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Re: Nortriptyline/Amitriptyline side effects » jujube

Posted by zeugma on January 16, 2005, at 14:59:22

In reply to Re: Nortriptyline/Amitriptyline side effects » sfy, posted by jujube on January 16, 2005, at 13:23:00

Hi Tamara, I'll jump in, if you don't mind. A plasma level is not absolutely necessary. When I was in the hospital years ago, they did it each week as they titrated me up to 75 mg, but nowadays I think insurance plans are stingier :). The plasma-level phenomenon is fascinating, but it is mostly important if you are experiencing excessive side effects or insufficient response.

I have debilitating social and general anxiety. Nortriptyline is somewhat anxiolytic, but its chief action here was to eliminate panic attacks- which it did, with surprising speed and at a low, low dose.

I currently take 50 mg, because TCA's can amplify the cardiac s/e of stimulants. I was on 100 mg until recently.

-z


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