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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 14 of 14. This is the beginning of the thread.
Posted by RT on October 21, 2003, at 4:12:44
Just started Nardil a few weeks ago , up to 60 mg a day. I think its starting to kick in alittle but having trouble with insomnia, is there anything that will help , and does this eventually get better
Posted by Tepiaca on October 21, 2003, at 15:34:28
In reply to Nardil and insomnia, posted by RT on October 21, 2003, at 4:12:44
when i raised my dose to 60 , I started to suffer from insomnia . Just one day I couldnt sleep not even one hour ! . After 4 weeks on 60 mg I can sleep , however I sleep only 5 or 6 hours per nigth , Its rare but when I wake up I dont feel tired .
In the afternoon I have to take a little nap
I forget to tell you that i also take clonazepam
0.5mg at bed timeGL
Posted by RT on October 21, 2003, at 16:59:51
In reply to Re: Nardil and insomnia, posted by Tepiaca on October 21, 2003, at 15:34:28
I would be happy to get 4 or 5 hours of sleep . Right now its like i can only get to a very light stage of sleep but not all the way and then i wake up completely.
So your sleep has gotten better over time ?
I guess i can hang in there. Im afraid i will have to increase the dosage again and it will get worse. Are you doing well at 60 mg Thanks!
Posted by john1022 on October 21, 2003, at 17:49:37
In reply to Re: Nardil and insomnia, posted by RT on October 21, 2003, at 16:59:51
RT- I would look into getting a prescription sleep aid added to your Nardil, like Ambien or Ativan. Sleep is extremely crucial in one's well being. You cannot beat depression without sleep. In fact, a lack of sleep can easily CAUSE severe depression. Sleep is a huge aspect of beating depression. Be sure to let your doctor know about your sleep problems and I am sure he will hook you up.
Posted by ace on October 23, 2003, at 21:44:18
In reply to Nardil and insomnia, posted by RT on October 21, 2003, at 4:12:44
> Just started Nardil a few weeks ago , up to 60 mg a day. I think its starting to kick in alittle but having trouble with insomnia, is there anything that will help , and does this eventually get better
Hi,
I can't comment too much as I have nEVER had this prob with Nardil, actually Nardil does the opposite- causes lovely sleep and lovely day time naps. But I can say that there is a high probability that this will go away- but it might take some time. I had anorgasmia and constipation for a good 3 or 4 months before it went.
If possible can you use a light hypnotic every second night or so?
Good luck!
Ace.
Posted by RT on October 23, 2003, at 22:23:43
In reply to Re: Nardil and insomnia » RT, posted by ace on October 23, 2003, at 21:44:18
THANKS EVERYONE FOR YOUR ADVICE,
Posted by sean7 on October 24, 2003, at 2:47:18
In reply to Nardil and insomnia, posted by RT on October 21, 2003, at 4:12:44
For one you should not be on a MAOI to begin with,your doctor is careless or stupid.I say this because MAOI's are dangerous they interact with a lot of foods and drugs some are life threatining I would ask for something else.
Posted by ace on October 25, 2003, at 0:17:02
In reply to Re: Nardil and insomnia, posted by sean7 on October 24, 2003, at 2:47:18
> For one you should not be on a MAOI to begin with,your doctor is careless or stupid.I say this because MAOI's are dangerous they interact with a lot of foods and drugs some are life threatining I would ask for something else.
Um...I have to disagree. Can you please tell me how they are dangerous if one adheres to the diet? Also, the diet is not that much either- I take Nardil.
Have you actually taken an MAOI?
Posted by katecmm on February 13, 2009, at 13:17:26
In reply to Re: Nardil and insomnia, posted by sean7 on October 24, 2003, at 2:47:18
Doctor's are very careful about giving Nardil. And what would you do if you have tried Prozak, Welbutrim, all the tryciclics. You name it I have tried it
Posted by Questionmark on February 18, 2009, at 3:03:19
In reply to Re: Nardil and insomnia, posted by sean7 on October 24, 2003, at 2:47:18
> For one you should not be on a MAOI to begin with,your doctor is careless or stupid.I say this because MAOI's are dangerous they interact with a lot of foods and drugs some are life threatining I would ask for something else.
Excuse me please do not comment on something about which you are not knowledgeable as if you had knowledge about it.
