Psycho-Babble Medication | about biological treatments | Framed
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Re: Thanks everybody

Posted by hyperfocus on October 16, 2011, at 22:15:02

In reply to TCA toxicity but feeling much better. Do I stay?, posted by hyperfocus on October 16, 2011, at 14:21:29

I really appreciate your concern and you sharing your knowledge with me. I'm not a reckless person, really. I think the last reckless thing I did was chewing 3 Lifesavers at the same time. Only reason I'm in this extreme situation is that like many Babblers, I am Just.So.Tired.Of.Being.Sick. Monotherapy with amitriptyline is the best I've come along the recovery path for the strange mix of symptoms I have. Like most Babblers I've been on the med merry-go-round for so many years: SSRIs, SNRIs, TCAs, APs, benzos, in various flavors and combinations. Today I felt good (apart from the whole cardiotoxicity leading to possible death thing.) The dissociation and depression and anxiety have improved a lot over the past two weeks as I bumped my dose up.

I see my doctor next week but only for a refill. The last script he wrote was for 300mg. I was hoping that I would have success at a higher dose and he would just do my script for that amount. But obviously 600mg is way too high - I really didn't think this through. My relationship with him is sort of distant - I don't mean that he isn't interested in me but we have this tacit understanding that I'm the only one who can accurately gauge how I feel and the only one who can devote significant time to figuring out how to beat my illness. I'll have to tell him what happened but only if I can get a full appointment.

If I understand the chart correctly it means that there's not much to be gained taking a big dose of TCAs but such a dose can lead to cardiotoxicity? That's actually quite useful info. The thing is I really don't know why I feel better on higher doses. My doctor didn't have any input in me taking 600mg - it was just me experimenting. He'll probably yell at me when I tell him, but the truth is that stuff like this I expect to happen. I do take your point though about capping the dose.

I know it's dangerous but the truth is my day-to-day functioning is not what I'd call living.

Yeah the stuff with minerals and herbs etc. I never really tried. I should look at them if what I'm doing now doesn't pan out.

So what I'm going to do is stay with a dose of 400 mg and evaluate it for a few weeks. It's a high dose but still on the charts. There's no point going higher if I get the same therapeutic effect so hopefully I won't have to. But thanks very much for your input and concern.

C-PTSD: social phobia, major depression, dissociation.
Currently: 300mg amitriptyline single dose at night.
Also: Allegra, 1000mg Vitamin C.




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