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Re: augmenting tricyclic AD's...any ideas??? » rovers95

Posted by SLS on September 3, 2010, at 15:22:10

In reply to Re: augmenting tricyclic AD's...any ideas??? » SLS, posted by rovers95 on September 3, 2010, at 8:26:22

> > Have you considered performing a quick trial of lithium (300-600mg)? You would know in a week if it is going to be helpful.
> >
> > The hypersalivation is unusual. With mood disorders, there is often a dysregulation of the autonomic nervous system, but it is usually skewed in the opposite direction, with dry mouth being predominant. However, dysautonomia (where there is sometimes insufficient sympathetic flow) can sometimes push the system in the direction of hypersalivation.
> >
> > Do you ever get dry mouth?
> >
> > How about heart rate?
> >
> >
> > - Scott
>
> my hypersalivation and excessive REM sleep (dreams, nightmares etc.)is now under control through the use of dosulepin...i am happy to get dry mouth instead!! will lithium not up my cortisol levels, i was thinking t3 could be preety effective?


Lithium and T3 augmentation of tricyclic antidepressants were common strategies to treat depression before Prozac came along (1987). Regardless of what some studies show regarding increased cortisol associated with lithium use, I would not neglect the possibility that there is still potential therapeutic benefits from taking it. Personal theories are sometimes valid. However, there are times when you have to look at empirical or anecdotal evidence.

Good luck and keep us up to date.


- Scott


The measure of achievement lies not in how high the mountain,
but in how hard the climb.

The measure of success lies only in how high one feels he must
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