![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by daizy on August 7, 2003, at 9:12:51
Has anyone else had bad headaches from TCA's? Lately I have been getting throbbing head upon standing, or doing exercise, any fast movemennt which then continues into a full blown headache. Ive also been getting very tired, and having trouble waking in the mornings. I think Im starting to feel the side effects more now than when I first started, does this mean I should reduce my dose? been 6 months or so now..... Any advise?!
Posted by daizy on August 7, 2003, at 15:00:35
In reply to TCA headache, posted by daizy on August 7, 2003, at 9:12:51
Posted by zeugma on August 8, 2003, at 7:34:09
In reply to TCA headache, posted by daizy on August 7, 2003, at 9:12:51
> Has anyone else had bad headaches from TCA's? Lately I have been getting throbbing head upon standing, or doing exercise, any fast movemennt which then continues into a full blown headache. Ive also been getting very tired, and having trouble waking in the mornings. I think Im starting to feel the side effects more now than when I first started, does this mean I should reduce my dose? been 6 months or so now..... Any advise?!
Are you drinking enough water? The headache could be due to a dehydration effect. Apart from that, a dose lowering might help, then if that fails you could switch to a secondary amine TCA like nortriptyline or desipramine that causes less side effects and sedation.
Posted by zeugma on August 8, 2003, at 8:29:00
In reply to TCA headache, posted by daizy on August 7, 2003, at 9:12:51
Sorry I'm writing again, I stayed up too late last night and the coffee just kicked in :) It sounds like you are experiencing significant orthostatic hypotension. I had that side effect when I started nortriptyline last year but it's virtually gone away although I'm on a much higher dose (75 mg/ day). As I said before the secondary amines have fewer side effects including less of the kind you describe.
Posted by daizy on August 8, 2003, at 9:18:31
In reply to Re: TCA headache, posted by zeugma on August 8, 2003, at 8:29:00
Thanks for the advise, I will try lowering my dose next prescription. I'll also try drinking more water, I have noticed that the headaches seem to get worse in the heat, and if I go in direct sunlight. I would like to change meds, but that extremely difficult for me here in UK! thanx again!
This is the end of the thread.
Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.org
Script revised: February 4, 2008
URL: http://www.dr-bob.org/cgi-bin/pb/mget.pl
Copyright 2006-17 Robert Hsiung.
Owned and operated by Dr. Bob LLC and not the University of Chicago.