Posted by Brainbeard on July 21, 2009, at 9:53:03
In reply to Re: Has Anyone Taken Tramadol (Ultram) With An SSRI?, posted by bleauberry on July 21, 2009, at 5:11:12
> I am assuming depression is a factor here since zoloft is on board? Or anxiety? Both?
Yup, OCD and depression, basically.
>Either way, doesn't matter, what med is routinely prescribed for both pain and depression and anxiety and has a track record of dependability spanning half a century? Nortriptyline. What med happens to partner very well with zoloft? Nortriptyline.
It's an excellent suggestion. I didn't mention it, but actually I have been using low doses of both amitriptyline and imipramine up till now, but I thought of leaving them behind for any risk of QT-prolongation together with the Geodon, plus they're causing me pretty bothersome sunlight sensitivity (eyes, photophobia). A low dose (even 6mg) of amitriptyline does help some for the pain, and as you know, amitriptyline's active metabolite is nortriptyline.. So in a way, I'm already on nortriptyline, BUT the drug itself may have less side-effects. I've been on nortr. before and I don't think it caused me any light sensitivity.
It won't be easy though to get a prescription. I'm a 'complicated' patient, already on the black list for 'experimentating with medication on his own account'.. I'm not sure if my doc will be happy if I suggest nortriptyline. Plus, I have actually seen at least two p-docs freak out over nortriptyline that I was taking 'on my own account' (I have only a couple of pills left) because of cardiac risks.. Which is overreacting, to be sure.
Thanks, anyway.
poster:Brainbeard
thread:907706
URL: http://www.dr-bob.org/babble/20090721/msgs/907727.html