Posted by SLS on October 5, 2012, at 4:58:08
In reply to A call to my White Knights Jono and SLS for advice, posted by ChicagoKat on October 4, 2012, at 20:38:32
I like Jono's ideas.
I see nothing wrong with using the 25 mg dose of amitriptyline at night for sleep. If, however, you need 100 mg to sleep, I think crossing-over to amitriptyline makes sense. For me, I always need a full therapeutic dose of TCA when added to MAOI. If you do switch from nortripyline to amitriptyline, you might need 150 mg/day or higher in combination with Nardil to glean a persistent antidepressant effect. It is likely that the anticholinergic side effects of amitriptyline will lessen over time. After being on imipramine for an extended period of time, I hardly knew that I was taking it.
If nothing else works, you could try taking a combination of triazolam (Halcion) and lorazepam (Ativan). I found this extremely effective when taking a combination of Parnate and desipramine; and later, Nardil. There was very little, if any, hangover the next morning. I woke up clear-headed. It was very clean in my experience. It didn't feel yucky. Triazolam is the most potent BZD for sleep.
1. Nowadays, I doubt that you could find a doctor to prescribe triazolam, let alone in combination with another BZD.
2. Behavioral disinhibition is possible with triazolam, as it is with Xanax. It is an infrequent occurrence.
3. Amnestic phenomena can occur with triazolam, much like those that occur with of Ambien.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1027658
URL: http://www.dr-bob.org/babble/20121001/msgs/1027727.html