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Re: Starting trimipramine (Surmontil) next week.

Posted by stjames on May 23, 2003, at 1:25:50

In reply to Starting trimipramine (Surmontil) next week., posted by SLS on May 21, 2003, at 21:56:31

However, trimipramine is an odd-ball TCA because it does not inhibit the reuptake of serotonin or norepinephrine. Does anyone know how it works? Mysterious.
>
>
> - Scott


I was on it for a year, mostly for sleep and agument of Effexor. I was finding doxipin flattened my affect too much. Flat as a pancake.
I choose Surmontil because it was not as sedating as Doxipin but still enough for good sleep. Also
I liked the fact it did not work with serotonin but (I thought) did with norepinephrine.

I found it less sedating, not as anticolinergic or antihistaminic as Doxipin, but that was no surprise as Doxipin is tops in all of these issues.
I liked it, it did augment the Effexor, but I was only taking 100 mgs, which is below the level
at which TCA's kick in for me.

I need some sedation, so I liked it, but even for me the sedation was too much at first, but this resolved in 1-2 weeks. Daytime AM sedation was less than Doxipin. Gone were the cravings for sweets, but not carbs. Better affect wise.
None of the nasty perfuse sweating and funky
dreams that I had on Tofrinil.

However, back in the good old days, when all we had were TCA's, Doxipin knocked me flat on my
a** for a week, when I started it. Then it kicked in and I was no longer massivly sedated. Quite normal with a normal energy level.

As with all the TCA's be carefull about raising the dose at any rate but very slow. Unless you
enjoy being 2D for a few days and sloth like.


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poster:stjames thread:228235
URL: http://www.dr-bob.org/babble/20030520/msgs/228507.html