Posted by dannen on October 24, 2003, at 14:20:36
In reply to Re: Agitated depression; anxiety bad in morning » dannen, posted by zeugma on October 23, 2003, at 20:19:52
Viridis and Zeugma. Pdoc prescribed nortriptyline. It comes in a liquid form, which he had the pharmacy order. I am very sensitive to meds, so he wants me to titrate up slowly. He has several other patients who use it. He is older, so he prescribed TCAs before the SSRI era began in the late 1980s. That gave me some comfort. I asked about the therapeutic window (which I have seen variously as 30ng-150ml and 50ng-150ml), but he said that such range is not hard and fast, and that he has seen people respond on much lower doses. (He said has has some patients on Prozac at 1 and 2 mg.) He said that no blood tests would be required. Anyway, I'm going to start next week when the med comes in, and then see if I can tolerate it. He wants me to start at 1 mg and work up. That may sound silly, but I am SO sensitive to meds. When I used to drink alchohol, one beer used to make me drunk. One cup of coffee would make me high. So, he thinks that even 10 mg may be sufficient. That contradicts what I have read about Pamelor/Aventil online, and what you two suggest. I hope it works. Comments appreciated. Thanks. Dannen
poster:dannen
thread:271647
URL: http://www.dr-bob.org/babble/20031021/msgs/272793.html