Posted by SLS on December 6, 2009, at 6:02:14
In reply to Interested in Nortriptyline, posted by morganator on December 6, 2009, at 1:25:32
> Could adding Nortriptyline to Zoloft help me?
Some doctors are beginning to combine tricyclics with SRIs regularly for treating TRD. Nortriptyline makes a good choice because it has about the mildest side effects and does not usually disturb sleep.
> Can Nortriptyline help with anxiety?
Often, anxiety is a component of, or the result of, a depressive disorder, in which case, it can resolve as the depression resolves. My guess is that the anxiety associated with depression is variable and may depend on one's exposure to psychosocial stress, whether it be situationally or psychologically. I don't think that a tricyclic is very helpful for treating anxiety disorders.
> If I take Nortrityline does it have to be taken at night or can I try taking it in the morning?
I have always taken most of my dosage of nortriptyline in the morning. However, you might need to take it at night as you first initiate treatment, as it can produce transient somnolence. Unlike amitriptyline, I don't find nortriptyline to be at all sedating. I have combined it with Effexor and gleaned substantial benefit. However, it was not enough for me to want to commit to continuing with treatment indefinitely. As it turns out, I was significantly underdosed with nortriptyline. I will return to the combination if I am not happy with my current treatment.
- Scott
poster:SLS
thread:928273
URL: http://www.dr-bob.org/babble/20091206/msgs/928292.html