Posted by linkadge on May 18, 2016, at 20:10:00
In reply to Re: Nardil Insomnia » Lamdage22, posted by J Kelly on May 18, 2016, at 15:08:42
Hi,
MAOI insomnia can be nasty. Biochemically, MAOs can increase endogenous tryptamine, which activates 5-ht2a and disrupts sleep and melatonin cycles. I would reduce the dose of nardil (if at all possible) and try augmenting with Seroquel (or other non-serotonergic 5-ht2a blocker).
trimipramine, cyproheptadine perphenazine, or possibly the herb feverfew might work.
I would personally avoid melatonin. I find melatonin doesn't work well with monoamine enhancers. It does mix well with monoamine blockers like remeron, however.
Linkadge
poster:linkadge
thread:1089052
URL: http://www.dr-bob.org/babble/20160501/msgs/1089069.html