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Re: Kramer: need to try a new med

Posted by Dr. Kramer on April 2, 2002, at 11:31:55

In reply to Kramer: need to try a new med, posted by Kelty on April 1, 2002, at 22:50:30

> I am looking for a new medication to try after having taken nortriptyline for the last five years. I had tried many different types of antidepressants in the 7 years before that and was considered treatment resistant. I have been managing on nortrip but still have problems with anxiety and cycling depression. The biggest problem is a weight gain of over 100 lbs which at my age (40, female) is a serious threat to my health. I have experienced terrible carbohydrate cravings while on any tricyclic that I have tried.
>
> Other issues I have to consider when deciding on a med are that I have fibromyalgia and that nortriptyline has been able to keep migraines at bay for the most part. As a result of some reading I have done recently, I have begun to wonder if I am actually bipolar II, due to the cycling nature of my depression and the strong anxiety factor. (I have not seen a pdoc in about 3 years. GP is doing my prescribing.)
>
> Any suggestions would be helpful.

My first suggestion is to get your own psychophramacologist! Sounds like your situation is beyond the expertise of a primary care doc. There are lots of meds that are considerably less likely to cause weight gain than the TCA you're on.


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poster:Dr. Kramer thread:101390
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