Posted by SLS on January 1, 2007, at 15:03:39
In reply to Re: General Maoi Tip » SLS, posted by blueberry1 on January 1, 2007, at 12:01:48
> Scott, you've been so dedicated through your sufferings and turmoil. I have deep respect for you. I wish you only the best.
Thanks. :-)
> You mentioned the idea of getting manic if stopping the nortriptyline. I have a hunch that might happen if stopping nardil too?Bullseye, yes. I didn't want to complicate things, though.
> I only say that because it seems that whenever I have stopped a reuptake inhibitor, or anything that merely increases neurotransmitter levels, I get that brief feeling of being just fine. It has sparked in me a theory that some people's depression relates more to neurotransmitter release and firing, rather than the density of those neurotransmitters. Increase the firing rate and they feel better. Neuro reuptake inhibitors and such slow down firing initially until readjustment occurs, but maybe firing never really does recover to where it was, and even if it did it wasn't enough firing to begin with. When we stop a reuptake inhibitor or maoi, the brain maybe senses the lack of neuros that is is used to and immediately starts firing more? But quickly adjusts as the change settles?
> Pure theory on my part.A pretty heady one, too.
> If it had any truth to it all, it might mean you would do better with a stimulant and without mood stabilizers? Just a wild new years thought.
I tried that early in my treatment history. I felt improved for a few hours immediately after taking the first dose. Thereafter, it just made me sleepy for the next week.
I appreciate the thought and energy you devoted to my situation. It is refreshingly positive. I only wish that I could return the favor right now. Unfortunately, I am pretty much without thought or energy. What little I have is focused on preparing for survival and avoiding negative outlook. I guess I am in a preservationist mode right now. I still feel brighter than I would without the Nardil, though, so I guess things might get rougher down the road. I have skipped three days of taking Nardil, but there is surely some significant inhibition left. I am just now beginning to walk without hypotension and regaining the ability to pee without difficulty. Today would be a good day to restart it at perhaps 45mg. I see my doctor tomorrow, so I'll wait before making a decision.
I hope the New Year has a surprise in store for you. You deserve it. Your resilience is extraordinary. Be careful of eddies of negative energy disguised as objectivity, though. Your head will remain above water for only so long as you are dragged lower and lower before you are finally sucked up by the vortex and find yourself well below the surface. You will find nothing below you for support. Everyone else seems to be too interested in riding the vortex. It takes a lot of work to swim upwards against the currents of negative energy and hopelessness left in the wake of such vortices because you swallowed and internalized so much of it. Let your mistakes be your own.
I like the advice you give, and hope that you will remain available to give it.
Be well.
- Scott
poster:SLS
thread:718137
URL: http://www.dr-bob.org/babble/20070101/msgs/718245.html