Posted by rod on June 10, 2004, at 13:54:12
In reply to Re: Maprotiline or Doxepine? Maprotiline for Burno » Sad Panda, posted by zeugma on June 10, 2004, at 12:45:33
> I suggest a blood test so you know what level of Nort is your blood does the most good. As you would know Ami metabolises to Nort, so if you were to take some Ami you would have to take less Nort to get the Nort level in your blood the same as before. No matter what TCA you use, you are probably going to have to lower your Nort intake to avoid NE overload.>
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> Hi, I just want to second Panda's advice to get a plasma level done for nortriptyline. And I agree that if you add any drug that is an NRI, including any TCA, there is an increased possibility that you are going to get counterproductive results from NE overload. I think that some of the symptoms I have experienced recently, including severe fatigue, were due to my simultaneous intake of two NE reuptake inhibitors (nortriptyline and Strattera).
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> I am currently on 75 mg nortriptyline, 1 mg clonazepam, plus 15 mg buspirone as needed to combat insomnia.
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Hi
sure, this can end in counterproductive symptoms due to NE overload. And thank you for caring about me. :)
But I think its the simplest way to just try out, and see what happens. I mean, what if I know my Nortriptyline plasma level. What does this tell me about the outcome of augmenting with anouther NE reuptake inhibitor (except Amitriptyline). I mean I have *no* cardicac effects from nortrip. or other side effect. they are zero. It just got a bit better than without meds. And if a additonal TCA produces an improvement in my functionality, I take it, if its counterproductive, I quit the newly started one.
Well, I dont really know which symptoms represent NE overload. Are there specific ones? if so, please tell me.But I will make one the next time I visit my doc. Just out of curiosity.
Roland
poster:rod
thread:354847
URL: http://www.dr-bob.org/babble/20040608/msgs/355451.html