Posted by zonked on October 9, 2011, at 23:04:44
In reply to Re: Long-time Nardilers: The weight gain problem, posted by jono_in_adelaide on October 9, 2011, at 22:26:15
> Might be worth trying a stimulant to get the 50lb off - I lose 45 pounds using Duromine (Australian brand of phentermine sr) earlier this year. I did it over 3 months...... I'd take the Duromine for 4 weeks, then have a week off, then take it for 4 weeks etc.
>
> This wouldnt solve your problem long term, but it would atleast get you back to a reasonable weight, which you might be able to maintain through strict diet or excersise...... or, you could take phenermine 2 weeks per month to stop weight gain?Phentermine is highly frowned upon here. I only know of one person who's ever taken it (for weight loss of course) - that's why I mentioned Dex/Adderall, because those wouldn't be hard to get prescribed. Phentermine was part of a popular weight loss combo - the other drug was recalled due to cardiotoxicity but phentermine is still available, but rarely prescribed. I'd have to get a GP to prescribe it, since I highly doubt my psychiatrist would prescribe a weight loss drug.
But the suggestion is right on mark, and appreciated.
> Have you considered trying Parnate as a substitute for Nardil - this doesnt cause weight gain (although it isnt as good for anxiety as Nardil is)
Parnate I reached an interesting conclusion with. I developed tolerance to it, such that, there was no "barrier" between an effective dose and a dose that threw me into mania. In other words, it either did nothing at all or at 100-120mg made me manic. This was not how it started for me; it happened gradually.
I went off meds (except Klonopin) entirely for several months after this, trying decide what route to take. Ended up on Nardil. It's a shame, too, because it worked so well, especially before the tolerance problem set in. I would note that I am not otherwise prone to mania, although I have been diagnosed (at times) with BPII disorder due to some hypomanic things I did on Zoloft, which very well could have been normal things that all college students do.
Currently back to major depression.
> BTW, what did you decide about sleeping pills?Aye, that's a tough one. As Ambien has been causing me to wake up and binge eat at 3am (even though I am fully conscious) and have to take another one, I am just alternating between Ambien, temazepam (which isn't as effective as it once was) and doxylamine.
There's been no magic bullet for that one yet. Exercise helps - but the kind I need to do in the gym. I live in a big city and prefer not to walk around at night.
I'm pondering a gym membership but first I'd have to be convinced I'd use it. I probably might still need a hypnotic, but perhaps not as high a dose.
Still working on that one. :-)
Thanks -
z
poster:zonked
thread:999211
URL: http://www.dr-bob.org/babble/20111006/msgs/999278.html