Posted by SLS on April 27, 2003, at 22:44:28
In reply to Ace, Re: Guys, I'm in BIG trouble. PLEASE help, posted by McPac on April 27, 2003, at 21:25:23
> First question, can you start taking the Anafranil now, w/ the Nardil?
> If not, if you could get yourself some low-dose Remeron (7.5 mg/night) that should GREATLY help your insomnia.
>
>
Hi.Combining any drug that inhibits the reuptake of serotonin (5-HT) with Nardil is a big no-no. Serotonin syndrome. I was advised by one doctor not to mix Remeron with Nardil. I think he was worried about the NE alpha-2 receptor blockade releasing excess norepinephrine and raising blood pressure. I could not tolerate imipramine (Tofranil) added to Nardil. Clomipramine (Anafrinil) is much more potent than imipramine with regard to 5-HT reuptake inhibition.
I have no suggestions, sorry. I think Zyprexa is a good idea.
- Scott
poster:SLS
thread:222784
URL: http://www.dr-bob.org/babble/20030423/msgs/222811.html