Posted by SLS on September 27, 2015, at 0:27:09
In reply to Re: @SLS whats the word on nortriptyline?, posted by Lamdage22 on September 26, 2015, at 22:37:53
> Is Nortriptyline less likely to produce a psychotic reaction than MAOI?
>
> I am a bit worried.In my experience, MAOIs are more likely than nortriptyline to produce psychosis. Almost any antidepressant can cause a switch into mania for people who are bipolar, though. Given your diagnosis, it is good to have a healthy respect for these medications. If I were in your situation, I would continue with your nortriptyline trial. Try to be patient with both therapeutic response and side effects. Many side effects lessen with time. Raising the dosage gradually will help. If you feel a need to stop taking it, please call your doctor first and tell him about your concerns. I imagine you are scared.
Nortriptyline has some pluses and minuses. The pluses include a high rate of success, little or no sexual side effects, and a low probability of pooping-out. Since people tend to gain weight rather than lose weight, begin managing your diet now. You might feel a little foggy-brain at first, but that should disappear. The plus is that you will not experience the apathy, emotional numbness, and amotivation that SSRIs can cause.
People often respond to 75 mg/day. Rapid metabolizers need more. It is not unusual to need 150 mg/day. Use blood tests to help determine what kind of metabolizer you are. It probably makes sense to get a blood test before moving higher than 75 mg/day. I guess it depends on how much experience your doctor has with this drug. He might feel confident in his ability to titrated without blood tests.
Try not to be too scared of the elevated heart rate.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1082913
URL: http://www.dr-bob.org/babble/20150901/msgs/1082958.html