Posted by myco on March 21, 2009, at 23:32:26
In reply to Re: HEY MYCO, posted by myco on March 21, 2009, at 23:28:00
Also if I can recommend:
take the dose on an empty stomach (if you can - some people get nausea) and take it with alot of water...i read that phenelzine like alkaline conditions better than acidic so lower the acidity for nardil in your stomach by keeping it empty and adding lots of water. works for me. always feel it better on empty stomach than with food.
> >...i find it incredibly hard to stay awake, which is interfering with my CBT...
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> Do you actually sleep or just get extremely tired and on the verge of sleeping but dont? nardil never allowed me naps only "rests"(no actual sleep). Also you say this is common "when at rest"...sounds like you have a bit of hypotension (low bp) that can cause lots of fatigue. it does pass though..you can talk to your dr about medicating it though I wouldnt recommend it...someone unhealthy perhaps (i.e salt tabs or stimulants). Some people do find a benefit in a small bit of rx stimulant to fight those tired day time feelings...you could ask ya dr about it but dont be too surprised if he says no because it's a bit of a taboo area in a way for some drs.
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> >...i woke up feeling unusually anxious and had a preview of what it might be like to return to a pre-med state...
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> Remember a med is like a bandaid...its not gonna give you 100 percent benefit...you will still have bad days but at your therapeutic dose the good will way outnumber the bad (in theory - if on the right med). you mention being on 60mg...this is still a relatively low dose and when I was on 60 i was still having whole weeks of shite...until i hit 75...now i get a bad day here and there...but by far the lot is good.
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> >...i was thinking that maybe once i'm this far in, i should try going up to 75mg for a couple of weeks before i call it quits, since 60mg (now that the initial euphoria has passed) is not doing much...
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> Bingo. 60 is still considered "low" in the range of therapeutic dose (the ave therapeutic dose range 60-90). Definately, if you dont mind the med, go up to 75...it all changed for me there...previous doses would start to work then stop...at 60 it was working for awhile then i got a week of crap then i moved up. on 75 almost all of my days are good. worth a shot. remember though: as ive said, and other have said, dont "chase" that euphoric feeling because it is not the way the med works in the long run...if you get attached to it you will be dissapointed later because it leaves totally....the med works subtly in the background...no physical indication that it is working at all once youve been on for many months...you must watch your behaviours to see that it is working.
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> >...75mg might be more energising than 60? also, how would i add the extra 15? at the moment, i'm taking 30mg at breakfast and 30mg at lunch...
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> it will be more energizing at first but that amphetamine-like stimalation doesnt last either...it will leave also...dont chase it. nardil works subtly in the long run. in the beginning you should stick to a schedule for dosing: i do 830am-30mg; 230pm-30mg; 830pm-15mg. once youve been on for months this wont matter...you could take it all in the morning if you wanted.
> to start....either add that 15 at night (if it doesnt mess with your sleep) or the morning...this will play a role when you are just gettin used to nardil but like i said wont matter for long.
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> > i spoke to my GP yesterday and he's drawn up a plan for weaning off Nardil, as well as prescribed me a month's worth of valium. another side-effect i forgot to mention is that as soon as i'm at rest (i.e. reading or watching TV), regardless of the time of day, i find it incredibly hard to stay awake, which is interfering with my CBT, because activities like reading and watching movies fall under my prescribed exposures. unfortunately, this morning i woke up feeling unusually anxious and had a preview of what it might be like to return to a pre-med state, which was scary indeed. i was thinking that maybe once i'm this far in, i should try going up to 75mg for a couple of weeks before i call it quits, since 60mg (now that the initial euphoria has passed) is not doing much. is there any reason to believe 75mg might be more energising than 60? also, how would i add the extra 15? at the moment, i'm taking 30mg at breakfast and 30mg at lunch
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poster:myco
thread:885861
URL: http://www.dr-bob.org/babble/20090313/msgs/886492.html