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Re: I want to try Vivactil

Posted by bleauberry on March 17, 2009, at 19:06:13

In reply to I want to try Vivactil, posted by G-man885858 on March 15, 2009, at 20:41:50

I am curious why you singled out Vivactil of all the TCAs? That one is rarely prescribed.

Not that there is anything wrong with it. It just isn't used much. Maybe because of its side effects. I tried it once and couldn't even get past 2 days the side effects were so harsh. That is one powerful drug. If you want something really strong on Norepinephrine, well, Vivactil is.

The most common ones are Nortriptyline and Desipramine. Are they better than SSRIs? Well, I guess that depends on who you ask and what study you look at. Generally they are considered better, though it is hard to prove, but the drawback is side effects are usually more. Some people however find the TCA side effects tolerable compared to SSRIs they couldn't tolerate. Mileage varies. Generally speaking though, the TCAs are going to give you some dry mouth and constipation that maybe the SSRIs didn't.

I've only tried very low doses of Nortriptyline, Desipramine, and Vivactil, so I can't really comment with authenticity how they feel. In my short trials though, Nortriptyline felt like a regular antidepressant with a touch of NE boost in it. Desipramine felt similar to Ritalin, and I definitely sensed some special potential in Desipramine. Vivactil was more like a strong diet pill. I could not however tolerate the side effects of any of them, probably because I think I was allergic. It did feel more like an allergic reaction than side effects.


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URL: http://www.dr-bob.org/babble/20090313/msgs/885807.html