Posted by bleauberry on August 3, 2011, at 4:59:41
In reply to At my wits end- ami zonked me, nort wires me. Next, posted by rculater on August 2, 2011, at 5:47:36
Well for what it's worth, my opinion is that TCAs should be combined with ssris. Neither should be monotherapy.
Nortriptyline was supposed to cause weight gain. For me it did the opposite. I also found it uncomfortably stimulating. Easily agitated, etc.
The dose that did actually feel like it was beginning to do some good, without hardly any side effects, was 5mg. I had to make my own custom capsules. But....this was in combination with 6.25mg zoloft. The synergy of the two was totally different than either drug alone.
The TCAs feel different when combined with SSRIs.
So I would say listen to your instincts.. If your side effects are telling you 20mg is too much, then lower it. But before getting too frustrated or burned out on the whole TCA thing, they need to be combined with small dose ssri, preferably zoloft, because otherwise you won't know what the drug really could have done.
IMO
Ok, so worst case scenario months down the road and none of the TCAs worked good for you. Next stop....Milnacipran.
And no matter what med you are trying, I think either monotherapy or combination therapy with Rhodiola is a good idea. A pdoc in NYC does that too. It is a tricky plant however....dosing tricky because it takes on significantly different flavors and results depending on the dose size...it takes some patience and trial to find your own sweet spot.
poster:bleauberry
thread:992550
URL: http://www.dr-bob.org/babble/20110728/msgs/992664.html