Posted by reconscout on January 7, 2013, at 16:00:32
In reply to Re: Need Advice next Tricyclic Antedepressant to try » reconscout, posted by SLS on January 7, 2013, at 13:01:20
Hey Scott,
Funny how that works sometimes. I was hoping you'd be checking the site this morning :)
Ok So if I can summarize;
In what you said I heard it is not uncommon for nortriptyline to create a stable response at a low dose where that response becomes unstable as your body further tries to adjust to the medication. You expect increasing the dose would be the solution to the instability I developed at 10mg.
I think you are suggesting it is the nature of a brain in a depressive state to react this way. The combination of the depressed brain and the added new chemical responses by nature create instability The fact that I was no longer feeling depressed may be irrelevant in this discussion as it relates to palpitations. This is why you recommend an increased dosage as opposed to waiting it out at 10mg correct?
You suggested beta blockers as a possible interim solution to the palpitations but expect they should not be necessary long term. This solution has been recommended on other forums by 3 or 4 other folks btw.
It sounds like you would support xanax as another short term solution after hearing my report on its use. My only concern here is when I take xanax too often it stops being effective.
Well thanks again for the support Scott. I am still giving Desipramine a fair shake, currently on day 4. I am really sensitive and very in touch with my body. I kind of get the sense that this drug is not going to be enough to cover all of the symptoms I'm trying to address.(N Pain, Depression, Anxiety, Fatigue, Insomnia) I am falling asleep easier on it but am still waking up 3 to 5 times per night. I also typically will not put up with a drug that leaves me feeling disconnected or out of my body. I usually can tell in the first few days if a drug is going to fit with me or not. I think this drug my be too narrow focused but I want to give it a good week to make that decision.
poster:reconscout
thread:1034851
URL: http://www.dr-bob.org/babble/20121231/msgs/1034935.html