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Re: up and down » jono_in_adelaide

Posted by ChicagoKat on October 21, 2012, at 0:49:40

In reply to Re: up and down, posted by jono_in_adelaide on October 20, 2012, at 23:11:25

Thanks for the advice Jon. There have been updates to my therapy, but maybe you missed them.
1. I'm taking 50mg/day bid (25mg) of Nortriptyline. Then I am taking 50mg qhs of amitryptiline...it helps me sleep, but as I'm sure you know amitryptiline is metabolized to Nortriptyline. So that pretty much covers the TCA side of my therapy.
2. I went up to 60mg/day of Nardil
3. If I ever feel really awful I take some Ritalin.
4. pdoc prescribed Klonopin + Neurontin for the anxiety, which has been much improved since.

Kat


> Did the nortriptyline make you feel worse, or merely not help you sleep, so you changed to amitriptyline?
>
> If it was just the sleep thing I would restart nortriptyline at 75mg at night, and also take amitriptyline (oe even better doxepin 25mg) for sleep, you will be hitting your depression with the 1-2 knockout punch, and still remain within normal doseage limits for a tricyclic.
>
> I agree with scott, a list of what drugs have helped and which ones havent would be very usefull.
>
> If things are realy bad, would your insurance cover a short period of treatment in a specialised institution, for example, the Menninger Clinic?


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poster:ChicagoKat thread:1029238
URL: http://www.dr-bob.org/babble/20121018/msgs/1029324.html