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Re: Jono, sorry to bother you, but need rpt info » ChicagoKat

Posted by SLS on October 1, 2012, at 22:08:45

In reply to Re: Jono, sorry to bother you, but need rpt info » jono_in_adelaide, posted by ChicagoKat on October 1, 2012, at 19:32:08

> > Sorry, that should read "I'd start on 15mg of nardil and 25mg of nortriptyline"
> >
> > I'd then aim to be at your full dose (nardil 45mg and nortriptyline 75mg) after 1-2 weeks, depending on side effects
> >
> > Some people find nortriptyline very sedating, others hardly at all - let how you're feeling be your guide to the dose increases.
> >
> > Scotts approach has a lot of merit - you've been ill for years, and extra week for dode titalation isnt going to make much difference in the big picture
> >
> > Best of luck
> >
> > J
>
> Thanks Jono...I tend to agree with you, I'd like a faster approach and I'm sure I can tolerate it..I tend to adjust to meds pretty quickly (sorry Scott!)

Don't worry about it. From what you wrote earlier in this thread, I was just under the impression that you were extremely med-sensitive. If you can tolerate a more rapid titration, I see no reason why you should not be able to arrive at your target dosages sooner than what I suggested. Just be aware that you will not get the full effects of Nardil right away. Don't be lulled into a false sense of security. It might take a full week for a peak accumulation of monoamine neurotransmitters to occur after a dosage increase. This can produce a delay in the emergence of side effects. I am still concerned about a synergism in the production of hypotension and urinary retention. Otherwise Jono's suggestion is reasonable. Good luck.


- Scott


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

- George Bernard Shaw

 

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