Posted by proudfoot on August 29, 2010, at 13:42:03
In reply to Re: People still getting help/using Emsam? » proudfoot, posted by ed_uk2010 on August 29, 2010, at 13:20:04
> >we might need to resume the dexedrine or cymbalta that was stopped to start the Nardil.
>
> Take care. Combining Cymbalta with Nardil would most likely result in a severe toxic reaction (serotonin syndrome). Nardil + SSRIs/SNRIs can in some causes be fatal. There are no circumstances in which it is OK to combine Nardil with SSRIs or SNRIs.
>
> Dexedrine + Nardil sometimes (unpredictably) leads to severely elevated blood pressure. Other people take this combination effectively. If Dexedrine is added to Nardil, the initial dose of Dexedrine must be extremely low, with very regular BP monitoring and careful titration.
>
>You're quite right about the Cymbalta (SNRI). I wasn't thinking clearly when I included that as I have already read about the danger of combining an SSRI/SNRI with an MAOI. My psychiatrist and I had already talked, and if the dexedrine were to be resumed, it would be at 1/4 of the 5 mg pill, or 1.25 mg. It's virtually impossible to cut the pill smaller than that for a consistent dose. Hopefully it won't even be necessary...
Thanks for catching my mistake. Can I blame it on the Nardil??? :)
Doug
poster:proudfoot
thread:960193
URL: http://www.dr-bob.org/babble/20100829/msgs/960451.html