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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by g_g_g_unit on October 16, 2008, at 3:44:37
just wondering about people's experiences on nortriptyline as an augmentation agent. i began 10mg at night about a week ago - in anticipation of adding an ssri once i understand the effect nortrip has on its own - and it's hard to infer much at this stage. i definitely feel more motivated during the day. after i take it at night though i'm overcome by a weird feeling of tiredness/fuzziness + alertness. i realise sometimes when i expect something to make me sleep i can paradoxically get more anxious waiting for it to 'work'. but with something like remeron, in spite of my anticipation, i would pass out within 10/15 minutes. is 10mg simply too low a dose? does it get more obviously sedating the higher up you go?
Posted by azalea on October 16, 2008, at 7:24:19
In reply to is anyone using nortriptyline as an augmentor?, posted by g_g_g_unit on October 16, 2008, at 3:44:37
As monotherapy for depression, the effective dose of nortriptyline is usually 50mg-150mg. You might respond well to a lower dose. In that case, there's no reason to increase. Good idea to see how nortriptyline affects you alone before adding an SSRI. Let us know how you do.
> just wondering about people's experiences on nortriptyline as an augmentation agent. i began 10mg at night about a week ago - in anticipation of adding an ssri once i understand the effect nortrip has on its own - and it's hard to infer much at this stage. i definitely feel more motivated during the day. after i take it at night though i'm overcome by a weird feeling of tiredness/fuzziness + alertness. i realise sometimes when i expect something to make me sleep i can paradoxically get more anxious waiting for it to 'work'. but with something like remeron, in spite of my anticipation, i would pass out within 10/15 minutes. is 10mg simply too low a dose? does it get more obviously sedating the higher up you go?
Posted by bulldog2 on October 16, 2008, at 8:02:30
In reply to is anyone using nortriptyline as an augmentor?, posted by g_g_g_unit on October 16, 2008, at 3:44:37
> just wondering about people's experiences on nortriptyline as an augmentation agent. i began 10mg at night about a week ago - in anticipation of adding an ssri once i understand the effect nortrip has on its own - and it's hard to infer much at this stage. i definitely feel more motivated during the day. after i take it at night though i'm overcome by a weird feeling of tiredness/fuzziness + alertness. i realise sometimes when i expect something to make me sleep i can paradoxically get more anxious waiting for it to 'work'. but with something like remeron, in spite of my anticipation, i would pass out within 10/15 minutes. is 10mg simply too low a dose? does it get more obviously sedating the higher up you go?
Since you've already started nortrip try increasing 10 mg at a time and see if it does the trick on it's own without adding in another drug. Sometimes it's effective at doses as low as 50 mg.
Posted by hansi555 on October 16, 2008, at 11:33:44
In reply to is anyone using nortriptyline as an augmentor?, posted by g_g_g_unit on October 16, 2008, at 3:44:37
> just wondering about people's experiences on nortriptyline as an augmentation agent. i began 10mg at night about a week ago - in anticipation of adding an ssri once i understand the effect nortrip has on its own - and it's hard to infer much at this stage.
See my post further down the list. I have just started Nortriptyline and used as augmentor - sort of...
Posted by Phillipa on October 16, 2008, at 23:13:21
In reply to Re: is anyone using nortriptyline as an augmentor?, posted by hansi555 on October 16, 2008, at 11:33:44
Took 10mg one time time only it's also pamelar right as plastered me to the bed and couldn't get up. Why? Phillipa
Posted by bulldog2 on October 17, 2008, at 15:20:45
In reply to Re: is anyone using nortriptyline as an augmentor? » hansi555, posted by Phillipa on October 16, 2008, at 23:13:21
> Took 10mg one time time only it's also pamelar right as plastered me to the bed and couldn't get up. Why? Phillipa
You have neurotic tendencies and react wierdly to meds. I took up to 120 mg of nortrip and slept well. 10 mg and plastered is very unusual reaction.
Posted by g_g_g_unit on October 17, 2008, at 23:33:26
In reply to Re: is anyone using nortriptyline as an augmentor?, posted by bulldog2 on October 17, 2008, at 15:20:45
thanks for your responses. i am happy to continue a trial of nortrip. i guess my frustration is just that my reaction to it so far doesn't seem too clear-cut: after taking a dose i'll feel immediately tired and begin to yawn, but after that i feel slightly energized and find it more difficult to get to sleep; also i am no calmer during the day, which isn't too promising, given that the hope is it will cancel out the inevitable anxiety and insomnia i experience on SSRI's. i'll push the dose up to 20mg though, and see if it has a more obvious effect.
Posted by bulldog2 on October 18, 2008, at 14:26:56
In reply to is anyone using nortriptyline as an augmentor?, posted by g_g_g_unit on October 16, 2008, at 3:44:37
> just wondering about people's experiences on nortriptyline as an augmentation agent. i began 10mg at night about a week ago - in anticipation of adding an ssri once i understand the effect nortrip has on its own - and it's hard to infer much at this stage. i definitely feel more motivated during the day. after i take it at night though i'm overcome by a weird feeling of tiredness/fuzziness + alertness. i realise sometimes when i expect something to make me sleep i can paradoxically get more anxious waiting for it to 'work'. but with something like remeron, in spite of my anticipation, i would pass out within 10/15 minutes. is 10mg simply too low a dose? does it get more obviously sedating the higher up you go?
I used to take it at bedtime. That way was not sedated during the day.
This is the end of the thread.
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