Posted by tensor on December 29, 2004, at 13:24:37
In reply to Re: What to combine with a mood stabilizer? » tensor, posted by Ritch on December 28, 2004, at 18:37:31
Hi Ritch!
> Aha!, So the Remeron by itself wasn't doing much and you added Zoloft and got some improvement. I would suggest leaving in the Zoloft and ditching the Remeron, wait a little bit for it to wash out (2 weeks or so), THEN add the nortriptyline to the Zoloft, mess with lithium or whatever later on after you'be been on Zoloft+nortriptyline for a while. Get blood levels done on the nortriptyline.
I was actually thinking of get rid of both remeron and zoloft. And then start with nortrip+mood stab. But do have i have to check blood levels for nortrip?
>Lithium by itself would probably not be a good idea for a unipolar depressive (I thought you were bipolar-sorry about that). Yes, I've had experience with nortriptyline. Easiest to tolerate TCA I've taken. The only one that didn't give me orthostatic hypotension (dizziness standing up suddenly). In fact... combined with Zoloft (in particular), it worked rather well. Hope this helps some.
>Yes, thanks it helps! I did respond to clomipramine once, but it has a severe s/e profile. It seems that nortrip does about same but is merely a pro-sexual than anti..
Kind regards,
Mattias
poster:tensor
thread:434951
URL: http://www.dr-bob.org/babble/20041228/msgs/435333.html