Posted by 4WD on April 18, 2008, at 21:33:14
In reply to Re: 6 weeks on Nardil » 4WD, posted by SLS on April 18, 2008, at 20:47:03
Hi Scott,
Thanks for responding. I don't think I can tolerate a dosage increase right now. I am having some pretty good side effects as it is. I think I'll try to stay at 45 for another few weeks and then if I'm not in complete remission maybe I'll be able to go up to 60mg by then. But I'm doing pretty great on 45. Just a little breakthrough depression now and then. I keep thinking it will continue to build in my system and after a full ten week trial at 45, I will not need to increase the dosage.
I have considered Deplin. I even asked my pdoc about it but he had never heard of it. I guess I need to look up the web page and print it out for him. But I may not need it. (I am already on 5 meds). If I continue to improve on the Nardil I may not need to augment it. But I will definitely keep it in mind and ask my pdoc about it again if I don't achieve full remission on Nardil alone. I think I might rather augment the Nardil than increase the dose.
What do you think about what my other doctor reading to me from the PDR that once full remission on Nardil is achieved, the dosage should slowly be lowered by one pill a day over a period of time? The PDR actually says this. It says that you should be able to maintain remission on as little as 15mg a day - once you have achieved full remission. I told this to my pdoc and he said he had heard that too. But no one on this board that I know of has ever tried going this route. It's something I would consider trying. of course if the depression returned I'd up the dose again in a heartbeat.
Thanks for you response,
Marsha
> Hi Marsha.
>
> > Ihave been on Nadil 45mg for six weeks now and it has already changed my life.
>
> The sweet-spot for Nardil is between 60-75mg. You might profit from a dosage increase if you can tolerate it. Otherwise, if you experience diminishing returns, you can opt to use Deplin as an augmentor. I have personal experience to attest to its efficacy when used in combination with Nardil. Another Deplin responder I know also has used it to augment Nardil.
>
>
> - Scott
poster:4WD
thread:823866
URL: http://www.dr-bob.org/babble/20080412/msgs/824153.html