Hi I’ve been coping well on Nardil with bipolar for around 20 years and now they are not available , has anyone expedited on an alternative

[Footiefanx]

Hi I’ve been coping well on Nardil with bipolar for around 20 years and now they are not available , has anyone expedited on an alternative after Nardil .

[_Alex_]

Hi, I have no personal experience, but I believe it's a difficult antidepressant to replace. The one manufacturer for the UK isn't making it right now, but it still may be possible to get supply from abroad, as I think there are other companies that do make it. It's more expensive for the NHS but I think they sometimes do it.

The most obvious replacement for Phenelzine is Tranylcypromine, and I think that does work for some people; but unfortunately it's become very expensive in the UK so it would be difficult to get it on the NHS.

There is the newer generation MAOI Moclobemide, (not as powerful in what it does, but works in a similar way), but I have no idea if you could be successfully switched onto it after long term phenelzine.

Can I ask, how effective has phenelzine been for you? You think it has helped a lot? Side effects that bad?

Good luck anyway.

[Missy_D]

Hi Footiefanx,

I haven't got the golden answer for you I'm afraid but if you look at the following link you will be able to see what other anti depressents come under MAOI. Being the same "family group" they should all work in a similar way. It will at least give you a starting point to have a proper discussion with your psychiatrist about what antidepressant they are able to prescribe you.

mind.org.uk/information-sup...

Hope it helps and take care xxx

[MrRigatoni]

Hello pleased to meet you. I come across this a lot some one been on the same medications for a long time.

My experience had taught me to consult your GP.

With Bi polar many meds available.

Always to best discuss with GP.

One point always should be reviewing meds and lifestyle and health issues.

Medication is an answer but other factors should be taken in to consideration to benefit the mental health you have.

Including if you wish to consider charities organisations that can help support and be useful in your wellbeing.

If you live in the UK worth looking at can help if you so wish.

In other countries look at on line.

One important aspect of medications is they can be resistance to anything you are dealing with long terms .

Might not get the full dose and the body might not be acceptance have this many times so upped dosage is that a good idea.

Certain meds come under MAOI Mono oxidase Inhibiters. Can effect interact cause a number of symptoms.

Why reviews important.

Also consulted GP advised and supported by mental health charities can often give you a better understanding of your illness.

Happy to supply these if you live in the UK.

Please take care

[jonghee]

There should be alternatives. I am not fully familiar with maois, but Marplan, Parvati and Deprenyl are a few alternatives that come to mind. Try justanswer.com for a week trial of $5, or one the mental health apps for a second opinion. Feel free to pm me. Good luck and stay safe.