Posted by zeugma on November 26, 2003, at 17:34:20
In reply to MY REMEDY 4 PANIC DISORDER/NEED DOC N of BOSTON ?, posted by smittay17 on November 26, 2003, at 14:41:10
There seem to be two crucial elements here:
1) What is causing the edema of the tongue (which is truly an awful, and dangerous, side effect)
2) What element of imipramine's effect is HELPING you.
If 200 mg desipramine helps you, without causing edema, then you'd be set. But I don't know why desipramine would be less likely to cause edema than imipramine (though it does tend to be the best TCA in terms of S/E according to many).
There's an alarming post a little ways down on this board, about someone on a combo of two TCA's plus an opiate drug suffering from a terrible edema of the neck (scroll down till you see "Oedema.") So there's some reason to want to steer clear of TCA's.
A suggestion: Instead of Celexa + desipramine, maybe you could mention Celexa + Strattera to your doc. Strattera is an ADHD med, but similar to desipramine pharmacologically, and since it's not a TCA it might not have this propensity for causing edema.Good luck.
poster:zeugma
thread:280491
URL: http://www.dr-bob.org/babble/20031126/msgs/284212.html