Posted by Enigma on September 27, 2006, at 16:27:56
In reply to Re: Can you add Provigil? » gardenergirl, posted by SLS on September 27, 2006, at 2:04:22
> > I view this as stable and relatively predictable.
>
> Hmm.
>
> Your position seems precarious, but you have a system that works. I would hate to be the agent to upset that balance, but I have to ask, have you ever thought to try Marplan? I guess you can keep that as an alternative should you need it. It has milder side effects. Some will characterize it as a weaker Nardil, but when it works, it will work every bit as good as Nardil. Terrence Ketter, MD will choose Marplan before Nardil when treating depression.
>
> With MAOIs, don't let insomnia be a deal-breaker. Use benzodiazepines if you have to. To make the whole thing work, you treat the insomnia as aggressively as you treat the depression. Why hold back?
>
> The akathisia is a new one on me. Can you describe what you experienced?
>
>
> - ScottI heard of Marplan, but an old doctor just mentioned it in passing. I'd definately give it a try.
I tried 2 prescription sleeping pills on the insomnia, and both failed. I maxed the dose on one, and it just stopped working, and the ambien gave me nightmares. 2-3mg of Melatonin actually does away with the insomnia, but I'm still just as fatigued and tired the next day, and still require naps.
What do you mean by the akathisia? I actually had to look that one up, but didn't see where I spoke about that topic in my orig message. It's a severe restless, panicy feeling right? I don't have those symptoms.
poster:Enigma
thread:689393
URL: http://www.dr-bob.org/babble/20060927/msgs/689651.html