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Re: Nortriptyline day 1

Posted by inanimate peanut on July 11, 2010, at 10:02:01

In reply to Re: Nortriptyline day 1, posted by polarbear206 on July 11, 2010, at 7:24:20

> > > Nortriptyline
> > > Parnate
> > > Geodon
> > > Lamictal
> > > Topamax
> > > Mirapex
> > > Perphenazine
> > > Ambien
> > > Seroquel
> > > Levothyroxine
> >
> > Peanut,
> >
> > This is only my opinion, which I am stating out of concern for your health - it is not a criticism of you or your doctor.......
> >
> > I think your medication regimen is overcomplicated and could potentially be simplified whilst at the same time improving your mental and physical health.
> >
> > It is very unusual to be on three different antipsychotics (Seroquel, perphenazine and Geodon) at the same time, is there a definite reason for this? Also, since antipsychotics are dopamine antagonists and Mirapex is a dopamine agonist, this combination does not seem logical.
> >
> > I understand that you're taking Topamax to control your weight. This can be problematic. Topamax can cause serious adverse effects such as kidney stones in the long term. There is also a risk of psychiatric side effects. Reducing your antipsychotic medication might help to reduce your weight and allow you to stop Topamax. If weight loss medication is still necessary, orlistat (Xenical) might help. It is generally a safe med but it does tend to cause diarrhoea.
> >
> > Regarding the nortriptyline, the dose should be increased very gradually under the supervision of your psychiatrist. EKG monitoring might be advisable since you are taking several medications in combination which can occasionally cause arrhythmias in their own right: nortriptyline, perphenazine and Geodon.
>
> Very good advice.

I agree that it's all very good advice. I just feel very stuck right now. I'm doing the best I feel I can under the circumstances. I'm going to try to get off the perphenazine and seroquel and I'm thinking more seriously about the Topamax (I just don't know what else to do for binge eating). I'll try to get another EKG based on being on the perphenazine and the Geodon, but I doubt that will be enough for my doc to order it. The only reason they did the EKG before is to prep me for ECT. As for the nortriptyline, that's all on me. That can't be helped. I've tried with my doc until I've got no other articles and no other arguments and I've got to give it a try. I have no other options right now.


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poster:inanimate peanut thread:954002
URL: http://www.dr-bob.org/babble/20100709/msgs/954095.html