Posted by stargazer2 on September 29, 2007, at 12:34:43
In reply to Re: Want to hear more about Pamelor » stargazer2, posted by UGottaHaveHOPE on September 28, 2007, at 11:51:54
Michael, I was having inconsistent moods on Nardil 45, with a variety of add-ons including Abilify (nothing), Wellbutrin (nothing with the generic Budeprion, which others have said is useless compared to real generic Buproprion), Amphetamine (hypertensive reaction at 10 mg), hypotension on Nardil 60 mg alone.
So I said to my doc can I try Nortriptyline (Pamelor) since I knew it was OK to add with Nardil and often is used with insomnia***(YOU)(not an issue for me) "but may be effective when other approaches have failed." ("Current Psychiatry", Vol. 1, No. 6/June 2002).
I started on 25 and went to 75 but came back to 50 due to extremely dry mouth and dizziness. I take the entire dose at bedtime with 30 mg Nardil. I also take 15 mg Nardil in the morning.
"With the exception of Anafranil, TCA's generally are safe with MAOI's, although the PDR warns against adding a TCA to a MAOI...We found all AD's that do not involve significant serotonin reuptake inhibition (e.g. Bupropion,trazadone, and tricylics other than clomipramine) can be safely administered with MAOI's. Combination therapy is worth considering becasue it may be effective when other approaches have failed."
That last statement is why I tried it and it has helped improve my mood variability.
How are you faring? Better I hope. Perhaps Nortriptyline will help with your insomnia,other meds for this symptom and safe with a MAO are Doxepin and Trazadone, check with your esteemed pdoc for his recommendations.
Stargazer
poster:stargazer2
thread:785314
URL: http://www.dr-bob.org/babble/20070929/msgs/785890.html