When I was on Nardil the magical dose was 60mg. But at that dose I could NOT orgasm... and my wife and I were trying for a baby. We decided to lower the dose to 45mg and keep trying. Well, we finally got pregnant, and sheâ€™s due very soon.
The down side is that the same month that we found out she was pregnant, I got fired from my job. With no insurance, Nardil was going to be about $60/month with the GoodRX app. I decided to just come off of it.
I tried to go back on the Nardil but my psychiatrist but he wanted to go SSRI route. Now here I am. Jobless, baby on the way, suffering. Praying everyday that now how Iâ€™ll make it.
So I was re-reading this post and I wanted to add some extra input.
There is another MAOI called Parnate which is very effective. It's considered to have less side effects than Nardil. I point this out because if you are trying to have a baby and you've also benefited from Nardil which is an MAOI, parnate is definitely worth considering.
I hate to see a situation like this where a medication being Nardil which increases many other neurotransmitters be replaced by a medication that only increases serotonin. If a doctor isn't willing to match the efficacy of a previous medication because they're in lala land thinking that SSRI monotherapy is just as good, they're on their high horse.
Unfortunately Nardil is globally being shorted. At least according to the latest news that I've updated myself on. Essentially whats going on is the manufacturers who produce Nardil have stopped developing it due to co-vid19. I learned this from a doctor Ken Gilman who is trying to raise awareness of this shortage and how we need production of Nardil to resume. So if your doctor didn't mention any reasoning as to not re-administering the treatment of Nardil, that is likely one of the reasons.
Also I want to add another point which I think is important. If it does turn out that your doctor is afraid of MAOI's because your doctor is of the belief that they are too dangerous, don't get suckered into a medication called Moclobemide. Moclobemide may not be available in your country since it's only available in Canada and Australia last I checked. Moclobemide is a reversible MAO - A inhibitor. Since it is reversible, you don't need to worry about the dietary restrictions. Therefore it is the safer choice if ever you see a doctor that is unwilling to trial a true MAOI.
Since you're on an SSRI, your brain is becoming used to the antidepressant benefits from that particular mechanism of action. What the research has shown is that Moclobemide doesn't help avoid the avoidance of the withdrawal effects of discontinuing an SSRI. So if a doctor ever presents such an option, respond with an emphasis on trying either Parnate or Nardil. Both of those are the more effective antidepressants. Moclobemide is not that effective.
Best of luck. I hope that this additional information is helpful. I can link you to where I got my information as well if you're ever interested.