplan is not nearly as bad, I don't think.
>
> If you stick to your diet, the weight gain should be minimal. That is in line with my [layman's] understanding of the Nardil weight problem.No, there is no weight gain. With me there is weight loss.
With meds that "cause weight gain", never forget that we breathe air. Less calories than your body needs to maintain weight equals weight loss, Nardil or not, you LOSE weight in
this calorie deficient cenario.I will give marplan a one month trial even though its gonna cost me like 500 dollars. No idea why as they sell nardil at a great price.
Anyway drop the carbs, raise protein: you gonna have an easier time with not overeating, or eating less kcal than the body needs.
Lamdage
>
Posted by Chairman_MAO on October 6, 2011, at 13:50:53
In reply to Re: Weight gain. Successful diet despite nardil!, posted by Lamdage22 on October 6, 2011, at 12:20:41
"With meds that "cause weight gain", never forget that we breathe air. Less calories than your body needs to maintain weight equals weight loss, Nardil or not, you LOSE weight in
this calorie deficient cenario."Yeah, I get that. You will lose weight. However, at some point you will stop losing weight and will be at a point where you wish to maintain that weight. All other things being equal, odds are that most people end up somewhat heavier on Nardil.
"Anyway drop the carbs, raise protein: you gonna have an easier time with not overeating, or eating less kcal than the body needs."
Yes, you are correct. If you're able to stick to an ultra-low-carb diet on Nardil, more power to you. In order for me not to have _intense_ carbohydrate cravings on that stuff, I'd have to basically eliminate carbohydrates. And even in that scenario, I imagine that I'd still weigh a little bit more, because one cannot completely eliminate carbohydrates.
http://www.ncbi.nlm.nih.gov/pubmed/3791153?dopt=Citation
"Hydrazine sulfate was evaluated using 24-hour dietary recalls and body weight determinations before and after 30 days of either placebo or hydrazine (60 mg, 3 times/d) oral administration in 101 heavily pretreated cancer patients with weight loss. After 1 month, 83% of hydrazine and only 53% of placebo patients completing repeat evaluation maintained or increased their weight (P less than 0.05). In addition, appetite improvement was more frequent in the hydrazine group (63% versus 25%, P less than 0.05). Although caloric intake was only slightly greater in hydrazine-treated patients, an increased caloric intake was more commonly associated with weight gain in patients receiving hydrazine compared with those receiving placebo (81% versus 53%, respectively). Hydrazine toxicity was mild, with 71% of patients reporting no toxic effects. Hydrazine sulfate circulatory levels were obtained from a subset of 14 patients who completed 30 days of treatment, with a single sample obtained in the morning at least 9 hours after the last dose. Mean maintenance hydrazine sulfate levels, determined using a spectrofluorometric assay, ranged from 0 to 89 ng/ml (mean 45 +/- 16 ng/ml). These data, which demonstrate an association between 1 month of hydrazine sulfate administration and body weight maintenance in patients with cancer, suggest future clinical trials of hydrazine sulfate are indicated to definitively assess its long-term impact on important clinical outcome parameters in defined cancer populations."
And this is in a scenario where people are _trying desperately_ to gain weight.
Posted by Lamdage22 on October 7, 2011, at 7:38:48
In reply to Re: Weight gain. Successful diet despite nardil! » Lamdage22, posted by Chairman_MAO on October 6, 2011, at 13:50:53
> Yes, you are correct. If you're able to stick to an ultra-low-carb diet on Nardil, more power to you. In order for me not to have _intense_ carbohydrate cravings on that stuff, I'd have to basically eliminate carbohydrates. And even in that scenario, I imagine that I'd still weigh a little bit more, because one cannot completely eliminate carbohydrates.
It does not cause me all to much effort honestly. My life is funny.. when I'm down i can't bring up discipline/drive for anything.
When I'm up it seems to go without all too much effort. Even with some ease. At some point it makes "click" i pull through with everything i have and i get into something like auto-mode.
I feel relief and thats probably also a reason i have an easy time with losing weight. Weight gain is also atypical depression, which nardil is prescribed for.My med/supplement regimen seems to work and I'm soon starting therapy again. I told my regular hooker that i do like her very much (i do) but i won't be her customer anymore. She told me stuff like "i like you" "i love you" and "marry me" over and over again and we had good connection. Anyway: Gave her my number and told her it'd be up to her if we see each other again or not. It was a courageous step for me.
Right now i feel a little bit like this: http://www.youtube.com/watch?v=dkgbThFqDdQ i REALLY do:)..Greetings,
..Lamdage..Ps. Like i said i will post my diet strategy in detail as soon as i find time. Its golden for me :)
Posted by stargazer2 on October 7, 2011, at 9:26:47
In reply to Re: Weight gain. Successful diet despite nardil!, posted by Lamdage22 on October 7, 2011, at 7:38:48
The divorce diet works wonders, lost 40 pounds while on Nardil. Gaining it back on Marplan but not at a baseline yet.
Stargazer
Posted by Lamdage22 on October 7, 2011, at 10:45:27
In reply to Divorce diet on NArdil, posted by stargazer2 on October 7, 2011, at 9:26:47
Sounds like it was more for personal reasons than the meds?
Ld
Posted by shot_away on October 7, 2011, at 16:34:00
In reply to Weight gain. Successful diet despite nardil!, posted by Lamdage22 on October 6, 2011, at 11:29:01
> So i hear occasionally that Marplan isn't nearly as bad on weight gain as Nardil.. Is that true??
Its true! But everything on Marplan seems less compared to Nardil. Side effects but efficiacy too. Its like a background drug- one to augment for sure. Maybe an excellent med for depression alone, but the slightest accompanying anxiety and you'll need something else coz Marplan is too activating in this case. Major depressives may also find it fairly weak. Remember- 10mg for every 15mg of Nardil is the equivalent. I take 90mg Marplan and still need a second AD + Abilify. And still 4-5mg Klonopin for the SA. Lets face it, Nardil can do it all when it works. Aww, its getting more tempting that Nardil!!
Go forward in 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.