Posted by phidippus on November 8, 2014, at 6:48:15
In reply to Re: Amitriptyline + Celexa, posted by pattisun on November 4, 2014, at 22:17:49
>TERRIBLE ANXIETY DISORDER
Well, you're going to need the Celexa, another SSRI or an SNRI to help with the anxiety. Cymbalta might be a good choice cause it will treat the anxiety and help with the pain.
>PAIN
Patches aren't as effective as oral. I would recommend Dilaudid up to 16 mg for your level of pain.
>MIGRAINES
I highly recommend Maxalt for the treatment of migraine-it knocks mine right out.
>AND NERVES IN MY BACK ARE COMPRESSED (Spinal stenosis).
Have you looked in to laser surgery?
>So now I have crappy patches and allowed 4 Norco/day.
I would try Dilaudid or if you can get the Fentanyl in shot form, that would be best. Norco isn't all that strong (it's Vicodin and Tylenol).
>He said I could try Nortriptyline which is more pain-control and less SSRI effect and slightly decrease my Celexa.
Jeez, this seems like a bad strategy to me if you're having a lot of anxiety. Nortriptyline won't help as much as Cymbalta would.
>I'm gonna try the Nortriptyline and slightly decrease my Celexa for now.
You're going to get more anxious.
Eric
poster:phidippus
thread:1073145
URL: http://www.dr-bob.org/babble/20141017/msgs/1073282.html