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Re: Nortriptyline dosing. undopaminergic

Posted by SLS on August 20, 2021, at 16:21:54

In reply to Re: Nortriptyline dosing. SLS, posted by undopaminergic on August 18, 2021, at 11:02:02

> Thanks for the scoop on nortriptyline. It clearly underlines that more is not always merrier.
>
> This is making me wonder if there is an analogous therapeutic dose window with trimipramine (Surmontil). I'm on 150 mg now. The conventional maximum dose seems to be 300 mg, but I can't say the 150 mg is better than 100 mg, or even slightly worse.
>
> -undopaminergic
>


That's an old drug for which there is no generic. The last time I looked in on it, it was not a reuptake inhibitor of any monoamine.

I was on it, but my doctor never mentioned a therapeutic window. Perhaps you should treat the dosage range of trimipramine as if it were imipramine. The accepted top-end of imipramine is 300 mg/day. I think most people are kept at about 150 mg/day. Trimipramine is the one tricyclic that does not act deleteriously on sleep architecture. It might even enhance it. I have some vague recollection of that, but I'm not sure. Trimipramine was the first drug my present doctor tried on me 20 years ago. I don't recall having any side effects. Linkadge once said that imipramine and trimipramine (maybe clomipramine to?) were genotoxic. You would have to ask him about the details.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

The only thing necessary for the triumph of evil is that good men do nothing.

 

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poster:SLS thread:1116455
URL: http://www.dr-bob.org/babble/20210723/msgs/1116524.html