Posted by Ritch on March 14, 2002, at 22:23:43
In reply to Re: medication compliance-TCA Q » Ritch, posted by Chloe on March 14, 2002, at 22:01:35
> Hey Mitch
> Well, I am thrilled to say I dropped the ami to 20 mgs and upped the neurontin to 400 and no scalp pain! Whew!
>
> I just can't take too much TCA. I get into to these arguements where I am sure I am right and I get into a rage if I don't get understood. And I am told later, that I was being understood. I was just so hot headed, I able to hear reason! Thank god going down on the TCA made me much cooler today, but I am also dragging. I guess I can't have the energy boost without the rage. Oh well. Rage is the pits!
>
> Hey, do you think a different TCA would cause less rage and a pressured feeling? You mentioned how doxepin did little for you at high doses. Does doxepin have a reputation for being less "potent" in the AD department? So I could use a higher dose to help pain, but get less AD agitation? Any thoughts?
Sounds like 400mg/day Neurontin may be the dose for you. It is tough to figure out what is causing weird troubles when you are on polypharmacy. TCA's have made me argumentative in the past. I would stick with your latest change to 20mg AMI and the Neurontin at 400mg/day and keep everything else the same, and see how that pans out over a week or two-so you can see how your natural cycling pattern goes with the same meds. A switch to a different TCA? Gee, I think the AMI is *the* best for neuropathic pain. You might try nortripytline (same dosage), but you will find it much less sedative and you probably won't sleep as soundly as you do with amitrip. The doxepin.. well, it is *more* sedative than the amitriptyline. But it has little serotonergic effect at all-which might end up causing *more* grouchiness. I would stick with the ami. Just an opinion. Also, increasing the Neurontin might have accounted for less grouchiness by itself (whether you reduced the ami. or not). I accidentally skipped my second dose of N. today and got a little amped at work.
>
> Your office does *not* sound like a barrel of laughs. Does anyone there have a sense of humor? That must be a challenging place to work. It's admirable you can get yourself there everyday. I guess you will jsut have to count the days until the "giggly-fun hypomania"! I loved your "canoe" discription.Oh, everyone there *has* a sense of humor-it just gets clouded over by stress, dysphoria. Everybody gripes about the same crap. If my only contact with management was a single email when I came in everyday I would probably be quite happy-and they would be quite happy with my work. It really isn't admirable that I can get there everyday-it would be more accurate to say miraculous.
>
> Well hang in there. I am glad you got the depakote for now. Seems like a necessary element for this volatile season, spring!
>
> ChloeActually, the Depakote is unfortunately more of a necessary element to remain plugged in to the economy via the current workplace situation I am stuck in.
Mitch
poster:Ritch
thread:96004
URL: http://www.dr-bob.org/babble/20020313/msgs/98057.html