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Re: TCA discontinuation???

Posted by oracle on December 16, 2002, at 17:34:04

In reply to Re: TCA discontinuation???, posted by SLS on December 16, 2002, at 6:20:07

> > Given the length of action & long half life
> > I would not expect missing a dose or taking a little less to make much difference the next day,
> > with TCA's.
>
> For some people, nortriptyline can have a very narrow therapeutic window. If you take too much, you can lose the antidepressant effect. I don't know if this is one of those instances, but I had a similar experience with the drug.
>
>
> - Scott

But we are just talking about one day or one dose'es worth of change. Again, given the half-life of this med I would not expect this to effect the "narrow therapeutic window" provided
the change was just one day. At least this is my experience, having been on AD since 1984. In 84
most all we had was TCA's and I found the long half life ment I could miss a day with no ill effect. I never noticed a missed dose.


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poster:oracle thread:131944
URL: http://www.dr-bob.org/babble/20021210/msgs/132061.html