Posted by schleprock on August 18, 2012, at 12:33:02
In reply to Re: Nortriptyline + Effexor: A good combo? » schleprock, posted by SLS on August 18, 2012, at 5:41:37
> > Anybody think that some amount of Effexor added to 150mg of pooped-out Nortriptyline would work well for anxiety and depression? The interactions may not be as risky as compared with other types of ADs. Anyone ever try this (with a tricyclic?) Any thoughts on dosage, or the effectiveness of other SNRIs?
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> Great combination!
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> I got relief from nortriptyline 150 mg/day + Effexor 300 mg/day. I think you need to use the full therapeutic dosages of both drugs to glean a maximum response.
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> A friend of mine is doing very well with Pristiq 100 mg/day + Wellbutrin 300 mg/day. For her, she reports that Pristiq works better than Effexor. For you, the Wellbutrin might make anxiety worse. This combination works for people who are anergic and anhedonic.
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> - ScottSLS, if I may ask, and it's not too convoluted, how did you arrive at that combination. Also, did you take both dosages at the same time, and were there any noticable side effects?
The main reason that I'm looking at Effexor is that there was apparently a small study done with that drug combined with different TCAs (clomipramine and imipramine) where "82% responded, with 64% achieving full remission".
With Zoloft, I'd be a little worried about raising my Nortriptyline serum levels (which are already a bit high.)
poster:schleprock
thread:1023542
URL: http://www.dr-bob.org/babble/20120818/msgs/1023600.html