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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 JFL on September 27, 2020, at 8:38:04
After having tried a few SSRIs, SNRIs, ECT, mirtazapine with Wellbutrin, and Nardil, my psychopharmacologist has recommended that I try a tricyclic: either nortriptyline or desipramine.
I suffer from unipolar depression, along with anxiety.
The thought of going on a tricyclic makes me very anxious, due to the potential side effects. Which of these two medicines has a more likely chance of fewer side effects? Which would be more effective?
I am currently on 90 mg mirtazapine, 450 mg Wellbutrin, 200 mg Lamictal, 5 mg Abilify, 1200 mg gabapentin, and 2 mg clonazepam.
Posted by linkadge on September 27, 2020, at 13:15:42
In reply to Nortriptyline or desipramine, posted by JFL on September 27, 2020, at 8:38:04
If it's any consolation, I had fewer side effects on nortriptyline than any of the newer medications. Nortriptyline might be a bit better for anxiety than desipramine.
Linkadge
Posted by creepy on September 27, 2020, at 19:27:21
In reply to Nortriptyline or desipramine, posted by JFL on September 27, 2020, at 8:38:04
Not sure if these are really what youd want for anxiety. When I took them they were pretty energizing.
One thing I really liked about desipramine, it really helped my allergies and opened up my sinuses.
Posted by linkadge on September 27, 2020, at 19:59:39
In reply to Re: Nortriptyline or desipramine, posted by creepy on September 27, 2020, at 19:27:21
I found nortriptyline *both* energizing and really good for anxiety.
Linkadge
Posted by creepy on September 27, 2020, at 20:06:48
In reply to Re: Nortriptyline or desipramine, posted by linkadge on September 27, 2020, at 19:59:39
unfortunately it looks like response is pretty individual.
Dr. Stahl recommends adding nortriptyline to an SSRI as one of his 'heroic combos' or something I think? Been awhile since I read that.
This is the end of the thread.
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