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Re: Nortriptyline Augmentation..Questions

Posted by Dave1 on May 1, 2002, at 23:52:12

In reply to Nortriptyline Augmentation..Questions, posted by jay on April 29, 2002, at 17:37:43

> Hey folks:
> Well, after a lengthy trial of Effexor, Welbutrin, and Zyprexa all at various doses, and even seperately, I am taking a return shot at Nortriptyline.(It has been almost three years!) (Note: I seem to only get benefit from the brand name of this drug, Aventyl or Pamelor)
> This medication was *the* only medication I can recall that seemed like a 'powerhouse' of greatness compared to all the newer drugs. I know my depression is very much so organic based, and that is I suffered from severe developmental disabilities when I was young. I almost ended up in a 'special' school for developmentally handicap kids because of this. I have worked now as an adult with many developmentally handicap adults, and the medications that seem to help their symptoms are many of the older meds.
> In honesty, the best med I have found to take with Nortriptyline (actually, even PRN) has been some of the stronger benzos. I also really feel that many of my anxious sysptoms come from the developmental handicap experience, and it took a MAJOR blow to my self esteem as a youngster, and that has snowbaled into areas of major difficulty regrading work; relationships; finances; all things that can make-or-break our lives.
> Anybody else with similar symptoms, especially related to childhood disorders? If the Nortip/benzo combo works, may I be best in just working with that?
> I may have symptoms of 'ADD', BUT, I honestly think they are more related to my developmental problems, and ADD is Dx'ed too broadly too often. Plus, I have had horrid dysphoric reactions to the stimulants. So, I won't go the stimulant route. Also, after augmenting with so many meds, much of it honestly not only is a shot in the dark, and I think often is an excuse for doctors not to simply prescribe a med that looks after many, many symptoms, which are benzos.
> Anyhow...any comments appreciated! Thanx..
> Jay

How about adding lithium. I did that with anafranil and had some success. I was already taking a good dose of ativan so I was already augmenting with a benzo.

Note: I had some problems getting a doctor to prescribe the 'old' tricyclics. It was pretty annoying.

See you,





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