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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 13 of 13. This is the beginning of the thread.
Posted by tecknohed on September 20, 2005, at 21:17:38
I'm on Nardil for 2nd time- 75mg/day for SP.
Went to a new job tonight after being outa work for 3 months. Pdoc gave me 3 x 2mg valium for nerves - I took the lot. Anyway got outside the gate and the panic hit me. I paced around for a good 1/2 hour and then got back on the train and strait home. WHAT A COMPLETE FAILURE!
This isn't the Nardil I remember! I used to be able to at least 'push' myself into doing things, and I NEVER had ANY kind of anxiety attack on it before.
Could it possibly be the valium that caused the added Panic? And if so HOW, when its meant to be anxiotytic?Earlier in the day I suggested to my (UK!) pdoc to augment my Nardil. He listened to my suggestions and 'lit up' when I mentioned low dose anti-psychotic. He said Risperidone. Apparently its a good augmentor of SSRIs but he'll check if it can be taken with Nardil.
So I may still be in with a chance of some relief, but it better come soon 'cause I'm desperately loosing all hope.
SOCIAL PHOBIA IS HELL
Posted by mworkman on September 21, 2005, at 1:21:49
In reply to Nardils letting me down - feeling despirate, posted by tecknohed on September 20, 2005, at 21:17:38
Did you mean 20 mg of valium. 2mg is tiny. Maybe that was the problem. Also, if you are getting nardil from the US, they changed the formulation a little while ago, it is supposed to be less effective. I think the UK has its own version though.
Posted by tecknohed on September 21, 2005, at 9:57:04
In reply to Re: Nardils letting me down - feeling despirate, posted by mworkman on September 21, 2005, at 1:21:49
> Did you mean 20 mg of valium. 2mg is tiny. Maybe that was the problem. Also, if you are getting nardil from the US, they changed the formulation a little while ago, it is supposed to be less effective. I think the UK has its own version though.
I did mean only 2mg. The info leaflet says 2mg 3 x daily is recomended as start dose for anxiety. My doc wont prescribe more 'cause I've had addiction probs. They were for emergency only. I took all 3 at once so it was a 6mg dose.
They definitely had an effect 'cause my head felt extremely tired. Maybe thats what caused the added panic. My anxiety worsens when my thinking slows down. Stimulants actually help me by increasing my cognitive ability.
Ah well, I've got another sick note from my GP today, though I dont feel too good about being off work. I just dont know what else to do. I guess I just have to have faith in my pdoc.
Regards.
Posted by ed_uk on September 21, 2005, at 15:15:58
In reply to Nardils letting me down - feeling despirate, posted by tecknohed on September 20, 2005, at 21:17:38
UK docs almost always prescribe diazepam at sub-therapeutic doses. For me, 10-30mg (at once) works for anxiety. Low doses don't help at all, just make me a bit slow and groggy.
~ed
Posted by Tom Twilight on September 21, 2005, at 16:04:17
In reply to Nardils letting me down - feeling despirate, posted by tecknohed on September 20, 2005, at 21:17:38
Hey Teckno
Sorry your having a such a rough time
A 2mg dose of Diazepam is to low to help Social Anxiety.
Diazepam isn't normaly helpful for social anxiety anyway, I imagine you'd probably need quite a high dose for it to be effective.How long have you been on 75mg of Nardil?
Perhapse you need a higher dose, I think the highest dose used was 115mg or there abouts, Ed will know.
You probably need to go up to at least 90mgs before deciding it needs to be augmented.
Posted by Declan on September 21, 2005, at 17:28:31
In reply to Nardils letting me down - feeling despirate, posted by tecknohed on September 20, 2005, at 21:17:38
How long have you been on Nardil now? Must be at least a month? What do you think of the Plasminplus capsules for making Nardil more effective?
Michael Bell did a post on it 6 months ago maybe. Said it made new Nardil (if that's what you've got) as good as old Nardil. But you're in the UK, so I dunno.For some kinds of dysfunction/anxiety Valium is not useful, or its usefulness is lessened by the mental dulling and amnesia. When you were pacing at the gate, would an amphetamine and Valium been better, assuming you weren't on Nardil?
Being able to stay on top of things is important to me, being able to understand what people say and mean, and being able to think of something to say in time.Do you think social phobia's on the increase?
Declan
Posted by Phillipa on September 21, 2005, at 17:55:47
In reply to Re: Nardils letting me down - feeling despirate » tecknohed, posted by Declan on September 21, 2005, at 17:28:31
Yes, I think it is. Society places such high standards on us. Fondly, Phillipa
Posted by tecknohed on September 21, 2005, at 23:09:27
In reply to Re: Nardils letting me down - feeling despirate » tecknohed, posted by Declan on September 21, 2005, at 17:28:31
> How long have you been on Nardil now? Must be at least a month? What do you think of the Plasminplus capsules for making Nardil more effective?
