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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 11 of 11. This is the beginning of the thread.
Posted by FredPotter on March 19, 2007, at 22:08:00
Some advice says NO CHEESE! (Three Men in a boat all over again). The more discerning advice says it's aged cheese you need to avoid. Cottage cheese is OK (if you like eating ectoplasm), but not my favourite (Gorgonzola). I think Edam would be OK, but don't know. Any advice?
Some says NO ALCOHOL! But it's alcohol with yeast still in it that causes the problem I think. That would include tap beer, while bottled, clear beer is probably OK. I even read that some red wine is OK in moderation (like half a cup (why bother?)) and similary white wine BUT NO CHIANTI. I can live with that. OK my trips to Sienna will be a bit less exciting but you can't have everything.
Is what I'm saying reliable or dangerous?
fred
Posted by UgottaHaveHope on March 19, 2007, at 23:34:45
In reply to The Nardil cookbook, posted by FredPotter on March 19, 2007, at 22:08:00
This is one of the best Ive ever read on the subject:
http://www.dr-bob.org/babble/20010814/msgs/75408.html
Fred PLEASE post your journey on Nardil. I am close to taking it myself and want to hear of your experiences. Thanks, Michael
Posted by FredPotter on March 20, 2007, at 5:45:05
In reply to Re: The MAOI short list for dieting, posted by UgottaHaveHope on March 19, 2007, at 23:34:45
Thanks Michael I'm very grateful for all your trouble. I remember Elizabeth and trust her (I trust you too). NO Alcohol and NO cheese is *ss-covering I think.
Just a coupla queries. I presume blue cheese is RIGHt OUT! Great pity. Also I have read that a little red wine is Ok but not Chianti.
>Yogurt, and sour cream, are generally safe as long as they are fresh.
Aren't they by definition "not fresh"?
I'll certainly keep you up to date. I'm worried they'll take Nardil off the market because of the tyramine reaction, which would be a shame. Another thing Elizabeth said was that if you cheat and get away with it, you think you can ignore the whole thing and have pickled herring and Gorgonzola sprinkled with soy sauce, washed down with 2 bottles of Chianti. So I agree it's best to give accurate information not the *ss-covering kind
Regards
Fred
Posted by UgottaHaveHope on March 20, 2007, at 7:57:56
In reply to Re: The MAOI short list for dieting » UgottaHaveHope, posted by FredPotter on March 20, 2007, at 5:45:05
Fred, you bring up some excellent questions and perhaps someone else on this board can elaborate on their experiences with some of those foods you mentioned. Ive never taken Nardil. I am on Emsam, but only on 6mg therefore the food restrictions are not required. (I am considering Nardil, though).
I dont know which country you live in, but I dont see them taking Nardil off the market. Phizer already cut their costs in the drug by changing the coating in 2003. Please keep us posted, Michael
PS When are you supposed to start Nardil?
Posted by naughtypuppy on March 20, 2007, at 9:45:59
In reply to Re: Maybe someone else on here will know » FredPotter, posted by UgottaHaveHope on March 20, 2007, at 7:57:56
Here's a link to some good info on MAO inhibitors including dietary restrictions http://www.tu.edu/user_files/10/19.html. Aged protein is the key thing to remember. The reason tap beer is on the warning list is that some establishments don't flush the system out often enough and bacteria and mold accumulate. I had no problem at my favorite watering hole. Just watch those banana peels!
Posted by SFY on March 20, 2007, at 20:10:27
In reply to Re: The MAOI short list for dieting » UgottaHaveHope, posted by FredPotter on March 20, 2007, at 5:45:05
Take a look at this thread:
Posted by greywolf on March 20, 2007, at 20:40:10
In reply to Re: The MAOI short list for dieting » FredPotter, posted by SFY on March 20, 2007, at 20:10:27
I was on Nardil for quite some time. I asked myself a lot of the same questions, but couldn't bring myself to toy with the standard list of dietary prohibitions. Every time I wanted some cheese, I'd think the prohibition's probably b.s., but then I balanced the risk (however slight) of death or illness against the cheese, and the cheese always lost. Same with the sauerkraut and aged steak.
I got so comfortable with the Nardil dietary restrictions that I was a little taken aback yesterday when my doctor prescribed an "antidote" to be taken in case I screwed up and had a drug interaction with the Emsam patch I just started.
Posted by FredPotter on March 20, 2007, at 21:26:56
In reply to Re: Maybe someone else on here will know » FredPotter, posted by UgottaHaveHope on March 20, 2007, at 7:57:56
Michael I'm starting Nardil in 8 hours. The tel no for Crisis Line will be near at hand. I'm just not sure what to look out for with Central Serotonin Syndrome, tho I know headache is one them. I have one of those already however
Fred
Posted by FredPotter on March 20, 2007, at 21:46:26
In reply to Re: The MAOI short list for dieting, posted by greywolf on March 20, 2007, at 20:40:10
Ha! I remember accidentally ordering Welsh Rarebit in a cafe while on Marplan. Rather than face the embarrassment I ate it and waited for the ambulance to arrive but I was OK. Wouldn't mess around with it again though, particularly not blue cheese, my favourite.
And My God! Do I really have to go thru life without eating banana skins?
I've now found 3 recommended washout periods for Effexor to Nardil.
7 days
10 days
2 weeks
10 weeksFred
Posted by Quintella on March 20, 2007, at 22:14:05
In reply to Re: Maybe someone else on here will know » UgottaHaveHope, posted by FredPotter on March 20, 2007, at 21:26:56
__________________________________________________
Symptoms
Symptom onset is usually rapid, often occurring within minutes after self-poisoning or a change in medication. Serotonin syndrome encompasses a wide range of clinical findings. Mild symptoms may only consist of tachycardia, and shivering, diaphoresis, mydriasis, intermittent tremor or myoclonus, as well as overactive or overresponsive reflexes. Moderate intoxication includes abnormalities such hypertension and hyperthermia; a temperature as high as 40°C (104° F)is common in moderate intoxication. As well as the mild symptoms other features include hyperactive bowel sounds. The overactive reflexes and clonus in moderate cases may be greater in the lower limbs than in the upper limbs. Mental status changes include hypervigilance and agitation.[3]
Severe symptoms include severe hypertension and tachycardia that may lead to shock. Severe case often have agitated delirium as well as muscular rigidity and high muscular tension. Temperature may rise to above 41.1°C (105.98° F) in life-threatening cases. Other abnormalities include metabolic acidosis, rhabdomyolysis, seizures, renal failure, and disseminated intravascular coagulation.[3]
The symptoms are often described as a clinical triad of abnormalities:
Cognitive effects: mental confusion, hypomania, hallucinations, agitation, headache, coma.
Autonomic effects: shivering, sweating, fever, hypertension, tachycardia, nausea, diarrhea.
Somatic effects: myoclonus/clonus (muscle twitching), hyperreflexia, tremor.
http://en.wikipedia.org/wiki/Serotonin_syndrome#Symptoms
__________________________________________________It might be wise to keep some Periactin at hand if you have any.
Q
Posted by FredPotter on March 20, 2007, at 23:23:30
In reply to Re: Maybe someone else on here will know » FredPotter, posted by Quintella on March 20, 2007, at 22:14:05
Thanks for going to so much trouble Quin - er- tella. I've got some Periactin, years old, so thanks for the advice I'll carry them with me
Fred
This is the end of the thread.
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