Posted by bleauberry on March 29, 2011, at 15:30:31
In reply to Nortriptyline vs reboxetine, posted by jono_in_adelaide on March 28, 2011, at 19:57:42
Wow that's a tough one. It's a balancing act between...1)be content significant improvement has happened and don't risk destabilizing that, or 2)Make the switch and see what happens in the hopes that it will be even better.
Nortriptyline has a good track record for a long time worldwide. Reboxetine hasn't been around that long and is only in limited parts of the world. No matter, all that really counts is what a drug feels like to each individual patient. And there is no way to know that without trying.
So yeah, it's tough. In your shoes I would probably lower the reboxetine dose slightly and add a small bit of nortriptyline to it, and then gently attempt a cross taper to see what happens along the way. That's the only way I would know. Would I go cold turkey? No way not me anyway. Suddenly stopping a potent NE med like that feels nasty.
poster:bleauberry
thread:981366
URL: http://www.dr-bob.org/babble/20110321/msgs/981408.html