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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 4 of 4. This is the beginning of the thread.
Posted by KellyM on August 4, 2002, at 3:36:48
I'm a new Nardil User, and if you have read any of my posts you know that I'm doing very well on it. The main side effect I'm having right now is a very paradoxical effect of daytime drowsiness with insomnia at night. Usually I can sleep 3-5 hours with the help of Klonopin before I wake up. Sometimes I take a little more Klonopin to get back to sleep. Don't know how my doctor will feel about using the Klono that way, but I figure you have to do with what gets you by. Last Thursday, when I worked a 4 to midnight shift I took two naps before going to work (I got something like 4-5hours of sleep) then had a dose or two of Nardil during that day.
So far the best method I have found to counter the drowsiness during the day is to take one pill several hours apart. If I take two or more at a time, I get extremely tired. I have been experimenting with dose time and amount trying to find the best combo. Tonight I took two pills at bed time and fell asleep fine, although after four hours I'm up again. Has anyone ever taken 60mg of Nardil at a time? Maybe if I just do this at bed time, I can forget about the daytime problems. Any experencies welcomed.
Kelly
Posted by missliz on August 5, 2002, at 1:04:47
In reply to Nardil, Drowsiness and Insomnia!, posted by KellyM on August 4, 2002, at 3:36:48
Have you tried just taking it at night? Some people get a paradoxical reaction and take it at night, and it works fine. You might wake up raring to go and wouldn't that be cool!
When I was put on Nardil I was warned that this is not unusual and just see how it worked for me, that people react differently. As it happened I liked a pot of coffee and two Nardils for an eye opener, then I went like a rabbit all day. And slept really well. Part of that may have been not being depressed though.
You may continue to adjust to the drug- I don't know how long you've been on it. Insomnia is a common side effect of MAOIs and I had to use Ambien to sleep for months. As long as you aren't upping the total Klonopin dose taking it at night shouldn't be a big deal. You need more than five hours of sleep though. A sleep deficit will mess you up, either by mania or just ill health. You really need to work this out with the doc, and if your appt. isn't soon a call may be in order. Healing from depression goes better with your sleep cycle in whack.
I'm so glad you're doing well.Miss Liz
Posted by KellyM on August 5, 2002, at 5:49:47
In reply to Re: Nardil, Drowsiness and Insomnia!, posted by missliz on August 5, 2002, at 1:04:47
I have tried taking it at night, and I fall asleep fine. The problem is I still wake up 2-4 hours later and can't get back to sleep. The Klonopin definitely helps, but it seems to be fairly short acting as well. I totally agree about getting enough sleep. I'm going back to my doctor soon, and maybe I can get some ambien or something else that will last more that a few hours at a time.
On the positive side, I think taking one pill at least four hours apart negates the drowsiness at daytime. Kind of a pain taking it four times a day, but it works. Maybe taking all of it at night with something that really keeps me asleep will be the best answer. Thanks for your kind words.
Kelly
Posted by LLL on August 5, 2002, at 8:58:02
In reply to Re: Nardil, Drowsiness and Insomnia!, posted by KellyM on August 5, 2002, at 5:49:47
I was on Nardil for about 9 months and then Parnate for over 4 years, nearly 5 years ago. I am currently trying to tolerate the Parnate once again and am in the early stages of dosing. I do not suffer from depression and take instead for panic disorder/agoraphobia.
All the MAOI's mess with your sleep, the amount and type of sleep you get at night. I remember in particular having what I would call "narcolepsy attacks" on the Nardil during the day. These instense naps could not be resisted. I'll never forget going with my sister-in-law to go shopping and by the time we got there I decided to stay in the car and sleep - and sleep I did - I couldn't NOT do it.
I'm only on 5 mgs of Parnate right now (need to get up to at least 40mg) and have trouble falling asleep and staying asleep. I sleep in 4 hr. cycles. I'm hoping that in time I will get used to it or it will decrease in intensity. The good part though is that I don't feel the lack of sleep and am alert and full of energy during the day.
Good Luck, hope you find the right formula.
This is the end of the thread.
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