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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by angels78 on May 4, 2010, at 19:26:52
Anyway to reduce the afternoon tiredness from Nardil?
Posted by stargazer2 on May 5, 2010, at 8:41:40
In reply to Nardil Afternoon Tiredness...ahhh!, posted by angels78 on May 4, 2010, at 19:26:52
What time do you take Nardil? did best with a split dose with the larger portion at night, ie. 15 mg in the Am, 30 mg at night.
Also, have to drink coffee and then added a stimulant (tiny dose) in the afternoon. But most docs will not allow you to take any stims with Nardil, so that is a problem.
Weight gain...if exercise is not part of your routine, you have to make it one. Gaining weight is just an inevitable part of this med...
I did not gain weight when I first took Nardil (in my 20's)since the drug worked very differently (better).
Only those who took the original formula will understand this.
Posted by angels78 on May 5, 2010, at 9:39:22
In reply to Re: Nardil Afternoon Tiredness...ahhh!, posted by stargazer2 on May 5, 2010, at 8:41:40
> What time do you take Nardil? did best with a split dose with the larger portion at night, ie. 15 mg in the Am, 30 mg at night.
> I take 30 mg at 9 AM, and 30 mg at 2 PM, the afternoon dose only makes me tired for about 2 hours.
> Also, have to drink coffee and then added a stimulant (tiny dose) in the afternoon. But most docs will not allow you to take any stims with Nardil, so that is a problem.
> I heard no caffeine on Nardil?
> Weight gain...if exercise is not part of your routine, you have to make it one. Gaining weight is just an inevitable part of this med...
> I did gain weight in my belly, but it is invitable. I have to started working out soon.
> I did not gain weight when I first took Nardil (in my 20's)since the drug worked very differently (better).
>
> Only those who took the original formula will understand this.
>
Posted by stargazer2 on May 5, 2010, at 13:36:22
In reply to Re: Nardil Afternoon Tiredness...ahhh! » stargazer2, posted by angels78 on May 5, 2010, at 9:39:22
I have never restricted myself from caffeine and have not had a problem. YOu can try it and of course don't drink unlimited amounts. That's where you can get in trouble by assuming there is no risk when ther might be a low risk. But you have to do what you are comfortable with. I have taken MAO's since 1987, so I have some experience with the meds and my reaction. Only got a headache once when I ate a few pieces of pizza, but I still eat it, never more than 2 slices.
With the diet, moderation of any low tyramine foods is OK, with the exception of foods that have a high tyramine count, like aged cheese, red wine, sausage, etc.
Ask your doc about switching half of your dose to night time.
Posted by angels78 on May 5, 2010, at 14:20:17
In reply to Re: Nardil Afternoon Tiredness...ahhh!/angels, posted by stargazer2 on May 5, 2010, at 13:36:22
May I ask why do you think the second dose should be taken at night not in the afternoon, is just because of the sedation/tiredness factor?
Posted by SammyJar on May 5, 2010, at 19:13:57
In reply to Nardil Afternoon Tiredness...ahhh!, posted by angels78 on May 4, 2010, at 19:26:52
I hear a lot of people on Nardil complain of both afternoon tiredness and insomnia. Is it the insomnia that's causing the afternoon tiredness, or are they unrelated?And does anyone know how long you have to wait after going off a SSRI before you can start Nardil?
Posted by atypical on May 5, 2010, at 21:03:37
In reply to Nardil Afternoon Tiredness...ahhh!, posted by angels78 on May 4, 2010, at 19:26:52
Ah, I remember like it was yesterday. I've been on Nardil 60mg for a year now. I had every single . side effect in the book. It was horrible, but Nardil worked. Afternoon sleepiness was certainly one of them, which got worse when I went up to 75. However, it was reduced going back to 60. Fast forward to half a year later and I don't have any side effects whatsoever. No more sexual side effects, no more sleepiness, etc. So it may pass for you.
Posted by angels78 on May 5, 2010, at 22:01:05
In reply to Re: Nardil Afternoon Tiredness...ahhh!, posted by atypical on May 5, 2010, at 21:03:37
> Ah, I remember like it was yesterday. I've been on Nardil 60mg for a year now. I had every single . side effect in the book. It was horrible, but Nardil worked. Afternoon sleepiness was certainly one of them, which got worse when I went up to 75. However, it was reduced going back to 60. Fast forward to half a year later and I don't have any side effects whatsoever. No more sexual side effects, no more sleepiness, etc. So it may pass for you.
How long did it take you to notice the effects from Nardil?
Posted by stargazer2 on May 5, 2010, at 22:59:22
In reply to Re: Nardil Afternoon Tiredness...ahhh!/angels » stargazer2, posted by angels78 on May 5, 2010, at 14:20:17
Anytime I have had a problem with being tired or with insomnia, my doc has had me switch when I take the med. Sometimes it helps other times not, but at least you see the effects of timing and how it impacts how you feel the next day.
I did better taking my whole dose at night.
Posted by pedr on May 6, 2010, at 7:43:23
In reply to Nardil Afternoon Tiredness...ahhh!, posted by angels78 on May 4, 2010, at 19:26:52
Mmmm toughie. Like atypical I've found that it is diminishing but I did have it for about 6 months. It's pretty embarrassing to wake up at work because you're PC is beeping crazily because you fell asleep holding the 'z' key down... And then doing it again 5 mins later...
Caffeine doesn't do jack for me, no matter how much I cane it. I'm trying Provigil 200mg now but mainly for playing sport, as an experiment.
I'd say: Try caffeine, try and get a stim off your doc or just deal with it as best as and wait a few months for it to fade. For example, when I was about to drop off at work, I'd go sit on the trap (toilet) and take a nap. I'd set my iPhone alarm to wake me up. Not the most pleasant of places to nap but more professional than falling asleep on your keyboard.
It goes without saying: this is just my opinion, I'm not a doc, YMMV.
HTH,
Pete
Posted by pedr on May 6, 2010, at 8:05:16
In reply to Re: Nardil Afternoon Tiredness...ahhh! » angels78, posted by pedr on May 6, 2010, at 7:43:23
forgot to add:
nardil 30mg
Cmax43 mins
half-life11.6 hoursi.e. the maximum amount of Nardil is in your blood after 43 mins and half of the 30mg has left the blood (I think) by 11.6 hours.
Since I take 90mg, it's hard to utilize these numbers since I split my dose. I do 30mg at 7:30am, 5pm and 11pm. If you're taking less then you could try 5pm and 11pm? So by 11am, half of the 30mg is gone already.
I'm not a doctor etc. etc.
Pete
Posted by jedi on May 6, 2010, at 13:58:00
In reply to Re: Nardil Afternoon Tiredness...ahhh!, posted by SammyJar on May 5, 2010, at 19:13:57
>
> I hear a lot of people on Nardil complain of both afternoon tiredness and insomnia. Is it the insomnia that's causing the afternoon tiredness, or are they unrelated?
>
> And does anyone know how long you have to wait after going off a SSRI before you can start Nardil?Hi
I believe the afternoon tiredness is related to the insomnia if you succumb to the urge for that two hour nap. I have found, for me, that the afternoon tiredness does decrease over time. I have always had to take something for insomnia while on high dosage Nardil. Both side effects are also dosage related for me. Much worse at 90mg than at 60mg.The usual washout from a SSRI is 14 days. However Prozac is different and most say that a 5 week washout period is necessary. Please check with your Dr.
Be Well
Jedi
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