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Re: Desipramine VS Nortriptyline » Maxime

Posted by Racer on March 17, 2007, at 21:32:29

In reply to Re: Desipramine VS Nortriptyline » Racer, posted by Maxime on March 17, 2007, at 12:29:19


>
> And what does noradrenergic mean?

Means it works by affecting norepinephrine (also known as "noradrenalin") Some studies have shown that people with AN often respond better to noradrenergic drugs than to serotinergic drugs. It's probably worth a try, if you haven't tried it before.

For me, by the way, it worked better when we added L-tryptophan. Taking both together might be worth trying.

>
> How he could he help me avoid gaining weight?

There are drugs out there now that might help mitigate the weight gain from TCAs. Nortriptyline is supposed to be one of the most weight neutral drugs in the class, but I didn't find it to be weight neutral at all. Some of the drugs my pdoc has mentioned for helping with weight gain are things like Meridia, Topomax, Zelnorm, Orlistat, and there's something else he mentioned that sounded like it might be interesting. You could also try adding in a stimulant, to see if that helped.

But the bottom line about it is this: if it helps you, that's a good thing. If it helps you, any problems you have can be addressed -- and these days, doctors are more aware of the significance of side effects. Back when I was on nortriptyline, my pdoc basically told me it was my fault. Doctors aren't that cruel anymore, for the most part.

Good luck, Maxie. I hope it does turn out to be helpful for you.


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