Posted by ace on November 1, 2009, at 23:32:59
In reply to Re: Nardil dosage questions..., posted by gagesa on November 1, 2009, at 1:24:34
> Ace, I greatly appreciate your advice!! Not only are you the only one I have come across so far that seems to know what they are talking about, but the others vouch for you, so I trust your opinion.
It's not a problem at all! I feel so much empathy for all the people here...very strong brave people, we all share a similar plight!
>
> I understand what you are saying about the titration being too slow, but I just followed the docs orders. But like I said, he's just following text book advice.Text book advice, including the 'MAOI diet' is greatly outdated. MAOI's don't make much $$$$, training psychiatrists only touch on the basics of the in ...It's all the SSRI's- which don't even compare to the MAOI's in terms of efficacy.
My next appointment is the first week of December. So it will be eight weeks on 60mg. I'm not sure whether you are suggesting to switch to 90mgs ASAP or during my next appointment.
I am suggesting switch now!Either way, due to my current situation, I cannot afford to make more appointments than absolutely necessary. But I will definitely talk to him about going straight to 90mg.
Is it possible to phone the MD and ask about this?
I understand the financial situation, and the fact that you would prefer your doctors approval.
>
> This is actually the first time I have heard 12 weeks max.I have heard of a few people needing 12 weeks (including one patient who, at the 12 week mark recieved 100% remission from bothe depression and OCD), and some monographs espouse this idea. 8 weeks is more common, however.
Everyone else claims 8 weeks max. But then again, I suppose everyone is different. That's why I wanted to stay at 60mgs for 8 weeks before moving up. In case the 60mgs happened to work very well and I did not have to raise the dose.
I do see your point here. However, if 60 mg is a sufficient dose I feel that it would have kicked around the 4/5/6 week mark. Some people do indeed require a 90mg dose (for what is called maximum MAOI inhibition), and even after extensive time on 60mg such people would only recieve sub-therapeutic results. As stated, I would indeed jump now to 90mg, certainly based on your statement that you have recieved no response at all.
That being said, if you do stay on to 60mg until December, and recieve no therapeutic effect (as I suspect), pushing up to 90mg, at that point in time, should work. Except for the fact that you could have recieved the possitive effects a lot earlier!
What is your weight?
>
> If I do go to 90mgs I will take it in three doses like you mention.Always split the doses.
Please let me how you are doing, and I am happy to help in any way I can!
Ace:)
poster:ace
thread:923748
URL: http://www.dr-bob.org/babble/20091029/msgs/923998.html