Posted by zeugma on February 26, 2004, at 19:46:15
In reply to Re: From Wellbutrin to Pamelor??? » zeugma, posted by Thereishope on February 26, 2004, at 18:55:50
> Like many of these side effects does this one subside in time?
>It seemed to subside after a while. I added Strattera over the summer, because I also have severe ADHD, and so I was taking not one but TWO constipating meds. Plus I have combined type IBS, which means I have long spells of constipation anyway, and I honestly don't know what is due to the meds and what is the IBS. My gastroenterologist told me that it was likely the meds were exacerbating an already existing condition. I hope the treatments he has put me on start to work soon. But as I told him, there is no question of reducing dosages or changing meds at this point. The benefits are too great.
> I plan to talk with my doctor about trying something else like Pamelor or Desipramine. Hopefully she will be open to trying the older ADs. I've found Paxil, Zoloft, Celexa, and Prozac only made my symptoms worst. Maybe the older ADs will be more "user friendly."
For some people, the older AD's are. Since tricyclics have a different mechanism of action than the SSRI's, it makes a lot of sense to try one. And I should add that even though nortriptyline hasn't helped my constipation, it has been very effective in relieving the almost daily nausea and abdominal pain that was causing terrible misery. My GI specialist told me that he thinks that Elavil (amitriptyline) is the best medication there is for IBS, and uses it extensively in his practice.
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> > By 'bathroom problems' I assume you mean constipation? Yes, Pamelor (nortriptyline) is constipating.
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> > And I would be inclined to agree with your Pdoc. Nortriptyline is just as good as newer AD's, and in some ways it is better. It has worked for me for quite a while now.
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poster:zeugma
thread:317935
URL: http://www.dr-bob.org/babble/20040223/msgs/318051.html