Posted by SLS on March 22, 2012, at 7:42:41
In reply to Re: What do you think of abilify at a low dose for Uni, posted by papillon2 on March 19, 2012, at 21:50:26
Hi.
Yes. What you describe is leaden paralysis. I believe that you also suffer psychomotor retardation simultaneously. That's a hell of a thing to have to experience.
> I am told that for melancholic depression ECT > MAOI > TCA > TeCA > SNRI > SSRI, so I may have to try a MAOI eventually.
I would reverse the order of the TCA and MAOI.
As I said before, perhaps your case comprises a hybrid of melancholic and atypical with greater emphasis on the melancholic. Perhaps combining TCA with MAOI along with lithium might work.
I bet your palpitations would disappear at higher dsoages of nortriptyline. Your heart rate will remain elevated, but you won't notice it. The heart actually works less hard per beat when peripheral NE alpha-1a receptors are blocked by a TCA. This is known as "afterload reduction". Without knowing anything more about your case and drug sensitivities, I would think that raising the dosage of nortriptyline now is most logical.
Good luck with whatever you decide.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1012966
URL: http://www.dr-bob.org/babble/20120316/msgs/1013611.html