Posted by gilmourr on January 18, 2013, at 4:35:56
In reply to Re: Gillmore (again), posted by jono_in_adelaide on January 17, 2013, at 16:58:57
This sounds like essentially what I was thinking of as I've already worked up to 100 mg of Zoloft and I've been on it for 2 weeks now and 50 mg for a few days before that.
Like I said (or think I said) is that MST or rTMS (whichever I choose) is in <30 days, and I CAN'T adjust my meds because it's a trial.
I can do this after the procedure, but I wanted to try Nardil again after whichever procedure I get.
I just wanted to take a break from Nardil for 60 days because the 3rd time I used it it was less effective and had more side effects at my "good" dose.
Basically, the only thing I can do atm is choose between rTMS or MST. And I'm currently looking at MST more because of its remission rates. And this is not as bad side effect wise as ECT.
Apparently, nobody has reported any cognitive slowing, but I think only 100 people have used the treatment.
> Well, my bet would be to start out with Zoloft 25mg at night and Nortriptyline 25mg at night for 4 nights, then go to 50mg of each at night, then eventualy get to 100mg of Zoloft and 75-100mg of nortriptyline (even upto 150mg - its best to get a blood test for nortriptyline blood levels to make sure you're in "the zone")
>
> You should hit this dose after say 2 weeks, and give it a fair trial (say 6 weeks at full doseage) before deciding wether it has worked or not.
>
> If it doesnt, you still have the option of magnetic seizure therapy, but if it does work, a daily pill is a lot easier than regular sessions of MST thriouhgout your life.
>
> So - startof with 25mg of Zoloft and 25mg of nortriptyline at night
>
> Slowly push to 100mg Zoloft and 75mg of nortriptyline at night, then get your blood levels of nortriptyline measured, and adjust dose based on this
>
> Stay at thereputic dose for 6 weeks before making a decision
>
> Hope this (or the MST)works for you bud.
poster:gilmourr
thread:1035661
URL: http://www.dr-bob.org/babble/20130112/msgs/1035717.html