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Re: What are TCa's like?

Posted by HyperFocus on June 17, 2009, at 16:56:43

In reply to Re: What are TCa's like?, posted by bleauberry on June 15, 2009, at 18:15:53

> Here is an idea to seriously consider. What is better than an SSRI, and better than a TCA? Both combined. Some of the best results, and a side effect burden not any greater than either alone, comes from combinations such as Nortriptyline+Zoloft, Nortriptyline+Celexa, Nortriptyline+Prozac, or Desipramine with any of them, or Amitriptyline in modest doses for both sleep and depression along with the SSRI. With this strategy you can likely take only half the dose of Celexa or whatever that you are accustomed to taking.

But beware liver enzyme interactions - taking something like Prozac can inhibit the liver enzymes that metabolize something like amitryptiline, so you can end up with dangerously high toxic levels of the TCA taken in combination with Prozac. Be careful if trying this combo - keep your doctor in the loop.


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poster:HyperFocus thread:901060
URL: http://www.dr-bob.org/babble/20090611/msgs/901571.html