Desipramine and pain » BarbaraCat

Posted by CalvaryHill on January 9, 2002, at 1:26:20

In reply to Need your help! - another treatment failure, posted by BarbaraCat on January 8, 2002, at 17:13:19

Nortriptyline (a metabolite of amitriptyline) is a better drug overall for the prophylaxis of pain _and_ for anxiety--this is supported by the Psychopharmacology Tips. And nortriptyline has a benign side-effect profile that is comparable to desipramine.
Once you complete a trial with a TCA then the fatigue should dissipate because of norepinephrine dominance.
Your emotional lability concerns me, and your mood-stabilizer dose of Lithium is severely inadequate. I would suggest a trial with Divalproex to smooth out the cycles and also add an antidepressant effect.
Take Care,
CalvaryHill

Thread

Need your help! - another treatment failure BarbaraCat 1/8/02
Desipramine and pain » BarbaraCat CalvaryHill 1/9/02
Re: Desipramine and pain » CalvaryHill BarbaraCat 1/9/02
Re: Need your help! - another treatment failure » BarbaraCat IsoM 1/9/02
Adrafranil, huh? » IsoM BarbaraCat 1/9/02
Re: Adrafranil, huh? » BarbaraCat IsoM 1/10/02
Re: Adrafranil, huh? » IsoM BarbaraCat 1/10/02
Re: Adrafranil, huh? » BarbaraCat IsoM 1/10/02
Re: Adrafranil, huh? BarbaraCat 1/10/02
Provigil/Modafinil/Adrafinil Rules! » IsoM manowar 1/13/02
Provigil after the initial kick ... spike4848 1/13/02
Re: Provigil tolerance..and reverse tolerance? Mitch 1/13/02
Re: Provigil after the initial kick ... Rakken 1/13/02
Re: Provigil after time IsoM 1/14/02

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poster:CalvaryHill thread:89346
URL: http://www.dr-bob.org/babble/20020103/msgs/89395.html