Posted by SLS on July 12, 2009, at 15:30:11
In reply to Re: Nortriptyline questions -SLS?, posted by linkadge on July 12, 2009, at 14:55:10
> Thanks for the feedback.
>
> So, if a person was to respond to 75mg you don't think a doctor would bother doing a blood test?
>
> LinkadgeProbably not, but if you would feel more comfortable getting a blood level, you might as well do it. Perhaps you'll find that you can get away with a reduced dosage. Some people do respond to 50mg. Think of nortriptyline as being twice as potent as imipramine or amitriptyline milligram per milligram. Most people respond to imipramine around 150mg or so.
NOR IMI
50mg = 100mg
75mg = 150mg
150mg = 300mgIt is really up to you. Because you are so cautious with the use of TCAs, you might as well start out at 10mg and move up slowly from there. In this way, you might reduce the magnitude of the side effects. If you never took nortriptyline before, it might be soporific in the beginning, but this wears off quickly.
If you deem your depression to resemble the classic melancholic endogenous depression, the TCAs might be your best choice at this point.
I wish you luck and really hope that the startup side effects are tolerable.
- Scott
poster:SLS
thread:906367
URL: http://www.dr-bob.org/babble/20090709/msgs/906409.html