Posted by Bob on September 1, 2008, at 14:06:51
In reply to Re: Psychiatric Drug Chart?, posted by SLS on September 1, 2008, at 10:13:46
> > Thanks. By the way, are you still taking Nortriptyline? I know you take a combo, but how would you explain it's action for you. Mood brightening, clear headed or on the foggy side? Activating or calming?
>
> Hi Theo.
>
> For me, nortripyline is mood brightening and head-clearing. I find it calming. Steven Stahl believes that adding nortriptyline to an SSRI makes for a more effective treatment than SSRI alone. The thing about nortriptyline is that it can be difficult to establish the right dosage. One can feel fine at 100mg and crash at 150mg. This is what is know as a therapeutic window. Fortunately, there are blood tests to help determine the concentration of nortriptyline. Most people target 75mg and do fine with that. Others will need to go to 100mg or higher. The blood test helps you as a guide, but not an absolute therapeutic index. The therapeutic range of blood concentrations for nortriptyline has been determined to be 50-150ng/ml.
>
>
> My current treatment:
>
> Nardil 90mg
> nortriptyline 150mg
> Lamictal 200mg
> Abilify 20mg
> NAC (N-acetylcysteine)
> Fish Oil
>
>
> - Scott
Scott,Did you find Nortriptyline to be somewhat foggy upon initial startup and then it would clear up later? I'm trying to titrate up and it is making me fatigued, slightly sedated, and kinda confused and a little out of it.
When you say some people crash at certain doses of Nortriptyline, what type of crash are you referring to specifically? A depression like before treatment with the drug, or a crash where there's no energy?
Bob
poster:Bob
thread:849307
URL: http://www.dr-bob.org/babble/20080822/msgs/849744.html