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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by jclint on December 18, 2004, at 9:19:58
Hi everyone.
I finally got a prescription for nardil today. PDoc wasn't too keen and tried to convince me that TCAs were more effective, which I didn't exactly agree with, especially seeing as im treating SA.
But anyway, I was a little bit disapointed at the amount I got. 2x15mg a day... seems a little bit small don't you think? Considering the BNF guidelines recommend starting at 45mg... Do you think 30mg is going to be any help for social anxiety? I have another 3 weeks before my next appointment, not sure how much he'd be willing to increase the dosage.
This whole thing is so slow, its one setback after another.
Posted by Michael Bell on December 18, 2004, at 9:42:38
In reply to Starting Nardil... dosage concerns, posted by jclint on December 18, 2004, at 9:19:58
>
Since everyone reacts differently, see how the 2x15mg dose goes first. I noticed a difference with the social anxiety on only 15 mg per day, though 30 mg was more robust. Anyway, you should titrate with any new drug as a precautionary measure.Hi everyone.
>
> I finally got a prescription for nardil today. PDoc wasn't too keen and tried to convince me that TCAs were more effective, which I didn't exactly agree with, especially seeing as im treating SA.
>
> But anyway, I was a little bit disapointed at the amount I got. 2x15mg a day... seems a little bit small don't you think? Considering the BNF guidelines recommend starting at 45mg... Do you think 30mg is going to be any help for social anxiety? I have another 3 weeks before my next appointment, not sure how much he'd be willing to increase the dosage.
>
> This whole thing is so slow, its one setback after another.
Posted by jclint on December 18, 2004, at 14:35:30
In reply to Re: Starting Nardil... dosage concerns » jclint, posted by Michael Bell on December 18, 2004, at 9:42:38
Right I guess I'm just impatient. Interesting that you felt an effect at only 15mg, I thought that it was more of a plateau thing where you got the effects all at once rather than gradually.
Posted by ed_uk on December 18, 2004, at 14:59:03
In reply to Starting Nardil... dosage concerns, posted by jclint on December 18, 2004, at 9:19:58
Hi J,
If you start with a low dose you can always increase... but if you start with a dose which is too high you might have side effects which could put you off the drug for life!
Like you.. I am impatient!
I look forward to hearing how you do on Nardil.
Best of luck,
Ed.
Posted by King Vultan on December 19, 2004, at 0:55:40
In reply to Starting Nardil... dosage concerns, posted by jclint on December 18, 2004, at 9:19:58
My pdoc has over 20 years of experience with Nardil, and I believe the dosing regimen he had me follow is pretty close to what's in the PDR. I started on 3 x 15 mg/day for a week or two to see if I could tolerate it, then met with him again before going up to 4 x 15 mg/day, which seems to be considered more or less the minimum effective dose. In my case, the 45 mg/day had no adverse or therapeutic effects, 60 mg/day had mainly adverse effects (insomnia), and it wasn't until I got up to 75 mg/day that I got a noticeable antidepressant effect.
As I've mentioned many times before, there is one school of thought on Nardil that a person needs to get to 1 mg/kg body mass/day to be sure that they are giving the drug a fair trial. In my case, at about 68 kg (150#), this did correlate, as I did not notice substantial therapeutic effects until I got to 75 mg/day. As I said, it is just one school of thought on the drug and may or may not stand up to rigorous analysis; my pdoc said he had not actually heard of it.
Todd
Posted by gardenergirl on December 19, 2004, at 13:51:32
In reply to Re: Starting Nardil... dosage concerns, posted by King Vultan on December 19, 2004, at 0:55:40
I'm for titrating slowly, too. I did very well at 45 mg and then 60mg. Based on body weight (I'm ashamed to admit) I should need 75mg. I could not tolerate that dose. It had me jumping out of my skin with severe restlessness and insomnia. 67.5 mg was much better. I am currently at 52.5 mg since I am trying to get the best benefit while keeping side effects (edema and weight gain) low.
Good luck to you.
gg
Posted by jclint on December 19, 2004, at 16:10:04
In reply to Re: Starting Nardil... dosage concerns, posted by gardenergirl on December 19, 2004, at 13:51:32
Hmm I haven't weighed myself in years. That would be a good starting point. :D
Posted by cee on September 5, 2007, at 10:29:41
In reply to Re: Starting Nardil... dosage concerns, posted by jclint on December 18, 2004, at 14:35:30
> Right I guess I'm just impatient. Interesting that you felt an effect at only 15mg, I thought that it was more of a plateau thing where you got the effects all at once rather than gradually.
HELLO JCLINT
I KNOW THAT THIS IS AN OLD THREAD BUT IWAS WONDERING HOW YOU MADE OUT WITH THE NARDEL . BY THE WAY MY NAME IS CLINT AND NARDIL HAS BEEN VERY GOOD FOR ME AFTER 12 WEEKS
CHEERS
CEE
This is the end of the thread.
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