Hi, sorry for the late reply. I've been overseas and only just saw your posts.
- I'm not sure exactly how it works, but yes, Nardil stops me blushing. I was a chronic blusher for like 30-odd years, and nothing else really helped much.
Perhaps it's down to Nardil's anti-anxiety effects, I don't know. There doesn't seem to be a specific physical reason why it stops blushing, it just does. And it isn't just me. I've read accounts by other people with a blushing problem who said Nardil worked for them, too.
- Nardil's still working well for me, blushing isn't a problem for me any more. I can't remember the last time I blushed. When you realise you don't have to worry about it any more, it gives a real sense of freedom.
But yes, side effects can be annoying. Nothing unbearable that makes me think about coming off Nardil, but a hassle all the same.
1. Excessive sweating. This in itself can be embarrassing. But I think the Nardil makes me not care too much. I still prefer it to blushing all the time.
I have a physical job, and this summer I've resorted to tying a towel around my head while I work, lol. On a warm day, a little exertion and the sweat drips off my face. But then again I live in Australia, and summer days regularly hit the low- to mid-40s.
2. Sexual stuff not unlike SSRIs, but possibly worse. For the first few months on Nardil I had a lot of difficulty ejaculating. Now it's better, but I still have lower libido, and occasional trouble reaching orgasm.
3. Weight gain - I've put on 10kg in two years on Nardil. It makes you crave sugary carbs. Think peanut butter, cakes, jam, cereal etc.
I've been taking metformin, which seems to have prevented any more weight gain. But I can't seem to lose the 10kg I put on.
4. Occasional difficulty sleeping, and subsequent daytime sleepiness. I sometimes take clonazepam (0.25mg) or pregabalin (75mg) to help me get a good night's sleep, but usually do this no more than twice a week.
And yes, you do have to follow a restricted diet. Aged/fermented food such as cheese, red wine, meat stock etc must be avoided. I'm used to the diet now, so it's no hassle.
With getting Nardil prescribed, I'd been through so many other meds (SSRIs, SNRIs etc) over the years that I think my psychiatrist was running out of options. He was starting to suggest lithium and even ECT.
When I asked about trying Nardil, he wanted me to go on Parnate instead, because he had some experience prescribing it, unlike Nardil. But I kept on about Nardil, and eventually he agreed. Since seeing my success with it, he tells me he's now prescribed it to a few other patients.
Hope this info can be of some help to you guys. Feel free to ask any more questions. I'll try to keep an eye on the thread and reply.