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Re: What could be a good replacement for Nortriptyline

Posted by bleauberry on May 11, 2011, at 5:07:13

In reply to What could be a good replacement for Nortriptyline, posted by Laney on May 10, 2011, at 13:26:48

Desipramine maybe?

A low dose of added Milnacipran? (It is combined with SSRIs in Japan, with the Paxil/Milnacipran comb being a popular one) To many people including me it has a side effect of diminished appetite.

I am assuming the extra NE added to the Paxil is what you needed. The above 2 meds would do that. Hard to know though, because all our meds do so much more than we know. It isn't as easy as thinking in terms of serotonin, NE, or whatever.

There are supplements to deal with the sweets and cravings. I don't know. If I had to choose one of the two scenarios below, I know which one I would choose.

1. Be free of depression, but begin a new chapter on how to battle cravings.
2. Be not well, reintroduce the battle against depression.

I dunno. Cravings versus depression. Sorry, maybe it's just me, but I'll take on the challenge of cravings any day over the challenge of depression. No comparison. Cravings are about 50% a mind thing and 50% a biological thing. Both angles can be dealt with a whole lot easier than depression.

That said, I would replace Nortriptyline with Milnacipran if it were me making the swap.


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URL: http://www.dr-bob.org/babble/20110502/msgs/985066.html