Posted by flipsactown on May 17, 2004, at 2:58:46
In reply to Re: NARDIL INSOMNIA NEED HELP!! » flipsactown, posted by ace on May 16, 2004, at 21:51:49
> I would recommend Nitrazepam 5-10mg, Remeron 15mg, adding a sedating TCA, or melatonin. Even Clonidine, or Valium.
Thanks, I will keep these meds in mind, but I am finding out that Kaiser pdocs seem to be overly conservation, especially when it comes to MAOIs. However, my new pdoc I saw last Wednesday, although admitting he did not Rx MAOIs, promised to research Nardil, and MAOIs in general and that if the Ambien did not give me adequate sleep, that he will consider Trazodone and other meds that he finds SAFE to use with MAOIs. Since he mentioned that he relies on their current PDR, I am not holding my breath that he will recommend anything out of the ordinary such as Trazodone or Remeron which are listed as meds to be avoided while taking Nardil. It appears the US has not updated their PDR in quite awhile regarding MAOIs, or if they ever will, because of the stigma associated with it. This is a shame as it appears that the newer ADs eventually poop out with long term use. I don't know if MAOIs have the same poop out factor, but even if did, I feel that in my case, Nardil has helped with my depression. Now the insomnia SE, I feel, can be defeated if only my pdoc's would not be so rigid with their PDR.
I will continue with Nardil as long as I can and hope that my new pdoc will be more helpful than the last, especially when it comes to Rxing other meds with Nardil.
FST
poster:flipsactown
thread:347348
URL: http://www.dr-bob.org/babble/20040515/msgs/347666.html