Posted by Alexei on April 23, 2012, at 9:30:21
In reply to Re: Imipramine, Tryptophan, Sertraline combination. » Exisessentialist, posted by SLS on April 21, 2012, at 12:37:08
> Perhaps you can talk with your doctor about the advantages and disadvantages of using nortriptyline in place of imipramine. Nortriptyline has more mild side effects and is not too heavy on serotonin. It is possible that he wants to use imipramine for its more potent serotonin reuptake inhibitor properties. Of course, you already get that with sertraline. One might consider that adding imipramine places too much of a serotonin load on the system. You would need to screen for serotoinin syndrome. Either way, I hope adding a TCA produces a favorable response for you.
>
> Good luck.
>
> - Scott
The TCA + SSRI mix is something my pdoc & I are likely to try. Specifically zoloft plus either nortriptyline or desipramine. Maybe "creating" your own SNRI might be better than these new ones ... pristiq, cymbalta, etc. I'm finding effexor to be way below average... Not helping.Now, if we could just figure out whether to use abilify or seroquel to augment, maybe I'll start to feel better.
Good luck, essissentialist ...
poster:Alexei
thread:1016071
URL: http://www.dr-bob.org/babble/20120411/msgs/1016222.html