Posted by Christ_empowered on March 7, 2018, at 12:53:17
In reply to Re: Clomipramine | The 'Gold Standard' for MDD + OCD?, posted by Hordak on March 7, 2018, at 12:44:21
hi. at first, I was happy about the Tofranil. The psychiatrist prescribed 150mgs from day 1, all of which was to be taken at night, 1 dose (at my pharmacy, that mean 3 fifty mg tablets).
I hadn't been sleeping so well, so the sedative effect was -much- appreciated. However, the dry mouth, day time grogginess, and inability to drop weight (I was briefly on Atkins, and I lost 0lbs, whereas in years past, Atkins had been effective) did not sit well with me.
then i had a new shrink at the clinic (they come and go), and he said he'd prefer something "more modern." I ended up on a low dose of Lamictal and then wellbutrin, also.
I -will- say that I was far less apathetic on Tofranil than on Cymbalta, and it covered a lot of bases (sleep, ruminations, concentration).
oh, and the other thing...my official, current label/diagnosis is Bipolar I, mostly (severe) depression, and TCA drugs are increasingly frowned upon for Bipolar I people...or so says the current psychiatrist.
I do think Tofranil could be a good option, as long as you aren't prone to ODs, you watch the drug-drug interactions, and you don't have heart problems.
poster:Christ_empowered
thread:1097186
URL: http://www.dr-bob.org/babble/20180212/msgs/1097214.html