Posted by Christ_empowered on November 4, 2014, at 6:24:29
In reply to Re: Lou's reply-ehgnz » Lou Pilder, posted by pattisun on November 3, 2014, at 22:36:18
ummmm...well, there are other TCA drugs to consider. I'm no expert on these things, but...
...there's good ole Tofranil. I used to take it. It came out a bit before Elavil. I don't know why more people don't take Tofranil. You take the whole dose at night. When it was first studied, it was seen as a sedative that gradually produced activation. Not for manic depressives, apparently.
I think there's Pamelor and some others that are more NE heavy but still do relieve pain and prevent headaches. Those might be safer with a high dose SSRI on board.
Have they done blood levels for you? If you're taking another AD, I would think that you'd want to do TCA blood levels, to make sure you're not approaching a toxic level. Just a thought.
I guess you could drop the celexa and switch over to Cymbalta. I think for pain they go up to 120mgs/day. I don't know if its as good as the TCA drugs, but the side effects are different and it seems to be fairly popular. It recently went generic.
Ummmm...if you drop the AD completely, you could take Ultram (tramadol). I think it just got moved into Schedule IV. Somebody must have enjoyed it too much. Anyway, it helps pain and can also lift mood...I think its chemically related to Effexor or something...some kinda reuptake inhibition. Mixed with neuroleptics and ADs, though, bad things (serotonin syndrome, seizures) can happen.
Good luck!
poster:Christ_empowered
thread:1073145
URL: http://www.dr-bob.org/babble/20141017/msgs/1073170.html