Posted by ed_uk2010 on December 8, 2011, at 11:17:54
In reply to Re: nortriptyline is stimulating for me at low dose., posted by stann on December 8, 2011, at 10:57:57
> Thanks for your input ed_uk2010.I have tried other tricyclics. Before the nortrip I tried clomipramine. I talked with my Doctor this morning and she wants me to wash-out the nortrip and then start on low dose of amitriptyline.
A proportion of amitriptyline is converted to nortriptyline in the liver. Amitriptyline is much more likely to cause sedation than nortriptyline. Amitriptyline is best started at a very low dose eg. 10mg, or even 5mg given your response to nortriptyline. You can then increase the dose as tolerated.
poster:ed_uk2010
thread:1004368
URL: http://www.dr-bob.org/babble/20111208/msgs/1004464.html