Posted by SLS on April 8, 2009, at 7:50:25
In reply to Re: Switching back to nortriptyline., posted by desolationrower on April 8, 2009, at 6:56:09
> its good its working for you again.
>
> (the quick response seems like a bit more evidence the 5ht antaonism is helpful)
>
> have you thought about trying SAMe? i have posted a few things about it in the past.
>
> what symptoms are you trying to target yet?
>
> -d/r
I would like to be able to better read, learn, and remember. Mental energy and motivation remain problems. I would also like to have the "brightness" I experienced on Nardil.When I first switched from Nardil to Parnate, I experienced an unequivocal improvement in energy and cognition. However, I am now also questioning whether or not I have lost some of my early robust response with Parnate. When changes occur gradually, one doesn't always notice an improvement or deterioration in their condition.
For now, I will continue with the combination of Parnate + nortriptyline and establish a stable state that I can then evaluate and make treatment changes if necessary.
As far as deciding which drugs do add, I am open to suggestions. There is still very much more room for improvement in my bipolar depression.
For being back on nortriptyline for only 5-6 days, I should be more patient to see a robust improvement. I was really hoping for more at this point, though. It is possible that my being at a subtherapeutic dosage of desipramine for 15 consecutive weeks allowed for a significant reversal of biological status towards my illness baseline conditions. If this is true, I wouldn't expect to see a maximum improvement for another week or two.
D/R, I really appreciate your concern and advice.
Thanks.
- Scott
poster:SLS
thread:872122
URL: http://www.dr-bob.org/babble/20090408/msgs/889407.html