> Michael Bell did a post on it 6 months ago maybe. Said it made new Nardil (if that's what you've got) as good as old Nardil. But you're in the UK, so I dunno.
>
> For some kinds of dysfunction/anxiety Valium is not useful, or its usefulness is lessened by the mental dulling and amnesia. When you were pacing at the gate, would an amphetamine and Valium been better, assuming you weren't on Nardil?
> Being able to stay on top of things is important to me, being able to understand what people say and mean, and being able to think of something to say in time.
>
> Do you think social phobia's on the increase?
>
> Declan
Thanks for your thoughts.Do I think Social Phobias on the increase? Mine certainly is! I think lots of poeple have some degree of it but seldome seek help.
My Nardil is the UK 'refridgerated' type, little disc shaped orange pills with a distinct smell. The same type which worked 'wonders' last time around.
Maybe its just going to take longer this time, but I've already had a temporary response which lasted a week. That to me is not a good sign 'cause it feels like its already pooped out. That was at 60mg and upping to 75 hasn't helped.
I have to admit though, I AM THE MOST IMPATIENT GUY ON THE PLANET!
Thing about Valium is, I once took it @ 3 x 2mg/day for 10 days whilst on Lofepramine when I first started living at a dry house to make the initiation more 'comfortable'. It worked wonders then. But from what I remember it took about 2 days to build up in my system so maybe a 'small' emergency dose is just pointless.
Maybe if my doc does give me the risperidone it might help, but after reading Ed's recent post it kinda worries me.
Posted by tecknohed on September 21, 2005, at 23:27:48
In reply to Re: Nardils letting me down - feeling despirate, posted by Tom Twilight on September 21, 2005, at 16:04:17
Hey Tom!
Yes its a real bummer at the mo. Feel pretty stuck. I think I need to go back to basics - start with regular walks & get out as much as posible. Be around as many people as possible, even if its just in a shopping mall. Excercise would probably help. Its easy to forget these things.
I dont want to increase the Nardil too quickly 'cause I already have dizziness, that low blood pressure thing , and a touch of constipation and difficulty urinating too (lovely! lol). When I first started Nardil @ 2 years ago, the urinating thing got so bad I needed a catheter!
Like I said before all I can do at the moment is wait, and try to have some faith in my pdoc. Not such an easy thing to do!
Enough of ME ME ME! How are you doing Tom?
Posted by Declan on September 22, 2005, at 0:26:55
In reply to Re: Nardils letting me down - feeling despirate, posted by tecknohed on September 21, 2005, at 23:09:27
Hey teckno
I have no idea about this, it's just a thought, but I wondered if saw palmetto would help for the urinary retention thing. Perhaps someone here will know. It's supposed to do something to the smooth muscle of the bladder or sphincter, I think.
Declan
Posted by tecknohed on September 22, 2005, at 6:55:26
In reply to Re: Nardils letting me down - feeling despirate, posted by Declan on September 22, 2005, at 0:26:55
Thanks, I might try it!
Posted by denise1966 on September 25, 2005, at 3:59:40
In reply to Nardils letting me down - feeling despirate, posted by tecknohed on September 20, 2005, at 21:17:38
Hi,
During the three weeks that I took Nardil, the first week I felt terrible (on 90mg), so I took 10mg of Zyprexa one night and felt much better for a week, then upped the Nardil to 105 and felt more motivated etc.
Then the following week dropped the dose again to 90mg and started feeling awful so took a Zyprexa again and felt better.
I know you're not supposed to mess around with doses like I do, I don't know why I do it just experimenting I suppose.
Just wanted you to know that 10mg of Zyprexa helped me but then it always does with whatever drug I take or even on it's own.
Denise
Posted by tecknohed on September 27, 2005, at 13:41:21
In reply to Re: Nardils letting me down - feeling despirate, posted by denise1966 on September 25, 2005, at 3:59:40
Well I actually know I'm better. Now that I've calmed down from my 'incident' I can feel the Nardil haveing a good effect. I feel in a good mood and my hightened self-concsiousness has dropped quite a lot. Though I still not sure about work right now. I'll give myself chance to get my head strait first.
I'm also less tired during the day and the lethergy has gradually turned into a mild stimulation - maybe I increased the dose too quickly.
But I still have terible hypersomnia and somnilence in the morning, which I just hate. I seem to need at least 10 hours or more sleep and it still takes a good few hours to 'come to'.
So it looks like things might just be on the up. Still, I have another trick up my sleeve....!
This is the end of the thread.
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