Posted by ChicagoKat on September 30, 2012, at 10:11:09
In reply to Re: Jono and/or SLS, posted by jono_in_adelaide on September 29, 2012, at 20:56:59
> Kat, nortriptyline tends to reduce anxiety, rather than cause it (5HT2 effects), however, you might want to see iff nardil alone gets you to full remission (you're aiming for remission, not just improvement)
>
> If it doesnt, Nortriptyline 75mg/day is a sensible add on and is unlikely to cause anxiety.... it releivesandiety and panic for most patients..... just dont push the dose through the roof. Otherwise, doxepin or trimipramine are tricyclics that dont hit noradrenalin particularly, but they are more sedating and less robust as antidepressants.
>
> Given your history of repeated treatment failiures, I think you need to be prepared to push the envelope a little in order to get well..... if you try nortriptyline and its intolorable, of course you should stop, but i wouldnt write it off just becaise it MIGHT cause sode effectsThanks so much Jono! You've settled it for me. I will try the Nortryptiline with the Nardil. Like you said, I can always stop it if I have bad effects. And you're right, I do need to push the envelope a bit. I thought I was getting better, but just this morning I found myself crying, and I'm trying not to b/c it is my husband's birthday and I don't want to make him feel bad. I had kinda decided I was gonna ask you guys about wellbutrin, but since you say that nortryp. actually helps anxiety, that's what I'll stay with. And then I don't have to bug you guys again after you have helped me SO very much :) And, to be quite honest, It was mostly wishful thinking on my part that I could tolerate wellbutrin b/c I want to lose weight. My husband is on it (he suffers much milder depression than I do) and he has lost SEVENTY pounds while being on it. And it's not liike he tries; he eats like a horse, eats way more than I do - though I will admit that he eats healthier than I do - and he doesn't exercise, but the weight has just melted off, like it's a metabolic thing from the wellbutrin. And I had read that it can have that effect. Fortunately, he could stand to lose the weight, but now he is at a perfectly normal weight, but if he loses anymore he will look anorexic! But, sigh, wellbutrin is really not for me; I've tried it 3x, and each time it has made me so agitated I've wanted to scream.
Thanks again for the much-needed advice, and I'm sorry as usual for the long post; I just don't seem to be able to help myself. How are you feeling these days? I am hoping better.
All my best,
Kat
poster:ChicagoKat
thread:1027029
URL: http://www.dr-bob.org/babble/20120922/msgs/1027099.html