Posted by ChicagoKat on October 5, 2012, at 11:44:35
In reply to Re: A call to my White Knights Jono and SLS for advice » ChicagoKat, posted by SLS on October 5, 2012, at 4:58:08
> I like Jono's ideas.
>
> I see nothing wrong with using the 25 mg dose of amitriptyline at night for sleep. If, however, you need 100 mg to sleep, I think crossing-over to amitriptyline makes sense. For me, I always need a full therapeutic dose of TCA when added to MAOI. If you do switch from nortripyline to amitriptyline, you might need 150 mg/day or higher in combination with Nardil to glean a persistent antidepressant effect. It is likely that the anticholinergic side effects of amitriptyline will lessen over time. After being on imipramine for an extended period of time, I hardly knew that I was taking it.
>
> If nothing else works, you could try taking a combination of triazolam (Halcion) and lorazepam (Ativan). I found this extremely effective when taking a combination of Parnate and desipramine; and later, Nardil. There was very little, if any, hangover the next morning. I woke up clear-headed. It was very clean in my experience. It didn't feel yucky. Triazolam is the most potent BZD for sleep.
>
> 1. Nowadays, I doubt that you could find a doctor to prescribe triazolam, let alone in combination with another BZD.
>
> 2. Behavioral disinhibition is possible with triazolam, as it is with Xanax. It is an infrequent occurrence.
>
> 3. Amnestic phenomena can occur with triazolam, much like those that occur with of Ambien.
>
>
> - ScottScott...I just want to make sure, if I took 150mg/day of elavil with 45mg/day of nardil, that it would be safe?
Thanks for the rec of benzos, but they are pretty much out for me. I have developed too much tolerrance to them which does not go awawy.
Thanks,
Kat
poster:ChicagoKat
thread:1027658
URL: http://www.dr-bob.org/babble/20121001/msgs/1027748.html