MAOI Survey - Nardil.org

What country are you from?*

Are you male or female?*

How old are you?*

Do you suffer from depression or social anxiety?*

How long have you suffered from this illness?*

How many SSRI/SNRI antidepressants have you tried?*

Do you take Parnate or Nardil?*

Do you augment this drug with any others?*

With what drug(s) and why? Please specify the dose*

What dose of Nardil do you take?*

What dose of Parnate do you take?*

What brand of Nardil do you currently take?*

How long have you taken this drug?*

Was it first prescribed by a General Practitioner or a Psychiatrist?*

How many doctors did you have to ask to get Nardil or Parnate prescribed?*

How long did it take for this drug to work?*

Did you get the initial euphoria when this drug first kicked in? If yes, how long did it last?*

Overall how do you rate the side effect profile of this drug?*

1 star being lots of side effects, 5 star being no side effects

What side effects did you get within the first 3 months?

Any side effect(s) not mentioned above? (optional)

What long term side effects persisted after 3 months?

Any side effect(s) not mentioned above? (optional)

How would you rate this drug for depression?*

How would you rate this drug for social anxiety?*

How careful are you with the food restrictions?*

How many hypertensive crises have you had on this drug?*

What symptoms did you experience from the hypertensive crisis?

What food(s) have triggered a hypertensive crisis?*

Other (mention food(s) that caused hypertensive reaction)*

Do you intend to be on this drug for the rest of your life?*

If it weren't for this drug, do you think you would have committed suicide by now?*

How you discover this website site?*

Other:

Phone

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