Posted by maggiemae on November 9, 2010, at 21:36:16
In reply to Re: nortriptyline low dose and tachychardia, posted by Conundrum on November 9, 2010, at 20:58:04
> When you say you are taking the two together, do you mean nort + a beta blocker or nort and at another time amitriptyline?
> Can you take nort at night?
I can not take the nort at night - it is paradoxically stimulating for me. so, i am taking it with extended release propranolol la in the morning.
i have been reading about the genetic differences that cause people to metabolize drugs (like tcas and others) differently. not sure it if is why i cannot tolerate more than 10mg of nortriptryline or why i have the stimulating effect from it, but it is pretty interesting.
recently i have developed some sort of weird insomnia and anxious depression - i can't enjoy things anymore - my joy is gone. it is worse in the mornings and i get a bit of relief sometimes in the evenings.
i wake up repeatedly at night and then at 4 am i am awake in a weird limbo agitated state of unspecified anxiety/depression. i am too tired and unmotivated to get up (what would i do anyway? I can't read or watch tv when i feel like this). i don't really even feel sad - just empty and incapable of doing anything that requires any concentration or energy.
it has been quite insidious and crazy making. i feel so out of control of it - it feels like i have have lost all the brain chemicals that control joy and motivation.
i go to pdoc again later this week. i really hope he will have a plan that will work for me.