Posted by TamaraJ on July 11, 2005, at 21:28:45
In reply to Re: Zoloft - temporary problems or not?!?!? » TamaraJ, posted by SLS on July 11, 2005, at 21:05:55
Thanks, Scott. It is probably start up side effects from the Zoloft, because it really hit me when I increased my dose to 50mg last Tuesday. I will use 25mg of nortriptyline for a few days, if only to help me get a good night's sleep while I adjust to the Zoloft. I feel like I have had a wicked hangover for a week now, and I don't even drink anymore :-) I am taking some ginger capsules to help with the nausea, so that should help.
Thanks again. And, I am so sorry that you are not having the response you had hoped for with the Trileptal :-( That really stinks!
Take care,
Tamara
> Hi Tamara.
>
> As Blueberry suggested, it is possible that your withdrawal from nortriptyline might be a factor in what you are feeling. However, I would have expected these things to develop within three days of discontinuation rather than a week later. It is hard to know for sure.
>
> There is nothing wrong with continuing on a reduced dosage of nortriptyline while taking Zoloft and Wellbutrin. Zoloft moderately increases the blood levels of nortriptyline, so 25mg would be a very reasonable dosage to remain on.
>
> SRI + TCA can sometimes work well when SRI monotherapy does not. Don't neglect the possibility that Zoloft + nortriptyline might work. You would probably want to go to 50mg and then return to 75mg if you want to adequately explore the combination.
>
>
> - Scott
poster:TamaraJ
thread:525731
URL: http://www.dr-bob.org/babble/20050708/msgs/526452.html