Psycho-Babble Medication | about biological treatments | Framed
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Re: Nortriptyline trial a failure?

Posted by desolationrower on December 4, 2008, at 19:05:33

In reply to Nortriptyline trial a failure?, posted by glennb on December 4, 2008, at 16:24:57

I mostly agree with the previous posters. Neuroleptics are ick, but they can be quite helpful for irritability (esp since valproate didn't help)and ocd - but for ocd they need to be added to an sri. So since prozac has been your best drug, i would add that to a sufficient dose of nort, and if that is insufficient, try an AP. Between the nort and prozac its plenty of serotonergic blockade, so what you are really looking for is dopamine effects. Olazapine and aripiprazole would be the 2 i would try. With that much hypersomnia, provigil would be good to add soon, since most stimulants could worsen the irritability. And if all that doesn't work out, phenelzine. good luck.





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