Posted by tonyz on April 27, 2010, at 20:49:28
In reply to Re: Opinion on medication change, posted by bleauberry on April 27, 2010, at 18:35:56
I agree that less is better.
The side effects are difficult w/ amitriptyline but manageable. The benzos are for sleep until the amitriptyline kicks in - although I hate them. Lithium is a good augmentation strategy. If it were up to me I would ditch the Lithium right away, but I don't want to make too many changes and the doc didn't want me to do that.
I had raised concerns about the fluvoxamine in combination with a tricyclic that drug levels of the tricyclic can be vastly increased.
The reason for introducing fluvoxamine was to get some serotonin action. I have never gotten out of a depressed state w/o a tricyclic.
So with the amitriptyline the number of drugs are getting reduced.
The goal is to get my depression lifted and my sleep cycle stable and then figure out one drug to use for maintenance. It has been 4 torturous months, but hopefully things will start to get better.
I always appreciate your comments, thanks.
poster:tonyz
thread:945286
URL: http://www.dr-bob.org/babble/20100425/msgs/945345.html