Posted by SLS on January 24, 2013, at 19:09:48
In reply to Re: Dr Ken Gillman on - SLS » jono_in_adelaide, posted by Bob on January 24, 2013, at 14:05:45
It would be a good idea to get a blood level of nortriptyline if you haven't already done so. It is possible to take too much as well as too little.
Just a few ideas:
Desipramine might be worth trying in place of nortriptyline. It is substantially more potent as a NE reuptake inhibitor. It is possible that you would need a 5-HT2a antagonist, too, when attempting to substitute for the nortriptyline. A very low dose of Risperdal or one of the other AAPs could serve this purpose. Hmm... Adding Remeron to desipramine or nortriptyline would be an interesting alternative. It would be a way to get the 5-HT2a antagonism and shift NE into overdrive. Sedation is a problem at lower dosages, so you might want to go up to at least 45 mg/day.
- 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:1036144
URL: http://www.dr-bob.org/babble/20130124/msgs/1036398.html