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Re: up and down jono_in_adelaide

Posted by ChicagoKat on October 21, 2012, at 0:49:40

In reply to Re: up and down, posted by jono_in_adelaide on October 20, 2012, at 23:11:25

Thanks for the advice Jon. There have been updates to my therapy, but maybe you missed them.
1. I'm taking 50mg/day bid (25mg) of Nortriptyline. Then I am taking 50mg qhs of helps me sleep, but as I'm sure you know amitryptiline is metabolized to Nortriptyline. So that pretty much covers the TCA side of my therapy.
2. I went up to 60mg/day of Nardil
3. If I ever feel really awful I take some Ritalin.
4. pdoc prescribed Klonopin + Neurontin for the anxiety, which has been much improved since.


> Did the nortriptyline make you feel worse, or merely not help you sleep, so you changed to amitriptyline?
> If it was just the sleep thing I would restart nortriptyline at 75mg at night, and also take amitriptyline (oe even better doxepin 25mg) for sleep, you will be hitting your depression with the 1-2 knockout punch, and still remain within normal doseage limits for a tricyclic.
> I agree with scott, a list of what drugs have helped and which ones havent would be very usefull.
> If things are realy bad, would your insurance cover a short period of treatment in a specialised institution, for example, the Menninger Clinic?




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