Posted by zeugma on October 23, 2003, at 18:44:48
In reply to Re: Agitated depression; anxiety bad in morning, posted by dannen on October 23, 2003, at 13:23:10
Hi Dannen,
As Viridis says it seems that tolerance develops less with Klonopin than with Xanax. Right now I feel I could use some Klonopin... i am prone to anxiety-induced freakouts that result from extreme inhibition and self-consciousness. I may have to tell my pdoc (see him tommorow)my latest story...I also take Strattera and it is a good med, it treats my inattentive ADD symptoms and is a fairly tolerable drug. Similar to nortriptyline in terms of side effects (dry mouth and constipation, dry skin, dry hair etc.).
About nortriptyline dosage: I was on 60 mg when my pdoc ordered blood levels. I was still experiencing ADD symptoms (TCA's also help ADD a little). I was just under the window, maybe 45ng/mL. I raised it to 75 mg which puts me just inside the 58-148 ng/mL window. Nothing comparable exists for any of the newer AD's. The advantage is that it reliably correlates with response, so you can adjust the dosage rationally rather than by guesswork, and the window is well documented, so your pdoc can just consult a standard reference work to determine where your blood levels fall.
poster:zeugma
thread:271647
URL: http://www.dr-bob.org/babble/20031021/msgs/272433.html