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Re: trimipramine versus other TCAs

Posted by Ritch on October 23, 2002, at 23:26:33

In reply to Re: trimipramine versus other TCAs » Ritch, posted by Chloe on October 23, 2002, at 18:31:36

> Hi Mitch,
> Thanks for asking. I am doing really well, but also really badly. I am having weekly maintanence treatments, and I can't seem to make it to the next session. As I wrote to you in the other post, I tend to get very elated after ECT. It lasts for about 3 days, than I start to sink in the mood department. I get SO hopeless, because I think there is no cure for me if ECT doesn't work...But it does...It just doesn't last the whole week. AND, the Tuesday before my wednesday ECT treatment, I have to completely hold my lithium. So by Wednesday, I tend to be edgy and agitated. I wonder if I need to hold the Li the whole day. I am going to ask my pdoc if I can take the dose on Tues. morning...instead of suppertime. That would give at least 24 hours without, and may not make me so edgy by not taking it for over 36 hours.
> I am taking
> 450 mgs Li once a day
> 1.5 mgs Celexa
> 5 mgs Diazapam BID
> 60 mgs Doxepin HS
>
> And the weekly maintanence ECT for the time being. I am not sure how long that will continue. But my pdoc and edoc don't seem in a rush to discontinue it. AND it's so effective for me. (And my insurance is completely covering it! Phew) I have never felt so elated, ever from an AD. This is the best I have felt in years. If I could just maintain it thoughout the week!!!
>
> Oh, and I haven't even considered trying Lexapro. I don't want to mess with (marginal!) success. The celexa seems to be doing the trick so far...It's the only SSRI that hasn't giving me increased anxiety and night sweats-yuck.

> I am sorry you are having panic problems with the WB. When I tried that years ago, I had the worst sweats, I would be drenched and so worried for no reason. It sounds like WB isn't being very useful to you now. I do remember you reporting good success with nortrip. And it may help you sleep at night. Maybe with the season changing, it's time to go back to the tried and true. But I know how hard it is to go through med changes. I'm cheering for you and hope you find something that works better than what you have now.
> Hang in there and keep us posted
> Chloe
>
>

Chloe, what do the "edocs" say about your response to the maintenance ECT (the few days up and then back down again-is that typical for many)? Just curious, but how do you wind up with 60mg of doxepin? Back when I was on it, there were 10,25,50,75,100,150mg dosages (from what I can remember). I maxed at 75mg twice daily.

Yes, the WB caused too much generalized anxiety for sure. No panic attacks, but it got close a couple of times. The nortrip. defnitely was anxiolytic, but I don't like the cardiac effects of TCA's, and I had a hiatal hernia before (from the doxepin), and forget eating any bread if I am taking a TCA!


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poster:Ritch thread:124351
URL: http://www.dr-bob.org/babble/20021019/msgs/124960.html