Posted by blueboy on June 19, 2008, at 7:51:30
In reply to Re: P-doc says only options are rTMS + ECT!!, posted by dcruik518 on June 18, 2008, at 17:39:06
> I think trying an MAOI makes great sense. They often work when nothing else does. However, if you're going to try one, try Nardil first, because it has the best track record; it's also the only one that's also really good for social phobia. Also keep in mind that MAOI's sometimes take longer before they really begin to work. Part of that has to do with the gradual increase in dose over a few weeks. My guess is that you'll probably need to be on 90mg for 3 weeks before you really start to notice a difference. So be patient, it's worth it. Also, don't worry too much about the dietary restrictions, I've never needed to avoid any foods. The real dangers are drug interactions with certain cough medicines, etc., so always check your pills. And hey, ECT has an excellent success rate, too, if this doesn't work.
>Let me second most of that. It was the only thing that worked for me out of a gazillion meds over several decades.
BTW it turned out I am bipolar, so the AD's were acting like one would expect. Definitely see another doctor, preferably one with a diagnostic specialty at a major clinic/research facility, and ask for a diagnostic consult. I suggest you write down your symptoms in two forms, one chronologically and one by symptom group.
Also, get your thyroid, liver, and blood chemistry tested. It's fairly inexpensive.
The reason: my experience. You have to consider the possibility that you have been misdiagnosed, if you have tried numerous AD's with no effect.
Nardil worked for me, though, so I guess it has an effect on some bipolar patients. It has worked for a lot of people who had no success with SSRI/SSNI and tricyclic drugs.
BTW I leveled out at 60mg/day.
> Good luck!
Good luck indeed.
poster:blueboy
thread:833832
URL: http://www.dr-bob.org/babble/20080617/msgs/835417.html