"For one," a doctor is *not* careless or stupid for putting a person on an MAOI (though they probably are if they are *unwilling* to put any patients on an MAOI). A significant number of people-- including myself-- NEED to be on an MAOI. There is no choice in the matter. Either living on an MAOI or not living. There are also a significant number of people who may not "need" to be on one, per se, but are-- emotionally speaking, at least-- better off on one.
Either way it doesn't matter because they are not nearly as dangerous as you make them sound, if handled properly (remember that a car can kill you easily if not handled properly). I would say they can "interact" with a few or so foods, not "a lot," and they can interact with a sizable number-- but nowhere near the majority-- of medications. But the list (... of potentially dangerous foods and of the general classes of drugs that are most often potentially dangerous [namely, any direct adrenergics and any drugs that enhance serotonin transmission-- and just several other specific drugs that are not in, or not commonly known to be, in the above categories] ...) is easy to learn and remember and follow.
I'm sorry to derail the thread subject for a moment. This is just the third message/post in the first thread i read after having not visited this site for the better part of a long time. What happened here? I hope these kinds of misleading, poorly-knowledgeable-but-strongly-opinionated posts are not common now. It's dIfficult enOUgh to get an MAOI prescription-- and their reputation tarnished enough-- without untruths like this being circulated.Not to mention i now feel again like i mUst be screwed up if i'm on a drug that so many people deem as dangerous and so few people (in terms of percentage) actually utilize. (Not that all others on MAOIs should feel that way i'm probably just being irrational.) But that's not the poster's fault (that it made me feel this way).
But still. Let's get our information right.
Posted by Questionmark on February 18, 2009, at 3:35:37
In reply to Nardil and insomnia, posted by RT on October 21, 2003, at 4:12:44
Most important thing i would tell anyone on Nardil to minimize side effects and produce best overall benefit: space them throughout the day. Unfortunately, it would be difficult and frustrating and just a real pain in the *** to space them four times a day, as you would need to with 60mg. It's pain enough at 3x per day. (I have never been on more than 45mg when i spaced them evenly throughout the day, so i'm not sure how difficult it would actually be.) But yeah at 60mg i would say if not 4x/day evenly spaced then do: one in morning, two midday, and one before sleep, or maybe two in morning, one midday, one before sleep. The latter (two in morning) would be better for insomnia almost definitely.
If you are anything like me, if you have two at night and you don't fall asleep before they start effecting, you will not be able to fall asleep, and if/when you do you might sleep very lightly or awaken, as you were describing.
Honestly too at some point you may want to consider seeing if 45mg is enough for you. I find that they often seem to prescribe an unnecessarily higher dose of an MAOI-- or of most other psychiatric drugs for that matter-- than is needed. Albeit i am fairly sensitive to psychoactive drugs. But despite this i still think they often overprescribe (dosage wise) MAOIs. I may be wrong though and I'm pretty sure our Nardil veteran, ace, here would disagree with me. I know he often thinks the opposite. And he may be right. But i think it's always at least best to try the lowest sufficiently-effective dose for long enough before trying increased doses.
Good luck. Nardil can be a miracle in a pill (Not perfect, but still a miracle).
> Just started Nardil a few weeks ago , up to 60 mg a day. I think its starting to kick in alittle but having trouble with insomnia, is there anything that will help , and does this eventually get better
Posted by ayda on February 18, 2009, at 7:31:07
In reply to Let's get our information right » sean7, posted by Questionmark on February 18, 2009, at 3:03:19
> > For one you should not be on a MAOI to begin with,your doctor is careless or stupid.I say this because MAOI's are dangerous they interact with a lot of foods and drugs some are life threatining I would ask for something else.
>
>
> Excuse me please do not comment on something about which you are not knowledgeable as if you had knowledge about it.
> "For one," a doctor is *not* careless or stupid for putting a person on an MAOI (though they probably are if they are *unwilling* to put any patients on an MAOI). A significant number of people-- including myself-- NEED to be on an MAOI. There is no choice in the matter. Either living on an MAOI or not living. There are also a significant number of people who may not "need" to be on one, per se, but are-- emotionally speaking, at least-- better off on one.
> Either way it doesn't matter because they are not nearly as dangerous as you make them sound, if handled properly (remember that a car can kill you easily if not handled properly). I would say they can "interact" with a few or so foods, not "a lot," and they can interact with a sizable number-- but nowhere near the majority-- of medications. But the list (... of potentially dangerous foods and of the general classes of drugs that are most often potentially dangerous [namely, any direct adrenergics and any drugs that enhance serotonin transmission-- and just several other specific drugs that are not in, or not commonly known to be, in the above categories] ...) is easy to learn and remember and follow.
