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Re: Olanzapine

Posted by undopaminergic on March 15, 2020, at 11:44:46

In reply to Re: Olanzapine, posted by Jadde on March 15, 2020, at 11:21:06

>
> Its strange, I went from no sleep to 12 hours each night (no naps tho).

And all you changed was to reduce the dose of Nardil? That *is* strange, because Nardil tends to have sedative effects. Then again, Nardil can be activating for some people, and apparently it is in your case.

> > > Could olanzapine counter effects of MAOI? My doc says it would help Nardil to work but I dont always trust his opinions.
> > >
> >
> > Either way is possible.
> >
> > If you need an antipsychotic in the mix, I would suggest eg. cariprazine, which is activating. If available to you, I might also suggest amisulpride (or the older sulpiride) or flupenthixol (also spelt flupentixol). Lurasidone could work too, but some people get somnolence from it.
>
> I dont need an A/P on Nardil. Parnate, yes.

I meant that some people get an enhanced response to their antidepressant regimen from an adjunctive antipsychotic (AP). It does not make much intuitive sense, but some APs are officially approved for this use, which suggests that it is not unsual for this to be better than placebo.

-undopamnergic


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URL: http://www.dr-bob.org/babble/20200303/msgs/1109036.html