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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by jedi on January 16, 2007, at 8:59:45
Hi guys,
I'm looking for an augmentation medication for my 90mg of Nardil and 1mg of clonazepam. There is some research supporting the use of T3(triiodothyronine) augmentation of SSRIs in treatment resistant depression(TRD). Has anyone used T3 with Nardil in non-hypothyroid TRD?My main goals are to increase the therapeutic response of the Nardil and possibly be able to lower the dosage to lessen the weight gain, sexual side effects and motivation problems. Nardil is the only med that has worked for my atypical TRD. Every attempt to discontinue Nardil over the past 10 years(for other medication trials) has precipitated another bout of major depression.
My latest augmentation attempt was with Geodon. Initially it seemed to work really well. But as the med built up in my system I developed tremors and a really nasty internal anxious feeling that was close to the akathisia I had with Abilify.
Any input would be appreciated.
Thanks,
Jedi
Posted by Phillipa on January 16, 2007, at 9:46:44
In reply to T3 augmentation of Nardil - Has anyone tried this?, posted by jedi on January 16, 2007, at 8:59:45
Don't mess with a healthy thyroid as mine is shot. So that's one of the reasons meds don't work. But some docs use cytomel but don't know about MAOI'.Love Phillipa
Posted by gardenergirl on January 16, 2007, at 14:00:03
In reply to T3 augmentation of Nardil - Has anyone tried this?, posted by jedi on January 16, 2007, at 8:59:45
I tried Cytomel while on Nardil. I don't have a truly fair assessment of it since my doc didn't start me on the lowest dose, and he didn't adjust my Synthroid down in relation to the T4 that is in (or results from?) Cytomel. So I found it truly awful as it made me very hyperthyroid. I had terrible headaches and insomnia. My labs were all out of whack when I finally went in to see him.
So I guess I'd recommend that you get complete thyroid labs drawn first so you have a baseline and a good idea where to start. And then plan with your doc for follow-up labs.
gg
Posted by Phillipa on January 16, 2007, at 18:58:27
In reply to Re: T3 augmentation of Nardil - Has anyone tried t » jedi, posted by gardenergirl on January 16, 2007, at 14:00:03
GG how long did it take to get your thyroid back in wack as mine is now hyperthyroid and they keep reducing the synthroid and not getting much better. Been going on for months now. And I'm seeing an endo. Horrible just horrible anxiety and insomnia. Love Phillipa
Posted by gardenergirl on January 17, 2007, at 10:19:23
In reply to Re: T3 augmentation of Nardil - Has anyone tried t » gardenergirl, posted by Phillipa on January 16, 2007, at 18:58:27
I would imagine it came back to normal within a month or so of stopping the Cytomel. If you're still hyperthyroid, why are you taking any Synthroid? Why aren't you stopping it until you get back to normal?
gg
namaste
Posted by Phillipa on January 17, 2007, at 18:55:29
In reply to Re: T3 augmentation of Nardil - Has anyone tried t » Phillipa, posted by gardenergirl on January 17, 2007, at 10:19:23
GG because that's what the endocrinologist said to do. And I get bloodwork every six weeks and then see either him or the Nurse Practioner. And with hasimotos they said it can change like that and become hypo again. All I know is it's one big pain in the you know what. Love Phillipa ps last change was skip on day a week.
Posted by Phillipa on January 17, 2007, at 18:58:52
In reply to Re: T3 augmentation of Nardil - Has anyone tried t » gardenergirl, posted by Phillipa on January 16, 2007, at 18:58:27
Boy talk about being angry if all these docs over the years that said I could take it with food and calcium including yougurt are at fault and I never needed the dose I was on for nine years .l25 I will jump through the computer. Now on .088. Love Phillipa
Posted by Quintal on January 17, 2007, at 22:23:37
In reply to Re: T3 augmentation of Nardil - Has anyone tried t, posted by Phillipa on January 17, 2007, at 18:58:52
Have you talked with them about any long-term options like having the thyroid destroyed with radioactive iodine?
Q
Posted by Phillipa on January 17, 2007, at 22:59:26
In reply to Re: T3 augmentation of Nardil - Has anyone tried t » gardenergirl, posted by Phillipa on January 17, 2007, at 18:55:29
Blood work in a couple of weeks the lowered meds should do it let's hope . Love Phillipa
This is the end of the thread.
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