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Re: Cananyone help me out with Dosulepin aka Dothiepin

Posted by West on December 17, 2008, at 13:18:38

In reply to Re: Cananyone help me out with Dosulepin aka Dothiepin, posted by desolationrower on December 16, 2008, at 19:38:48

> > > why are you on that particular drug? There are other TCAs with less side effects. You can take a shorter half life antihistamine for sleep if you need. I think its popular with the NHS for some reason.
> > >
> > > -d/r
> >
> > Saw a new GP who seemed to think it a good choice. I don't know what to think really, i don't feel good at all.
> >
> >
>
> Not sure what else you have tried, but i'd think an snri like milnacipran, duloxetine would have fewer side effects. Or, you could use a secondary tca like desipramine which has lower side effects than the dosulepin, and add a ssri if you condition does not remit. I sort of remember reading Doluepin has the least antimuscarininc sides of the dual-uptake TCAs, but with ssris and snris thats rather moot. I'd probably ask your doctor if you could switch to one of those options.
>
> I think doctors end up using drugs they've used in the past to good effect. It sounds like the anticholinergic effect really hits you hard though.
>
> -d/r

Hi d/r

tried:

Fluoxetine
Escitalopram
Escitalopram w/bupropion
Moclobemide
Duloxetine
Tianeptine
Milnacipran

Best was esc + bup which i took for stopping smoking.

I expect he has used it for years which is why he's putting me on it.

I was on modafinil + duloxetine ('weird and wonderful' combination) before but complained of insomnia which, ironically, is still going strong.

I suppose i have the bonus of being on an antihistamine and anticholinergic now too :(

W


 

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poster:West thread:869001
URL: http://www.dr-bob.org/babble/20081214/msgs/869248.html