![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by JohnSky on December 13, 2007, at 15:59:53
I am taking 45mg/day of Nardil and struggling with insomnia. What medication(s) can help with this and does the insomnia get better through time the longer the medication is taken?
Thanks
John
Posted by Nardilstarted2007 on December 14, 2007, at 6:39:06
In reply to Nardil Insomnia, posted by JohnSky on December 13, 2007, at 15:59:53
> I am taking 45mg/day of Nardil and struggling with insomnia. What medication(s) can help with this and does the insomnia get better through time the longer the medication is taken?
>
> Thanks
>
> JohnThat Sure is the struggle with Nardil and so many other AD's. The issue is to find a sleep aid that is not habit forming. I do know the insomnia gets better after time (2-4 months usually). How long have you been on Nardil?? Im at 8 weeks and 90mgs/day, Insomnia is getting better, but I noticed I dont need much sleep and I cant follow much of a schedule. I sleep when I can, even if that means 2-3 naps a day of 2 hours a piece, usually im fine. its alot better then at the beginning where I would toss and turn all night even on sleep aids (benzo's, or benedril, zopiclone or even a mixtureof them) now after 8 weeks I use them sparingly when I Know I need sleep and they are working better as time goes on. ( I take 15mgs of zopiclone and a benedril and im surely knocked out for a WHOLE night... might cause hangover, but then ur good to go! just dont do it every night or ull grow a major tolerance and get hooked... See Ur doc for other suggestions, there are many. many more pple will be here to answer Ur question
>nardilStarted
Posted by JohnSky on December 14, 2007, at 9:28:12
In reply to Re: Nardil Insomnia » JohnSky, posted by Nardilstarted2007 on December 14, 2007, at 6:39:06
> > I am taking 45mg/day of Nardil and struggling with insomnia. What medication(s) can help with this and does the insomnia get better through time the longer the medication is taken?
> >
> > Thanks
> >
> > John
>
> That Sure is the struggle with Nardil and so many other AD's. The issue is to find a sleep aid that is not habit forming. I do know the insomnia gets better after time (2-4 months usually). How long have you been on Nardil?? Im at 8 weeks and 90mgs/day, Insomnia is getting better, but I noticed I dont need much sleep and I cant follow much of a schedule. I sleep when I can, even if that means 2-3 naps a day of 2 hours a piece, usually im fine. its alot better then at the beginning where I would toss and turn all night even on sleep aids (benzo's, or benedril, zopiclone or even a mixtureof them) now after 8 weeks I use them sparingly when I Know I need sleep and they are working better as time goes on. ( I take 15mgs of zopiclone and a benedril and im surely knocked out for a WHOLE night... might cause hangover, but then ur good to go! just dont do it every night or ull grow a major tolerance and get hooked... See Ur doc for other suggestions, there are many. many more pple will be here to answer Ur question
> >nardilStarted
>
>Thanks for the reply. I have been at 45mg for about 4.5 weeks now. The lack of sleep sure isn't helping my depression. I don't want to give up on Nardil I just want to get some sleep. I may need to take advantage of our nurse area at work to lay down and take a nap mid-day each day. Knowing the insomnia will get better helps. I took Nardil 20 years ago and don't remember any insomnia... but that brings up the old/new Nardil debate we probably don't need to go into.
John
Posted by Nardilstarted2007 on December 14, 2007, at 13:06:29
In reply to Re: Nardil Insomnia, posted by JohnSky on December 14, 2007, at 9:28:12
Hi, did you get any sleep lastnight??? im guessing it was a Battle... Last night I had a bad insomnia. I had a final exam this morning so I couldnt take any sleep meds that would leave me foggy. I had no chance to even try and sleep until 530am, I took a zanax and sortof dozed off till seven. Then Off my couch I got and into the shower for another day. I can handle it just fine today because my body says I can, Im not fatigued. Nardil can really deminish my need for sleep alot sometimes now that it has kicked in. But WOW what a piss off when there is nothing to do but what till the morning to do nothing but worry that you got no sleep.. not fun. I'll make sure to get a full 12 hours this weekend with zopiclone and benedril. I feel myself get tired juring the day if im at home on the couch. BAM. I can fall asleep for 2 hours or more. not a productive time to sleep but better then nothing. I havent been sick from lack of sleep and I feel good (OH and my Nardil Has kicked in) im at 8 weeks and 90mgs, im 180lbs. insomnia was worse at 3-6 weeks. Once it kicks in, your happy to get up any way even if Ive had no sleep. Ask People here or look up post about Seroquel, It may be one of the best off label sleep aids for what your experiencing and I believe it can be used fairly long term, atleast until your insomnia isnt so bad any more which may take a month or 3 more. Hang in there. I have lots of side effects right now but its worth it for the great benefit I'm finally recieving from Nardil when it Kicked in. It kicks in more and more each couple days. I just noticed that yesterday and today iy kicked in to a new level! Keep posting, more pple will come to your aid
>NardilStarted
Posted by JohnSky on December 14, 2007, at 15:40:54
In reply to Re: Nardil Insomnia » JohnSky, posted by Nardilstarted2007 on December 14, 2007, at 13:06:29
> Hi, did you get any sleep lastnight??? im guessing it was a Battle... Last night I had a bad insomnia. I had a final exam this morning so I couldnt take any sleep meds that would leave me foggy. I had no chance to even try and sleep until 530am, I took a zanax and sortof dozed off till seven. Then Off my couch I got and into the shower for another day. I can handle it just fine today because my body says I can, Im not fatigued. Nardil can really deminish my need for sleep alot sometimes now that it has kicked in. But WOW what a piss off when there is nothing to do but what till the morning to do nothing but worry that you got no sleep.. not fun. I'll make sure to get a full 12 hours this weekend with zopiclone and benedril. I feel myself get tired juring the day if im at home on the couch. BAM. I can fall asleep for 2 hours or more. not a productive time to sleep but better then nothing. I havent been sick from lack of sleep and I feel good (OH and my Nardil Has kicked in) im at 8 weeks and 90mgs, im 180lbs. insomnia was worse at 3-6 weeks. Once it kicks in, your happy to get up any way even if Ive had no sleep. Ask People here or look up post about Seroquel, It may be one of the best off label sleep aids for what your experiencing and I believe it can be used fairly long term, atleast until your insomnia isnt so bad any more which may take a month or 3 more. Hang in there. I have lots of side effects right now but its worth it for the great benefit I'm finally recieving from Nardil when it Kicked in. It kicks in more and more each couple days. I just noticed that yesterday and today iy kicked in to a new level! Keep posting, more pple will come to your aid
> >NardilStartedThanks for the detailed reply and help. Unfortunately we can not get zopiclone in the US. My doc checked out the local pharmacies... Is this correct?
