Posted by mtdewcmu on April 15, 2011, at 17:51:21
In reply to Re: Med Plan and Questions » mtdewcmu, posted by SLS on April 15, 2011, at 9:26:06
> The elevation in heart rate and the sensation of palpitations comes with the territory. These effects can mitigate over time. Nortriptyline is significantly less anticholinergic than amitriptyline and less noradrenergic than desipramine. The cardiac effects of nortriptyline may be the mildest among the tricyclics, although I would consider trimipramine as a potential treatment.
>That is interesting, and I did not know that. I don't remember exactly what my heart rate got up to, but it was high enough that it seemed prudent to stop Elavil and Flexeril.
However, I'm not really looking to add new drugs at the moment. Incidentally, Luvox has potentially dangerous interactions with a lot of TCAs. Luvox is a potent inhibitor of several CYP450 enzymes. I am happy with Luvox so far, so I have no plans to stop taking it.
> As an aside, a combination of Effexor and Wellbutrin is often effective when neither alone is sufficient to treat depression. Both drugs have been reported by some to help with adult ADD.
>I am not going to consider trying Effexor until the price of the generic XR comes way down. I'm already taking WB, but I'm trying to phase it out in favor of the -- much more potent -- Dexedrine. Luvox is doing surprisingly well, so I don't think I'll need Effexor for the time being.
poster:mtdewcmu
thread:982787
URL: http://www.dr-bob.org/babble/20110406/msgs/982943.html