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Re: Linkadge medication Jay2112

Posted by SLS on December 5, 2022, at 22:09:16

In reply to Re: Linkadge medication SLS, posted by Jay2112 on December 5, 2022, at 17:51:35

Thanks, Jay.

It is generous of you to take the time to help me out. I never placed testosterone on my list of things to try. That was a major oversight on my part.

As the weeks passed while you continued to take testosterone, did the positive effect appear or accelerate all of a sudden, or was it a steady and linear climb?

I know nothing about T therapy. What dosage? How often? 24/7?

You convinced me that I have no reason not to take it. Your recommendation as to how to approach the idea of T-induced testicular atrophy at age 62 is the same as my doctor's. What is the worst case scenario? Keep taking testosterone?


Which of the drugs that I take are capable of reducing testosterone production?

1. Nardil - 90 mg/day

* 2. Nortriptyline - 75 mg/day

3. Lamotrigine 300 mg/day

4. Lithium 300 mg/day

I have determined that each drug is absolutely necessary for me to respond to treatment. I performed on/of/on challenges to be sure.


* I recently had to lower the dosage on nortriptyline to maintain an antidepressant response. The therapeutic dosage window has shifted lower since beginning the beginning of treatment. In the beginning, I began to respond at a dosage of 150 mg/day. I can't say for sure that targeting 75 mg/day initially would have worked better, though. I can't tolerate 150 mg/day anymore. I lost my sense of balance equilibrium and fell to the ground several times with no warning - no dizziness. My cognitive state began to slow down and become foggy. A depressive state emerged that felt different from my baseline. I think it could be argued that this was not a true relapse. Now, this cognitive/depressive mood state emerges at 100 mg/day. I began the 75 mg/day dosage two days ago. If I can't recapture a full remission with nortriptyline, I will opt for crossing over to desipramine. I would also consider trimipramine. However, I don't have a clinical "feel" for trimipramine. Do you have any opinions regarding trimipramine?

Thanks.


- 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:1121195
URL: http://www.dr-bob.org/babble/20220917/msgs/1121221.html