Doctor insights on:
Medicine For Phenelzine Allergy
Allergies occur when your immune system is triggered by envirionmental factors it should ignore--for example, pollen in the air, or dander on a cat or dog--and creates cells to fight against them. An allergic reaction typically causes itching, congestion, or drainage, and ...Read more
Possibly: Nardil (phenelzine) is a great medication. Many of my patients ended up on it and do not want to change it to anything else. At the same time, if you are on nardil, (phenelzine) you need to avoid certain foods and certain other medications. You cannot also switch from your current antidepressant to Nardil (phenelzine) directly: you have to wait for about two weeks. Otherwise, it is very well worth trying. ...Read more
Several options: There are a number of worthwhile meds that can facilitate improved social interaction w/ less anxiety. It takes more than meds though- you need a plan, you prob need expert counsel, & most especially u need lots of opportunity to "practice" being social. Do things with a social context- regularly! And, it may require >1med; getting the right med doses & multi-drug regimen is crucial & an expert md. ...Read more
D/w provider: This is an issue that will need to be addressed with your psychiatrist. The doctors on the internet do not what past responses you have had to medications or your full history. Please d/w with prescribing provider. ...Read more
The psychiatrist put me on nardil (phenelzine) (I went off celexa 5 weeks ago). Is this drug more effective?
Maybe, maybe not: Phenelzine is a class c which means there is some possible evidence of fetal effects, but no controlled studies have been done. Most medications are in this class. As with any medication, it is important to weigh the risk to both yourself and your baby compared to the benefit. Discuss with your doctor. ...Read more
Yes- may help!: As you likely know, one must be extremely careful when taking Nardil (phenelzine) because a wide variety of medicines & foods can dangerously interact with it. The foods that create problems are high in the Amino Acid tyramine. Probiotics don't contain much if any tyramine & may reduce the population of enterococcus faecalis, an intestinal bacteria that coverts tyrosine to tyramine, so probiotics may help! ...Read more
Yep, help available:
Every medication contains chemicals that can cause adverse reactions in our body. Some side effects are physical--nausea or blurred vision, while others can adversely affect our mood and emotions.
MAOI’s affect numerous bodily functions, stopping Nardil (phenelzine) incorrectly can adversely affect many areas simultaneously. Gradual dose reduction (tapering), reduces withdrawal. Do not use SSRI for 2 wks +. ...Read more
No, but. ..: Generally speaking, this is an important contraindication. The combination can suddenly increase your blood pressure. On the other hand, some skilled doctors are using the combination for treatment resistant depression, for injectable headaches etc. Ask your doctor if he has any experience with this first. ...Read more
Is one of the medications that belongs to maoi class. A wonderful group of medications that is not used now much because it was felt that the medications have less side effects. Some of the new doctors have no experience with these medications.
Notoriously, people who benefited from one of these medications, like them very much and do not want to change. ...Read more
Somewhat depends: All three have been used for more than 40 years. Nardil needs to be taken in context of care diet modification, but it works quite well. Mellaril is an antipsychotic used for years and years, until eli lilly got scared of Geodon (ziprasidone) and forced the fda to study other antipsychotics for qtc changes. Again, quite safe. Norpramin is despiramine, one of the first antidepressants; again, used for years. ...Read more
Antidepressant: Nardil (phenelzine) aka Phenelzine is an antidepressant called MAO inhibitors which increase norepinephrine, dopamine, and serotonin. Requires careful monitoring and has dietary restrictions. Eating cheese, yogurt, dry sausage, liver, sauerkraut, chocolate, caffeine or drinking alcohol or non-alcoholic beer or wine may cause a hypertensive crisis. Many medications should also be avoided. Talk to your doctor. ...Read more
Very short list: Being an MAO inhibitor, Nardil can cause many interactions with medicines that would be safe to try otherwise. Wellbutrin (bupropion) is commonly used to overcome ssri-induced anorgasmia, but isn't safe to use with nardil. Might you & your doctor consider reducing your Nardil dose to see if this helps, but doesn't cause your other symptoms to return? I hope my colleagues will have additional ideas. . ...Read more
Wean of nardil (phenelzine):
Do it under medical supervision and slowly. It also depends how long you have been taking nardil, (phenelzine) and what dosage. I can not advice you without knowing what dose and how many years you have been taking Nardil (phenelzine) and what other meds you are taking. But as a rule for weaning any psychiatr med is to take your time and go slow and under direction of your physician
it is to be done slowly and under supervisio. ...Read more
Nardil (phenelzine) is one of the medications that belongs to maoi class. A wonderful group of medications that is not used now much because it was felt that the medications have less side effects. Some of the new doctors have no experience with these medications.
Notoriously, people who benefited from maoi, like them very much and do not want to change.
Nardil (phenelzine) can be used for all of the above. ...Read more
NO: Both Simvastatin and similar drugs as well Erythromycin increase the level of Warfarin which can lead to serious health consequences, so if absolutely necessary, it has to be done under strict and close medical supervision with frequent monitoring of blood parameters. The interaction has to be taken seriously ...Read more
Desipramine is an old medication from the tca group. It is relatively norepinergic, that can possibly increase motivation. Nardil (phenelzine) belongs to the group of maoi, which are supposed to increase all three neurotransmitters, promote alertness etc., which also can improve motivation. I normally let my patients to try both and choose.
(nb! Cannot be taken in the same time!). ...Read more
What to do if I have become tolerant to nardil, should I take parnate (tranylcypromine) or will that not work as it is in the same drug family as nardil?
It is worth a try: These drugs are similar but not identical. The most important thing to remember about making the switch from one monoamine oxidase inhibitor to another is that you must wait at least two weeks from the time of completely stopping one until the time you start the next one for you have an extremely high risk of serotonin syndrome. I have personally seen a case like this before it was even known to occur. Six months later the cause was reported in a three case series from harvard. It is an important point that is not brought out much in the psychopharmacological literature because we don't use monoamine oxidase inhibitors as much as we used to. Best wishes and have a speedy recovery. ...Read more
Stop taking it: If it is an extreme necessity, and there are no alternatives, and you don't know whether this an allergic reaction or an adverse drug reaction (side effect), see an allergist/immunologist for evaluation and possible desensitization to the said drug for treatment of a particular disease episode, good luck ...Read more
Various Options: Daily steroid or antihistamines nasal sprays (fluticasone, azelastine) are helpful. Determining exactly what you could be sensitized to in order to practice appropriate avoidance measures is also important. If medications and avoidance are not effective or not feasible allergen immunotherapy (allergy shots) could be an option as well. Other meds include Sudafed, Mucinex, (guaifenesin) Afrin, oral antihistamines ...Read more
Could be!: Without understanding the circumstances and the type of reaction, it is impossible to answer the question. If you started the new medicine, and experienced a reaction, it could be due to allergy to the medication. ...Read more
No cure yet, but...: Allergy shots (allergen immunotherapy) is currently the only treatment that is disease modifiying, meaning it can change how the body responds to exposure to allergens. It is "natural" and long lasting effects carry on after shots are stopped. It works for most, but not all people. Closest thing to a cure so far..... For more read my blog at: http://www. Familyallergyasthmacare. Com/2013/03/its-no. ...Read more
OTC Allergy: Not fair. Truly, it is trial-and-error. What works best for you might not work best for someone else. Loratadine is the weakest binding non-sedating antihistamine; Cetirizine is the strongest binding non-sedating antihistamine. Benadryl (diphenhydramine) works better than both but it makes people sleepy. ...Read more