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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 6 of 6. This is the beginning of the thread.
Posted by jerrympls on August 5, 2003, at 2:43:17
When I began the Nardil, it was quite activating - in a good way. Now those effects have worn off - and while Nardil is still the best med I've been on in 12 years - I was wondering if in fact it CAN be used in conjunction with any type of stimulant?? I know of the hypertensive reaction - but I've read of docs using small amounts of stimulants with MAOIs with success. Can anyone give me any info? personal experiences?
I am going to have a sleep study because they suspect I have sleep apnea (but I DREAD having to use one of those machines to help me sleep at night - I'd rather have the surgery). At any rate - in the meantime I can't stay awake at work and no amount of caffeine helps.
Any insight??
thanks in advance
Jerry
Posted by utopizen on August 5, 2003, at 12:34:56
In reply to So sleepy during the day - can nardil + stim work?, posted by jerrympls on August 5, 2003, at 2:43:17
Any stimulant is dangerous when an MAOI is combined with it. Including caffiene. Caffiene works by a different mechanism, but it still does the same thing an amphetamine does-- speed up the heart. Considering hypertensive crisis is the major concern with MAOIs, this is something to avoid.
Provigil would probably be safer than caffiene, but I'm no doctor, and it's still listed as a contraindication to MAOIs...
Posted by JESSsMom on August 5, 2003, at 12:47:19
In reply to Re: So sleepy during the day - can nardil + stim work?, posted by utopizen on August 5, 2003, at 12:34:56
Hi--I asked my pdoc about Provigil (you sugested it to me in another post) for daytime exhaustion. He said he would not prescribe it to me.
Anyway, would you check out my new post under Stimulating AD's?
Thanks,
JM
Posted by lawrence S. on August 5, 2003, at 17:44:26
In reply to Re: So sleepy during the day - can nardil + stim work?, posted by utopizen on August 5, 2003, at 12:34:56
Sorry to contradict you Utopizen. I take 25mg Ritalin with my 60mg Nardil and drink about a half a pot of coffee a day. My BP is 103/64. I have never experienced any interactions.
Posted by jmackie on August 5, 2003, at 18:25:14
In reply to Re: So sleepy during the day - can nardil + stim work?, posted by lawrence S. on August 5, 2003, at 17:44:26
When I was on Nardil and then Parnate I drank tons of coffee, even double shots of espresso, to help with the sleepiness. Never a problem.
Also, while many meds are officially contra-indicated with MAOIs, much of this is caution rather than real facts. The Pharmacological Tips area of this web site has a section on MAOIs and stimulants. Seems it was used more often in the 50s when MAOIs were all there was. I've also heard of success of Nardil with Wellbutrin, though this is also officially contraindicated. I suspect the real issue is that pdocs today so rarely use MAOIs, they haven't the confidence to be creative.
Posted by jerrympls on August 6, 2003, at 23:56:51
In reply to Re: So sleepy during the day - can nardil + stim work?, posted by lawrence S. on August 5, 2003, at 17:44:26
> Sorry to contradict you Utopizen. I take 25mg Ritalin with my 60mg Nardil and drink about a half a pot of coffee a day. My BP is 103/64. I have never experienced any interactions.
Lawrence-
I too drink 2-4 cups of coffee a day plus a couple Cokes and have had no problems. My blood pressure has always remained in the normal range (in regards to being on Nardil). I also have read about combining Ritalin with Nardil as being safe and effective. I will ask my psych doc about it tomorrow.
Lawrence - how does the Ritalin + nardil work for you? If I am not being too nosey - do you take the Ritalin as an augmentor? for ADD? for daytime sleepiness?? Just wondering how it works for you.
Thanks for your posts!!
This is the end of the thread.
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