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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by gman22 on October 11, 2011, at 8:04:34
Has anyone used TCA + stimulants together? I am currently doing well on Dr. Gillman's recommended combo-sertraline 50mg + nortriptyline 50mg... I am getting daytime fatigue and methlyphenidate has worked well in the past, but i haven't used with this particular combo. I am healthy but I have concerns that this may cause cardiac or blood pressure issues. I found some info on
Google but I am looking more for personal experiences.
Posted by SLS on October 11, 2011, at 8:21:59
In reply to TCA's + stimulants?, posted by gman22 on October 11, 2011, at 8:04:34
> Has anyone used TCA + stimulants together? I am currently doing well on Dr. Gillman's recommended combo-sertraline 50mg + nortriptyline 50mg... I am getting daytime fatigue and methlyphenidate has worked well in the past, but i haven't used with this particular combo. I am healthy but I have concerns that this may cause cardiac or blood pressure issues. I found some info on
> Google but I am looking more for personal experiences.I have combined methylphenidate and amphetamine with desipramine without a problem.
You might consider the possibility that your nortriptyline dosage is too low.
- Scott
Posted by creepy on October 11, 2011, at 23:21:29
In reply to TCA's + stimulants?, posted by gman22 on October 11, 2011, at 8:04:34
You may find the stimulant plus the NE effects of the TCA will do strange things to your resting heart rate and BP. I took desipramine which is much stronger on NE, along with adderall and I had a little problem with HR and BP. Desipramine gave me headaches for the first few weeks on it. BP related as far as I can tell.
Its probably fine, but Id monitor yourself before and after and let the doc know what changes you see.
Posted by Christ_empowered on October 12, 2011, at 0:22:46
In reply to Re: TCA's + stimulants?, posted by creepy on October 11, 2011, at 23:21:29
I took Adderall with Tofranil-PM w/o any problems, except for a bit (5-10lbs) weight gain with the Tofranil.
Posted by SLS on October 12, 2011, at 5:04:34
In reply to Re: TCA's + stimulants?, posted by creepy on October 11, 2011, at 23:21:29
> You may find the stimulant plus the NE effects of the TCA will do strange things to your resting heart rate and BP. I took desipramine which is much stronger on NE, along with adderall and I had a little problem with HR and BP. Desipramine gave me headaches for the first few weeks on it. BP related as far as I can tell.
>
> Its probably fine, but Id monitor yourself before and after and let the doc know what changes you see.
That's not a bad idea. You might want to get an EKG and check blood pressure before beginning treatment so as to establish a baseline and check for irregularities. Thereafter, you can repeat these tests from time to time during treatment.
- Scott
This is the end of the thread.
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