Posted by jedi on July 28, 2006, at 4:02:01
In reply to I'm all done with Emsam - read why... » laima, posted by Enigma on July 22, 2006, at 23:16:07
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> I went back on 45 mg of Nardil a day. Insomnia actually got worse, and so did the fatigue. I was quite litterally sleeping for 2 hours (waking up every 10-20 mins), getting so rest from it, and then getting up for 2-3 hours, then alternating back and forth like that for days. It was hell!
>
> I cut back to 15 mg of Nardil in the morning. After a few days, the fatigue got better (not gone or even close), and I'm able to sleep longer, about 4-6 hours, but still restless and waking up every 20-40 mins.
...Hi Enigma,
Since your depression has yet to return, try working up your dosage of Nardil slowly over several weeks or months. I've been on and off Nardil about four times in the past ten years. Each time I went off of it my major atypical depression eventually returned. The last time I went back on the medication, I titrated up to 90mg way to fast. This caused the type of insomnia for me that you describe. I've been on Nardil for several months again now, and the insomnia has subsided. The residual insomnia is controlled with diphenhydramine hydrochloride(Benadryl). This works for me, obviously it will not work for everybody. I am still getting some daytime sleepiness with the Nardil. I would like to add some modafinil(Provigil) to counteract this, but my MD is not ready for that step yet.
Good Luck,
Jedi
poster:jedi
thread:642628
URL: http://www.dr-bob.org/babble/20060724/msgs/671342.html