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Re:TCA less likely to cause rage? » Chloe

Posted by Ritch on January 28, 2002, at 10:41:21

In reply to Re:TCA less likely to cause rage? » Ritch, posted by Chloe on January 28, 2002, at 9:42:05

> Thanks Mitch,
> This is useful. I tried to talk to my pdoc about this, and she hadn't heard of any TCA causing rages, per say, that I was just probably in a mixed state from too much AD. Hence she told me to lower the Celexa. NOT a good idea.


She might be correct about that-given that your levels of mood stabilizer(s) are quite low. I am starting to have a problem with "mixed" symptomology. I have backed off the Wellbutrin to just 1/4 of a 75mg tablet with my 2.5 mg of Celexa 4-5x a week (I skip days here and there because of the heartburn). I go to sleep, but it is very light and unrestful, and I just tend to lay around in bed half-awake for a long time. Then I am half-awake all day long it seems. The WB is starting to make my skin itch (pruritis) and for some odd reason the bottoms of my feet are *sweating*. (whatever!)
I am going to bug my pdoc about going back on a pstim (swap out the WB). With the other meds I think it will work out better. Christ, I started checking my BP the last few days (when I was taking nearly 75mg of WB every day) and it had consistently gone up from around 120/75 to nearly 150/95! I didn't have an increase like that with Adderall and it worked better.

>
> So I am the one who has to choose the meds. She doesn't want to make a switch at all. So I really have to make a case and advocate for myself. I thought doxepin was a good one try next since it's used often in neuropathic pain. And from what I read at google, is supposes to have less cardiac issues than ami. But clearly, that is not your experience! And is sedating, so I will sleep through the night.
>
> I did not think Nort. would be useful because it can be activating. And that just seems to make my temper worse...But I just don't know. I am so lost here, and feel so stranded, trying to pick out meds for myself. I wish I could hook up with a pdoc who had some experience with this. But my last pharm consult was expensive and not useful. So I guess for now I have to try to figure this out on my own. I wish I had heard from you before I called her about doxepin. But it's already done. It's all trial and error anyway. And I don't plan to take more than 20 mgs of any these TCA's. And it may turn out that I can't tolerate any of them. I just have to be so careful. I keep blowing up and saying really mean things and just feeling nasty and grumpy...
>
> I am really scared. I have to try and be in better control of my anger today. This is NOT ususally something I have to work at...
> BTW, did nortrip help you sleep better?
> Thanks again
> Chloe


Perhaps *I* shouldn't have knocked doxepin so much! YMMV. Nortrip. produces a "light" sedative effect at best-it was the only TCA I could stand to take during the day. You are correct-it might be too activating. What the heck-give the doxepin a shot (just 10mg at bedtime). You WILL really sleep good on that one. My brother is taking it now for arthritis with other meds. I just tend to get grouchy on sedative meds, that's all.

Let me know how the doxepin goes, OK?

Mitch


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