Hopefully my insomnia will improve soon. My doc told me his other patient on Nardil had no insomnia problems... what gives? I guess everyone is different. In the end as long as I eventually feel better and the insomnia backs off I will be happy.
Posted by Nardilstarted2007 on December 14, 2007, at 16:29:54
In reply to Re: Nardil Insomnia, posted by JohnSky on December 14, 2007, at 15:40:54
Is your doctor a psychiatrist? Does he/she even know about MAOI's or much about antidepressants in general.. man o man. insomnia is in the top 3 side effects of pretty much all AD's except for a very very few like Mirtazapine. Many AD's do cause sleepyness and somnolescence but that is totally unrelated to the insomnia they can cause. I will just list off a few side effects most common with ALL AD's: insomnia, sexual problems, dry mouth,agitation, anxiety,urinary retention, constipation, sedation, weight gain. Most ALL these will go away with time like a few months. I would say insomnia/vivid dreams, sexual problems and drymouth are the main initial side effects. I started Nardil at 75mg/day (WOW), I know but I was desperate and didnt care about the side effects without titrating up. After 6 weeks it was Kicking in but it could have been better so 2 weeks ago I went up to 90mgs/day and I feel Great antidepressant effects now (2 months later). I take it for Social Phobia and panic antacks which leads to depression and agoraphobia if left untreated. SSRI's worked at one time but now they make me crazy with no good effect. My current side effects are quite severe but I know they will deminish, I have: insomnia, impotence (can't cum no matter what), constipation, urinary retention, weight gain (18 lbs in 2 months, my fault for eating so much at night waiting for it to kick in), I smell like nardil in my urine and feces, I have water retention so my eyes look droopy all the time like when you wake up, dizzyness upon standing, heart pounds when I eat protein.
Tat May Sound Horrible but I feel great and I have a STABLE mood happy to get all my tasks done during the day. You cant escape the initial side effects.
I'm a good looking, smart young man. Nardil has allowed me to actually use it. No Nardil = No life/hermit living alone with agoraphobia and depression forever. If you saw me now you would not notice any of those side effects talking to me, all you would say is 'what a cool guy'. Ambition is back and I can be myself without having a panic attack.. Anyway Sorry for the Long post..
But your doctor sounds like he knows nothing about MAOI's to say insomnia is uncommon (I bet 70% of people on it get it initially, just read around eh it pretty nuts) I would get a new doctor to help with your AD drugs. I found one after a few years and he's great and knows alot about all these AD's. You must find a doctor who is COMFORTABLE perscribing MAOI's and know the fact (psychiatrist) still many new psychiatrists dont recomend or deal with MAOI's. There are tons of sleep meds available in USA, the new Zopiclone is called Ezopiclon, and there's all the types like lunesta, ambian(ezopiclone I think) and I would try seroquel. If you are worried just spend time researching the internet and before you know it, you will know more about AD's then a doctor. I know I know more then most regular doctors.
Cheers NardilStarted. Damn long post
Posted by Justherself54 on December 14, 2007, at 20:34:28
In reply to Re: Nardil Insomnia » JohnSky, posted by Nardilstarted2007 on December 14, 2007, at 16:29:54
I have the dreaded insomnia too, but tons of energy through the day..no naps..I take seroquel and had to up my dose trying to get some sleep..I also take zopiclone..from what I've read most people on nardil have to take some sleep aids..but I'm very happy with it so far..energy to burn!
Posted by jedi on December 15, 2007, at 1:40:18
In reply to Nardil Insomnia, posted by JohnSky on December 13, 2007, at 15:59:53
Hi John,
Like Justherself54, I take a small dose of Seroquel(25mg) for Nardil induced insomnia. Unlike some of the others here, the insomnia is one side effect of Nardil that has not gone away for me. This is after being on the medication for most of eleven years.When I first started Nardil I took a small dose of Trazodone for insomnia, I've take benzos, Nortriptyline, among others. Seroquel mixed with clonazepam seems to work the best for me. I've had no tolerance to the somnolence effect after six months.
Be Well,
Jedi
> I am taking 45mg/day of Nardil and struggling with insomnia. What medication(s) can help with this and does the insomnia get better through time the longer the medication is taken?
>
> Thanks
>
> John
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.