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Dr. Bob is Robert Hsiung, MD,
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Posted by Mary-Teresa on November 26, 2001, at 16:13:07
Can anyone who has taken either of these drugs comment on the dosage and any side effects. Are they helpful with anxiety?
Thanks
Mary
Posted by Vincent on November 26, 2001, at 16:59:24
In reply to DOXEPIN OR NORATRIPTYLINE????, posted by Mary-Teresa on November 26, 2001, at 16:13:07
Hi,
I've been on Noritren (Nortriptiline) for few weeks.
It was one of the earliest AD and I've red that this med should be an activant one. More than all other AD of same class (Tca).
But after week it cause me some dizziness and somnolence so i should stop it.
I could tolerate only 20 mg/day without any side effects. But i think it was not enough for therapic effects.
I've found less side effects with other Ad class, in particular on SSRI but it could depend on personal sensibility about Tca antidepressants.
Posted by JahL on November 26, 2001, at 17:30:17
In reply to DOXEPIN OR NORATRIPTYLINE????, posted by Mary-Teresa on November 26, 2001, at 16:13:07
> Can anyone who has taken either of these drugs comment on the dosage and any side effects. Are they helpful with anxiety?
> Thanks
> MaryYeah I've tried both. It was too long ago to remember doses but I didn't get up too high on Doxepin because of its sedative side-effects. These are helpful for sleep at lower doses (it's often prescribed to insomniacs) but can be a little much at higher doses (though some w/anxiety find sedation useful).
Nortriptylene is thought to have a therapeutic window, which you'll find (if it exists 4 you) by increasing your dose gradually. I stopped Nortrip. because of the cognitive dulling (& it wasn't workin'). Someone else I know complained of the same thing.
In terms of side-effects generally, I preferred Doxepin (but then I'm an insomniac...). Nortrip. is primarily an NRI and probably won't help yr anxiety much.
G. luck,
J.
Posted by geno on November 26, 2001, at 17:37:00
In reply to Re: DOXEPIN OR NORATRIPTYLINE???? » Mary-Teresa, posted by JahL on November 26, 2001, at 17:30:17
> > Can anyone who has taken either of these drugs comment on the dosage and any side effects. Are they helpful with anxiety?
> > Thanks
> > Mary
>
> Yeah I've tried both. It was too long ago to remember doses but I didn't get up too high on Doxepin because of its sedative side-effects. These are helpful for sleep at lower doses (it's often prescribed to insomniacs) but can be a little much at higher doses (though some w/anxiety find sedation useful).
>
> Nortriptylene is thought to have a therapeutic window, which you'll find (if it exists 4 you) by increasing your dose gradually. I stopped Nortrip. because of the cognitive dulling (& it wasn't workin'). Someone else I know complained of the same thing.
>
> In terms of side-effects generally, I preferred Doxepin (but then I'm an insomniac...). Nortrip. is primarily an NRI and probably won't help yr anxiety much.
>
> G. luck,
> J.
Isnt nortypl. similar to norpramin that it effects norepinephirine. Any drug that selectevly hits norep, will not help anxiety, exp in the acute phase. But im not sure if its a nor med
geno
Posted by Mitch on November 26, 2001, at 23:29:50
In reply to DOXEPIN OR NORATRIPTYLINE????, posted by Mary-Teresa on November 26, 2001, at 16:13:07
> Can anyone who has taken either of these drugs comment on the dosage and any side effects. Are they helpful with anxiety?
> Thanks
> MaryHi Mary, I have taken both of these meds for several months (years-in the case of doxepin). You will get the least cardiovascular side-effects (like tachycardia and orthostatic hypotension) with the NT. I have found both to be helpful for anxiety. But, the NT worked better for me because it wasn't as sedative. Really sedating AD's and even anxiolytics tend to make me hostile (I have comorbid ADHD and BPII). IF you don't have MAJOR insomnia problems I would try the NT first. It probably would work the best with another AD from another class (because you don't need to get into higher doses and their related TCA side-effects). I found Celexa+NT to work quite well. Currently, I am trying Wellbutrin+NT+Zoloft (all in low doses) and it is working quite well for my ADHD symptoms and seasonal depression.
Mitch
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