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Re: nortriptyline - microwaking linkadge

Posted by SLS on January 31, 2018, at 17:23:41

In reply to Re: nortriptyline - microwaking SLS, posted by linkadge on January 31, 2018, at 16:11:00

> I wanted to switch from mirtazapine to nortriptyline primarily as I thought it may help me with sleep, with less collateral effect on next day energy.
>
> The problem is that the nortriptyline doesn't appear near as effective for sleep. My sleep onset is worse, maintainance is worse and I still get early morning wakenings.
>
> I'm just finding it too stimulating.
>
> Linkadge


I've never found nortriptyline to be sedating. It's not like amitriptyline.

I thought nortriptyline was helping for depression. That's why I suggested the combination. Just throwing it out there... Higher dosages of mirtazapine and nortriptyline may work synergistically to increase NE along with the 5-HT2a/c and 5-HT3 receptor blockade.

Perhaps you can make the switch from nortriptyline to mirtazapine first and evaluate your level of deepression. If you see that your depression gets worse, you might then restart nortriptyline and reevaluate depression and sleep continuity.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

- George Bernard Shaw

 

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poster:SLS thread:1096778
URL: http://www.dr-bob.org/babble/20161215/msgs/1096789.html