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Re: The secret to a succesful amitriptyline experience

Posted by bulldog2 on June 1, 2010, at 17:40:03

In reply to The secret to a succesful amitriptyline experience, posted by Brainbeard on May 25, 2010, at 12:40:47

> > I tried amitriptyline and within 2 days the brain fog, constipation and fatigue were becoming quite troublesome. Then I began to get irritable and more depressed. I'm guessing that for you this drug is pretty tolerable?
>
> Well, the secret is to go up in tiny steps. The first time I took 25mg without titrating up, I felt like a zombie, and like you, I was irritable and depressed. Then I began taking about 6mg at first, raising the dose in 6mg increments every two to three days. If I go up faster, I will usually be irritable and moody for at least a day.
>
> When titrating up slowly, I find 25mg a very tolerable dose, yet it has significant therapeutic effects. It deepens sleep, counters pain and lessens anxiety. When I go higher, I have to tread carefully. I was on 50mg a short while ago but felt paralyzed and depressed. I think I went up too fast.
>
> I suffer from no constipation since I also take sertraline (original brand name Zoloft). That's one of the benefits of combining a TCA with an SSRI...

yes

 

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