Posted by Sad Panda on May 1, 2004, at 3:57:52
In reply to which plan sounds more reasonable, posted by zeugma on April 30, 2004, at 18:17:58
Hi Zeugma,
I'd try cross tapering to Clomipramine from Nortriptyline since it's the easiest thing to do & probably the best drug that isn't a MAOI. If it is a failure, it should be easy to go back to Nortriptlyline and then try adding an SSRI or Effexor or even an MAOI to it. Imipramine is another TCA worth trying, but it lacks the potent 5-HT2A blockade that most of the TCA's have which I would consider to be an important part of their anxiolytic & good sleep effect.
Downsides to Clomipramine are that it will have roughly double the strength/mg of side effects and half the antihistamie sedation.
Cheers,
Panda.
poster:Sad Panda
thread:341936
URL: http://www.dr-bob.org/babble/20040429/msgs/342092.html