> I'm sorry to derail the thread subject for a moment. This is just the third message/post in the first thread i read after having not visited this site for the better part of a long time. What happened here? I hope these kinds of misleading, poorly-knowledgeable-but-strongly-opinionated posts are not common now. It's dIfficult enOUgh to get an MAOI prescription-- and their reputation tarnished enough-- without untruths like this being circulated.
>
> Not to mention i now feel again like i mUst be screwed up if i'm on a drug that so many people deem as dangerous and so few people (in terms of percentage) actually utilize. (Not that all others on MAOIs should feel that way i'm probably just being irrational.) But that's not the poster's fault (that it made me feel this way).
> But still. Let's get our information right.atypical deppression makes a big majority of deppression subtypes (around 43%) and yet this is a very underrecognised and under-diagnosed problem, you should not feel at all different or "screwed up" as u put it just for having enought knowledge to not be scared of trying something which has not been as aggressively marketted as some other medicines out there namely ssris including paxil etc.. its time that we all open our eyes and avoid be fed the informaiton they want to feed us and search for real answers for ourselves
Posted by Questionmark on February 18, 2009, at 18:35:42
In reply to Re: Let's get our information right, posted by ayda on February 18, 2009, at 7:31:07
Yeah those are very good points. Thank you. I was in an over-emotional mood. Too much of a certain cannabinoid. Sorry. But thanks for providing a more level and accurate perspective on that.
> atypical deppression makes a big majority of deppression subtypes (around 43%) and yet this is a very underrecognised and under-diagnosed problem, you should not feel at all different or "screwed up" as u put it just for having enought knowledge to not be scared of trying something which has not been as aggressively marketted as some other medicines out there namely ssris including paxil etc.. its time that we all open our eyes and avoid be fed the informaiton they want to feed us and search for real answers for ourselves
>
Posted by Enigma on February 24, 2009, at 14:23:12
In reply to Let's get our information right » sean7, posted by Questionmark on February 18, 2009, at 3:03:19
I've been on MAOI's for years? I'm Bipolar II and it's the ONLY class of meds that does *anything* for my depression. Period. Trust me, I've tried too many alternatives to even list here.
Do I want to be on an MAOI, hell no, will I go back to a suicidal state if I stop taking it? Hell yes.
That's all I wanted to say.
> > For one you should not be on a MAOI to begin with,your doctor is careless or stupid.I say this because MAOI's are dangerous they interact with a lot of foods and drugs some are life threatining I would ask for something else.
>
>
> Excuse me please do not comment on something about which you are not knowledgeable as if you had knowledge about it.
> "For one," a doctor is *not* careless or stupid for putting a person on an MAOI (though they probably are if they are *unwilling* to put any patients on an MAOI). A significant number of people-- including myself-- NEED to be on an MAOI. There is no choice in the matter. Either living on an MAOI or not living. There are also a significant number of people who may not "need" to be on one, per se, but are-- emotionally speaking, at least-- better off on one.
> Either way it doesn't matter because they are not nearly as dangerous as you make them sound, if handled properly (remember that a car can kill you easily if not handled properly). I would say they can "interact" with a few or so foods, not "a lot," and they can interact with a sizable number-- but nowhere near the majority-- of medications. But the list (... of potentially dangerous foods and of the general classes of drugs that are most often potentially dangerous [namely, any direct adrenergics and any drugs that enhance serotonin transmission-- and just several other specific drugs that are not in, or not commonly known to be, in the above categories] ...) is easy to learn and remember and follow.
> I'm sorry to derail the thread subject for a moment. This is just the third message/post in the first thread i read after having not visited this site for the better part of a long time. What happened here? I hope these kinds of misleading, poorly-knowledgeable-but-strongly-opinionated posts are not common now. It's dIfficult enOUgh to get an MAOI prescription-- and their reputation tarnished enough-- without untruths like this being circulated.
>
> Not to mention i now feel again like i mUst be screwed up if i'm on a drug that so many people deem as dangerous and so few people (in terms of percentage) actually utilize. (Not that all others on MAOIs should feel that way i'm probably just being irrational.) But that's not the poster's fault (that it made me feel this way).
> But still. Let's get our information right.
This is the end of the thread.
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