Posted by zeugma on July 5, 2004, at 12:42:37
In reply to Re: vegetative depression, nortriptyline dosage » zeugma, posted by Sad Panda on July 5, 2004, at 10:29:46
Hiya Zeugma,
It's been a while since you visited. Have you tried adding an SSRI to your Nortrip? Forgive me if you've answered this before as my memory
is not what it use to be :) I think you were thinking about clomipramine, but decided not to last time you were here?Cheers,
Panda.Hi Panda,
yes I was thinking about clomipramine, but my pdoc gave me the Lex samples instead. I suppose nortriptyline + Lexapro would simulate clomipramine. I almost took a Lex pill last night, as I was so depressed, but decided to stick to my original plan to take an extra 25 mg nortriptyline capsule instead. Provigil is causing insomnia, nausea, sexual dysfunction: I have no desire to compound these with an SSRI. And I suspect the Lexapro would make me fatigued as well. Since provigil isn't helping with fatigue at all, but causing these side effects, I may drop it and see if the higher dose of nortrip has an 'alerting' effect like Strattera, good for my ADD, without worsening the fatigue.
The basic problem I'm having now is that I feel like I have so many different disorders that treating one means worsening another. Nortriptyline doesn't worsen any of them, and helps a good several, so I've stuck with it. Clonazepam helps with social phobia but seems to lower my mood so I keep the dose as low as possible. Provigil, besides its other s/e and inefficacy at helping fatigue, may be lowering my mood. It does have a 'slowing' effect on my thought process which is good for my ADD, but I have a feeling that it is this very effect which is worsening my mood... other stimulants I have taken in the past had this very same effect. So now I'm considering using the higher dose of nortrip as a surrogate for the Strattera that was effective for my ADD, and finding some way of adapting or reconciling myself to a chronically low level of energy.
z
poster:zeugma
thread:363009
URL: http://www.dr-bob.org/babble/20040704/msgs/363215.html