Posted by bulldog2 on May 17, 2008, at 13:00:44
In reply to Re: To Scott - A Few Questions About Nortriptyline » bulldog2, posted by SLS on May 17, 2008, at 10:54:56
> Hi Bulldog.
>
> > My p-doc and I decided on Nortrip because in addition to ad properties it can have pain killing properities. I have fibromyalgia type pain symptoms that have put a severe crimp in my quality of life. Haven't started yet with Nortrip.
>
> Good choice.
>
> > 1. I take trazadone 100 mg for sleep. Any advantage to using that with nortrip other than sleep?
>
> Rarely. The odds are that it will not act like such a good augmentor. The nortriptyline can be taken at bedtime. It might help you sleep in place of the trazodone.
>
> > 2.I took deplin by itself for a month with some elevation of mood. See how the nortrip works first or add the deplin in right away for a more robust response?
>
> I would begin taking the Deplin immediately. It can take months to see the full effects when adding it to antidepressants.
>
> > 3. Outside of an maoi any good augmentation strategies for Nortrip?
>
> Effexor. Maybe Lexapro or Cymbalta.
>
> Cymbalta might help with pain more than Effexor.
>
> > 4. Is Nortrip use a guarantee to put on weight ?
>
> It isn't guaranteed, but it did put a lot of weight on me. I would recommend that you start practicing now to change your eating behaviors. Eat small meals every 3-5 hours and wait 20 minutes to decide whether you are still hungry.
>
> The usual target dosage is 75mg. I take 150mg. Start no higher than 25mg for the first few days. It can be quite soporific (excessive sleep promoting) at first. Assaying blood levels works well with nortriptyline. The effective range is between 50 and 150 ng/ml (supposedly). You still have to titrate the dosage clinically (empiracally), using the blood level as a rough guideline.
>
> I wish you the best of luck with the nortriptyline.
>
>
> - ScottThanks for your response. I have topamax at home. How much do you think would be needed to take away the pamelor munchies?
poster:bulldog2
thread:829644
URL: http://www.dr-bob.org/babble/neuro/20080418/msgs/829688.html