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Re: tricyclics--help? » lia mason

Posted by Sad Panda on February 23, 2004, at 8:33:11

In reply to Re: tricyclics--help?, posted by lia mason on February 22, 2004, at 20:01:46

> Hi...
>
> Thanks for responding. Imipramine and amitriptyline were/are great for my tension headaches; desipramine less so. It's odd... the tricyclics don't poop-out for my headches but seem to for my major problem which is a vaginal pain condition called vulvodynia. I got a few good months relief out of imipramine and desipramine for that condition, but--in both cases--it didn't last. My gyn doc says he's never seen this with his pain patients, but I've taken antidepressants for many years, so I know the poop-out phenomenon is real. But like I said... all these tricyclics worked great for headaches and stayed great. I tried neurontin for pain and just couldn't tolerate it--I got headaches. Same problem with lamictal. I'm on effexor for depression. There's a doc touting it for pain relief but I haven't experieced that. My pdoc says that duloxetine looks promising for pain (the new Lily AD that resembles effexor) but it's been held up for a couple years now. If it ever gets released, I may try it. None of the narcotic pain meds help me. No idea why.
>
> That's my sad tale!
>
> Lia
>
>

Nortriptyline is another one to consider, I have heard of it being used for neuralgia & migraine, Clomipramine may be good too, but I doubt you could combine it with Effexor, but it could replace it. How high do you go with the Imipramine dose before you abandon it?

Cheers,
Panda.


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