Posted by jujube on January 7, 2005, at 0:20:53
In reply to Re: Some advice needed (hopefully last time) » jujube, posted by zeugma on January 6, 2005, at 19:51:53
I appreciate the information. I realize that hypotension would also be an issue with Nortriptyline, but, from a chart comparing the side effects of the TCAs, it would appear that it may not be as severe as that caused by Anafranil. So, maybe I would be able to better tolerate the Nortriptyline (with continued use of the salt tablets). Provigil would probably be preferable, if I can convince the pdoc to let me try it. I think I am going to do a Psychobabble search to gather more information on people's experiences with Provigil.
Thanks again.
Tamara
> Hi Tamara. I'm sorry about your medical difficulties. Psych meds complicate things enormously, especially the TCA's.
>
> Nortriptyline was a painfully slow titration process for me, because of the hypotension- I was pouring salt on everything and eating soups, pickles, etc., to get my blood pressure up. So nortriptyline is not free of hypotensive properties, either. the difference is that dosages of nortript are lower, so 50 mg would be a plausible therapeutic dose. You'd still need those salt tablets though!
>
> provigil is unlikely to cause hypotension. I think it also has antidepressant/anxiolytic effects.
>
> -z
>
>
poster:jujube
thread:438552
URL: http://www.dr-bob.org/babble/20050103/msgs/438851.html