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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 reflecting on March 16, 2012, at 2:43:24
Hi,
I am taking Nardil now about half a year maybe - now at 90mg, already had 105mg.
While there is at least a partial response on most days, which clearly reduces social anxiety and improves dysthimia, it could still be much better... moreover, there are still side effects I can hardly tolerate in the long-run:
1. Sexual side effects (no libido, decreased arousal anorgasmia... erection still achievable somehow, since I am so young I guess)
2. Fatigue... Especially when having to something passively (like watching a movie) or just very quietly like learning... I never had such a problem, and suddenly I always fall asleep when learning after only some minutes... even if I am principally interested in the stuff, it is just not possible for me to focus and stay awake.
Since Nardil is all in all the most effective drug I tried, I wonder whether adding Ritalin is a good idea? If done carefully it seems to be safe according to different sources - still, I wonder whether it does in fact have the capability to improve the sexual functioning again and to reduce the tiredness.Does somebody have experiences?
Best,
reflecting
Posted by brklyn2311 on March 16, 2012, at 2:55:39
In reply to Nardil plus Ritalin, posted by reflecting on March 16, 2012, at 2:43:24
My opinion yess,addition of stims seem to be ok with VETERAN users of maois.How you managed to get a doc to give you both shocks me.
Of all the stims im not a fan of ritalin,adderall seems to do more as well as add a mood lift.
You know the rules though,keep the stim on a low dose,and keep an eye on how you feel.
As far the the libido thing goes,l argnine in supplment form is no good really,however it has shown to be very effective as a topical cream,in fact its up for a few patents.
Posted by reflecting on March 16, 2012, at 6:23:10
In reply to Re: Nardil plus Ritalin, posted by brklyn2311 on March 16, 2012, at 2:55:39
Thanks for your answer.
Normally I would also prefer Amphetamine to Ritalin - however, only Ritalin seems to be really safe with MAOI and without any case reports of death (Amphetamine probably has a too strong serotonerg component).
I hope that I can reduce the Nardil dose when taking the Ritalin.
The Argine stuff is totally new to me, thanks for the hint.
Oh and I do not know yet if my doc will actually do it - I just know that he is in general extremly open-minded, and if I show him the evidence for Ritaline being safe he might be okay with giving it a try.
Posted by brklyn2311 on March 16, 2012, at 10:01:44
In reply to Re: Nardil plus Ritalin, posted by reflecting on March 16, 2012, at 6:23:10
Ritalin is amphetamine.And you might wanna bring a published article on the use of stims with maois cause normaly a doc will run from it.
p.s make sure when u google,u google TOPICAL ARGNINE
Posted by williamockham on March 17, 2012, at 15:33:33
In reply to Nardil plus Ritalin, posted by reflecting on March 16, 2012, at 2:43:24
I've actually just started on this combo, also at 90mg Nardil.
It's helped the AD response, but oddly, nothing for fatigue OR sexual arousal. And my BP doesn't move at all--which might have helped with hypotension--
but it means we may even go up some.
Posted by williamockham on March 19, 2012, at 7:33:03
In reply to Nardil plus Ritalin, posted by reflecting on March 16, 2012, at 2:43:24
Just following up, if you're curious.
Nuvigil has worked wonders for Nardil fatigue. It's very expensive, though, so I use it only when I really need to be awake in the afternoon (e.g., job interview). I might stick on the Ritalin as antidepressant augmentation.
Posted by oioioi123 on March 19, 2012, at 20:11:16
In reply to Re: Nardil plus Ritalin, posted by williamockham on March 17, 2012, at 15:33:33
i take concerta with nardil, it helps with fatigue a bit, cognition and hypotension. definatly work well together
Posted by jedi on March 23, 2012, at 23:00:29
In reply to Nardil plus Ritalin, posted by reflecting on March 16, 2012, at 2:43:24
I'm a long term user of Nardil (14 years - on and off - mostly on). The methylphenidate as an augmenter sounds like a good idea, though I have never found anyone to prescribe it. I live in a rural community of 50,000 or so and the expertise in MAOIs is a big ZERO.
I am a large male and I have been on Nardil up to 120mg. The lowest dose that works for my major depression is 60mg. At this dosage the side effects are minimal. I still have some delay in orgasm, but I am 54 years old. Even at 60mg it takes a month or two for the anorgasmia to go away.
The afternoon tiredness is a side effect that used to just knock me out every afternoon. That has went away over time. I still have some fatigue and motivation problems, so I would love to try a small dose of methylphenidate.
I think insomnia is one of the side effects that will have to have ongoing treatment while on MAOIs. I'm lucky in that 50mg of Benadryl(diphenhydramine hydrochloride) and .5mg of clonazepam knocks me out for the night. I'm very sensitive to the medications that affect the histamine receptors.
Be Well,
Jedi
> Hi,
>
> I am taking Nardil now about half a year maybe - now at 90mg, already had 105mg.
>
> While there is at least a partial response on most days, which clearly reduces social anxiety and improves dysthimia, it could still be much better... moreover, there are still side effects I can hardly tolerate in the long-run:
>
> 1. Sexual side effects (no libido, decreased arousal anorgasmia... erection still achievable somehow, since I am so young I guess)
>
> 2. Fatigue... Especially when having to something passively (like watching a movie) or just very quietly like learning... I never had such a problem, and suddenly I always fall asleep when learning after only some minutes... even if I am principally interested in the stuff, it is just not possible for me to focus and stay awake.
>
>
> Since Nardil is all in all the most effective drug I tried, I wonder whether adding Ritalin is a good idea? If done carefully it seems to be safe according to different sources - still, I wonder whether it does in fact have the capability to improve the sexual functioning again and to reduce the tiredness.
>
> Does somebody have experiences?
>
> Best,
>
> reflecting
This is the end of the thread.
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