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Re: Effexor Withdrawal Nortriptyline Qs

Posted by sl on May 28, 2001, at 13:53:26

In reply to Re: Effexor Withdrawal Nortriptyline Qs, posted by Mitch on May 28, 2001, at 12:40:39

>could sleep OK on it. I just took 20-25mg a day. If you are unipolar you probably are going to need 50mg/day maybe more. You need to start out low and titrate it up. You will get some dry

I dunno what "titrate" means, but I'm starting at 25mg and upping it by 25mg each week, absolute limit is 100mg. And yes, I'm Unipolar. I'll be doing most of the monitoring myself with very basic Dr's supervision, since her resident is lousy and she herself is rather too busy to try to be a Pdoc in addition to her normal duties as an internist. I know, I know, she IS willing to do it, but I want to be the least nuisance I can be so she doesn't try to refer me to a regular psychiatrist who I'll have to start training all over again. :P

>mouth and blurred vision-but not as much as the other TCA's (and this fades some).

I've never taken another tricyclic. I was on Wellbutrin, then Effexor, and now this Notriptyline in a week. Something to keep in mind...

>I didn't get much dizziness from it like other TCA's (and much less dizziness than Remeron!).

Oh, I'll keep that in mind! Remeron is farther down the list for if Nortriptyline isn't effective or the side effects are intolerable so I hope I just don't get that far.

>It is somewhat constipating. I have diarrhea-predominant IBS symptoms and it stopped that in a hurry! If you are 40+ you might want to get an EKG done when your blood level gets in the therapeutic range.

Nope, I'm 27 next wkend and other than major depression and airborne allergens, I'm healthy as a horse. ;)
There'll be no blood-level checks that I know of, just me knowing my body and what side-effects can be tolerated at the minimum dose effective. (if you understood that)

> > And what happened if you had a few drinks while taking Nortriptyline?
> A *few* drinks were no problem-aggravated dry mouth mostly. But watch it on overindulging a lot. If you get hung-over you can get some nasty vertigo and orthostatic hypotension the next day. Try not to go to sleep all buzzed-up and drink extra water before bed.

Okay, so you're saying the hangover will be worse than normal. Sounds like it's got taht whole dehydration side-effect that's so common on ADs.
I decided I'll start it the Monday AFTER my birthday so I can relax and drink what I want without worrying about [unanticipated] effects from alcohol.
But in general I don't drink often so it should be okay...I just want to be able to celebrate my birthday without worrying I'm going to get staggering drunk (like my LAST wkend on effexor!!!) on a fairly small amount of alcohol!!


Thanks a lot!

sl


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