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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 Social Phobically Yours on December 5, 1999, at 23:06:57
Hey, guys! Anyone successfully used Amantadine, Bromocriptine, or other augmentation to treat Nardil weight gain, sexual effects, and apathy? C'mon, something must work.
Tried Periactin, Ginkgo, etc. Buth none of these worked. Yohimbine is contraindicated as it affects the noradrenergic function (I think noradrenergic antagonist), and is also and anxiogenic. Something affecting dopamine seems like it would be most promising, as Nardil downregulates the dopaminergic system.
Please help.
Yours very social phobically
Posted by Jamie on December 6, 1999, at 3:34:32
In reply to Help with Nardil weight, sex, apathy - Amantadine?, posted by Social Phobically Yours on December 5, 1999, at 23:06:57
> Hey, guys! Anyone successfully used Amantadine, Bromocriptine, or other augmentation to treat Nardil weight gain, sexual effects, and apathy? C'mon, something must work.
>
> Tried Periactin, Ginkgo, etc. Buth none of these worked. Yohimbine is contraindicated as it affects the noradrenergic function (I think noradrenergic antagonist), and is also and anxiogenic. Something affecting dopamine seems like it would be most promising, as Nardil downregulates the dopaminergic system.
>
> Please help.
>
> Yours very social phobicallyIt's amazing to me how little (never) we hear of people using Amantandine or Bromocriptine at this board. It seems like whenever I do a search on topics like SSRI sexual dysfunction, apathy, augmentation strategies, etc. those two drugs keep coming up over and over again. Several responders in "tips" concerning sexual dysfunction and/or apathy recommend amantadine or bromocriptine. I don't know why no one's actually using them here. Maybe they're just off the beaten path with mainstream doctors. Even my very experienced pdoc has never used them. He quickly brushed me off and changed the subject when I started mentioning those drugs. There's so much encouraging literature about them. I don't understand.
Posted by anita on December 6, 1999, at 18:09:02
In reply to Re: Help with Nardil weight, sex, apathy - Amantadine?, posted by Jamie on December 6, 1999, at 3:34:32
I really don't think anything will help the weight gain (I speak from experience). For apathy, I found some relief with Ritalin and Wellbutrin, both of which _can_ be used with an MAOI safely as long as you start with a low dose and go up slowly.
I think bromocriptine is worth a shot too, and it is okay to use with an MAOI too. I think docs don't like to prescribe amantadine because side effects are often a problem on it.
BTW, where did you hear that Nardil downregulates dopamine? Do you have a reference? Very curious...
anita
> > Hey, guys! Anyone successfully used Amantadine, Bromocriptine, or other augmentation to treat Nardil weight gain, sexual effects, and apathy? C'mon, something must work.
> >
> > Tried Periactin, Ginkgo, etc. Buth none of these worked. Yohimbine is contraindicated as it affects the noradrenergic function (I think noradrenergic antagonist), and is also and anxiogenic. Something affecting dopamine seems like it would be most promising, as Nardil downregulates the dopaminergic system.
> >
> > Please help.
> >
> > Yours very social phobically
>
> It's amazing to me how little (never) we hear of people using Amantandine or Bromocriptine at this board. It seems like whenever I do a search on topics like SSRI sexual dysfunction, apathy, augmentation strategies, etc. those two drugs keep coming up over and over again. Several responders in "tips" concerning sexual dysfunction and/or apathy recommend amantadine or bromocriptine. I don't know why no one's actually using them here. Maybe they're just off the beaten path with mainstream doctors. Even my very experienced pdoc has never used them. He quickly brushed me off and changed the subject when I started mentioning those drugs. There's so much encouraging literature about them. I don't understand.
Posted by Mark on December 6, 1999, at 20:10:32
In reply to Re: Help with Nardil weight, sex, apathy - Amantadine?, posted by anita on December 6, 1999, at 18:09:02
What do you mean by apathy? Wouldnt an antidepressant combat apathy? Also, has anyone ever heard of trying a weight loss aid, rather than a psychiatric drug, to stop the Nardil weight gain? Maybe something like Xenical?
This is the end of the thread.
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