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Re: My remission/GWA

Posted by GWA on June 27, 2007, at 20:18:52

In reply to Re: My remission/GWA, posted by stargazer2 on June 27, 2007, at 10:52:48

I actually got mood remission on just Nardil, Lamictal and liothyronine (T3 thyroid hormone, 20 mcg of course rather than 20 mg). I take Rhodiola and zinc, too, and they helped me more than any of my previous antidepressants. For me, Wellbutrin just balances out the sleepiness and overwhelmingly serotonergic and GABAergic effects of Nardil. But it will have, I should think, greater antidepressant effect in the presence of an MAOI than it would alone, and even alone Wellbutrin is the most effective antidepressant other than MAOIs in bipolar-spectrum depression, if you should happen to have that. My doc didn't sanction Wellbutrin, I'm afraid, but it's safe with Nardil below 450mg if you've had no seizures or brain injury in the past. I think most docs would rather you get well than stick to the rules, even if they can't prescribe something themselves - had I keeled over on prescribed Wellbutrin + Nardil + the other stuff, my doctor would certainly have lost a malpractice suit.

But if Nardil's not having much effect at 60mg you should really try to raise the dose first. As a rule of thumb you need the dose that causes significant hypotension + an extra 15 mg. 60mg did nothing for me. 75mg brought me sudden euphoria that started to fade in only few days, and lots of hypotension; 90mg gave me no euphoria but quickly, though gradually, got me well, with no extra hypotension. (My Nardil is the decades-old British formula, incidentally.)


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URL: http://www.dr-bob.org/babble/20070622/msgs/766294.html