Posted by zeugma on April 22, 2003, at 11:11:18
In reply to TCAs and tachycardia/sedation - please help!, posted by automatedlady on April 22, 2003, at 10:33:10
one thing you can do with the TCA is take it earlier. I had the same problem the first time I took nortriptyline years ago; I took it at night as per instructions and couldn't get up for work the next day. So I went off it and tried lots of other things that didn't worked and spent years in an unbelievable depression. I've found that if I take the TCA mid afternoon, I'm tired by 11 but not the next morning. Nortriptyline's a secondary amine TCA which is less sedating anyway so you might want to look at one of the secondary amines (nortriptyline, desipramine, protriptyline( [not sure which are available in the UK]. You could also look at reboxetine which causes NO sedation or cardiac side effects and which has a similar neurochemical mechanism to the TCA's.
poster:zeugma
thread:221439
URL: http://www.dr-bob.org/babble/20030417/msgs/221449.html