Posted by Flipsactown on April 16, 2004, at 11:42:08
In reply to Re: Trazodone » Flipsactown, posted by King Vultan on April 16, 2004, at 8:13:38
Todd,
I can't thank you enough in sharing this current info regarding using Trazodone with Nardil. I will fax it to my current pdoc immediately. However, I am not too confident that he will be impressed as I have faxed him info on high dosage use of Prozac of up to 200mg in successfully and safely treating treatment resistant unipolar depression written by Dr.Ivan Goldberg. My pdoc, through his nurse, was not impressed and thereby never bothered to let me know one way or another until I called them back a month later and that is when his nurse informed me that my pdoc had no comment. I naturally became upset and told his nurse that when someone like myself takes the time to fax info, it usually means that it is very important to the sender and they could have at least had the courtesy of calling me to tell me what they thought. Instead they ignored me completely. His nurse is a very nice person and she was quite apologic about never getting back to me. BTW, I was up to 160mg Prozac and was feeling depression free but I decided it would be a financial burden on me to continue using high dosage Prozac especially if I had to pay the full price. Since I am with Kaiser, I only paid a $10 copay for meds. You rock, your Highness!
FST
> In this article, in the section "Combinations with other antidepressants," it mentions trazodone being used to treat insomnia with MAOIs and provides a reference to an original journal article. I've carefully looked at the pharmacology of trazodone myself and have come to the conclusion that it is quite safe to use with MAOIs.
>
> http://www.currentpsychiatry.com/2002_06/06_02_maoi.asp
>
> I don't know if your current doctor would consider prescribing a small dose of a sedating tricyclic, either, but Surmontil (trimipramine) does not block amine reuptake and is completely safe to use with an MAOI. I do not quite understand his reluctance to prescribe Ambien, which is a relatively safe and problem free sleep aid. If he is concerned about you building dependence/tolerance, perhaps you could compromise by agreeing to only use it a certain number of days a week or every 2nd or 3rd night.
>
> I've also been suffering with insomnia from Nardil, as I won't be seeing my doctor for another week to talk to him about the trazodone. I did send him some info on it, though (including the above article). I do have a small amount of Ambien left (enough for three nights at 5 mg each) from a very old prescription and have been plugging the gap with a Dr. Jeffrey Thompson sleep/rejuvenation CD--one of those that works on delta waves--because I was absolutely dying only getting two to three hours of sleep a night. The silly thing has worked to some extent, and I've ordered some lightweight headphones to use with it while sleeping, as it is recorded binaurally and is optimized for headphone use.
>
> Todd
poster:Flipsactown
thread:336728
URL: http://www.dr-bob.org/babble/20040412/msgs/336886.html