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Re: Depression Hurts » Maxime

Posted by SLS on November 5, 2010, at 16:20:26

In reply to Re: Depression Hurts » SLS, posted by Maxime on November 5, 2010, at 15:41:28

> > > Yes, the Cymbalta helped my pain for sure, but it pooped out in the AD department.

> > I think we now have reason to believe that nortiptyline was providing pain relief, and that its abrupt discontinuation may have produced a rebound phenomenon where the pain is worse now than it was before your started taking it. I hope the intensity of the pain declines over time. It should pass. What would happen if you took the lowest dosage of nortrityline that resolves the pain and then taper from there?
> >
> > Have you discussed gabapentin or pregabalin for pain relief with your doctor? To the best of my knowledge, both drugs are compatable with Parnate.


> Hi Scott, I did titrate down on the Nortrip. but maybe I went to fast. I went down 25 mg every 4 days. I was on 75 mg.

It is conceivable that you tapered too quickly. If you have no alternate plan to treat the pain, it might be worth restarting the nortriptyline at 25mg and observing what happens. You can always stop taking it if you want. However, it might be worth tapering using 10mg tablets. The dosage of amitriptyline used to treat pain is significantly lower than what is used to treat depression. Perhaps the same is true of nortriptyline.

> I have been on Neurontin twice and both times I ended up in the hospital with severe pitting edema. I never thought that one would have to be in the hospital for edema, but they wouldn't let me go. I really don't want to try it again. The same thing happened with Lyrica, but not as severe.

Not fun. Both drugs exacerbate my depression and produce cognitive impairments.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

 

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