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Re: To Scott - Nortriptyline Not Good For Atypical

Posted by SLS on May 19, 2008, at 5:18:46

In reply to To Scott - Nortriptyline Not Good For Atypical Dep, posted by bulldog2 on May 18, 2008, at 16:54:28

Hi Bulldog2


You know what you're talking about. I'm not sure I could add anything useful. I like Effexor in this situation, based upon personal experience with this combination. You would do well to get your blood-pressure checked early in treatment with Effexor and Cymbalta. However, nortriptyline might mitigate high blood pressure as it blocks vasoconstrictive NE alpha-1 receptors.

There I go again...


- Scott

> I suppose there's an element of serotonin in atypical depression. So I guess I could augment nortrip with an ssri (low dose). Doc had me stop luvox as he thought that might dangerously elevate nortrip. I guess others (ssris) might be safer with nortrip. Or of course nardil as that is very good with serotonin.
> Ixel sounds very promising as a stand alone ad. Elevates ne to se at about 3 to 1.Though I wonder if 50 mg a day would be enough. I had high blood pressure issues on only 40 mg of strattera so I know that would be an issue on 100 mg of ixel a day.

 

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