Posted by SLS on September 25, 2005, at 9:58:00
In reply to Re: hello to all.... » NotSoSunny, posted by zeugma on September 23, 2005, at 15:52:28
Hi.
> > I'm really sorry that I started such wars.
> No need to apologize.
I agree. You are not responsible for the behavior of others. Besides, it is often through confrontation and debate that important inroads to understanding are made.
> Lexapro is OK with Elavil as far as i know. Prozac, Paxil and Luvox are much more dangerous,I can understand that one must be cautious when using Paxil and Luvox because they act as enzymatic inhibitors of Elavil metabolism. However, reducing the dosage of Elavil by 50% will usually compensate for this. One can always take blood-tests to monitor the levels of Elavil. What is the problem with Prozac when combined with Elavil?
Much success has been reported from using the combination of Prozac + desipramine. I have taken a combination of Paxil + desipramine without sequalae. I reduced the dosage of desipramine by 50%. Such dosage reductions are not necessary when combining tricyclics with Prozac.
Some people profit from combining Effexor with tricyclics. Here, no dosage adjustments are necessary. I feel that Effexor + Pamelor (nortriptyline) makes for a good combination. Neither drug affects the other's metabolism. I experienced a partial improvement with these two drugs.
Although serotonin syndrome is possible when combining an SRI with a tertiary tricyclic like Elavil, I doubt the risk is very high. I guess I would be more inclined to use nortriptyline than Elavil, though. Still, I had no problems combining Effexor with imipramine.
Off the top of my head, I think the order of serotoninergic potency of popular tricyclics looks something like this:
1. clomipramine
2. amitriptyline
3. imipramine
4. doxepin
5. nortriptyline
6. trimipramine
7. desipramine- Scott
poster:SLS
thread:555925
URL: http://www.dr-bob.org/babble/20050921/msgs/559367.html