Posted by zeugma on December 8, 2004, at 17:08:55
In reply to Re: TCA Augmentation » zeugma, posted by jujube on December 8, 2004, at 16:40:52
Hi Tamara.
I've never tried Enanda NADH. I can see by your response to dove that you would have preferred nortriptyline as it is more activating. Nortriptyline is a good AD, but would probably help less with OCD symptoms than Anafranil, and is probably less of an anxiolytic, although as you mentioned it does have some antianxiety properties. I remember my pdoc telling me that we could do a mg for mg swap of nortriptyline to clomipramine, if necessary; I don't think the reverse would be possible due to SRI discontinuation syndrome. I definitely got the impression from him that he was happier combining nortriptyline with other meds (such as stimulants), and you can mention that rationale to your pdoc, if you decide to swap and/or augment.
Sorry that this doesn't answer your question, Anafranil vs. nortriptyline is a topic I've mulled over a lot!
poster:zeugma
thread:426110
URL: http://www.dr-bob.org/babble/20041206/msgs/426310.html