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Re: Update Nardil + decreasing desipramine » Conundrum

Posted by SLS on September 26, 2011, at 7:46:06

In reply to Re: Update Nardil + decreasing desipramine, posted by Conundrum on September 25, 2011, at 22:40:05

> Unfortunately things don't seem to be working out with desipramine.

Perhaps the addition of a TCA will be of no help. However, desipramine is a bit harsh with respect to cardiovascular side effects. I would say that, generally speaking, the side effects of nortriptyline are milder. It is my experience that the dosage of TCA required to elicit a response when combined with a MAOI is the same as when the TCA is used alone.

You could switch to nortriptyline first, then switch to Parnate if the results are inadequate. I am having some success with the addition of lithium 300mg. Lithium added to Parnate is a treatment that was used with some success in the "old days".


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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