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Re: Question TCA...SLS » B2chica

Posted by SLS on August 22, 2011, at 10:22:55

In reply to Question TCA...SLS » SLS, posted by B2chica on August 22, 2011, at 8:48:40

> Hi SLS.
> one pdoc mentioned that i had been on TCA's with no luck...i assumed it was the trazadone and remeron.. i wonder if he was even looking at the right file?? he was a bit flighty so that does not surprise me a bit. so that's another story.
>
> if i'm on pristiq, perphenazine and adderall, gabapentin at nights for sleep/relax and day PRN for anxiety. which of the TCA's would you think work well for me.
> my depression tends to cycle between aggitation/anxiety and lethargic hopeless/delusional depression. at its worst i do have some auditory/visual illusions.
>
> i am not really bad off. but im just not above water. i feel like im bobbing in the ocean, not quite able to stay above water.
>
> which (if any) TCA could i augment with? i see pdoc this friday.
>
> thank you so much for your help


Hi B2C.

I once had a partial response to a combination of Effexor and nortriptyline. Pristiq is a daughter drug to Effexor and has many of the same properties. I would recommend nortriptyline because it is relatively mild on side effects and the correct dosage can be determined by taking blood tests.


- Scott


Some see things as they are and ask why.
I dream of things that never were and ask why not.

 

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