Posted by Elizabeth on December 11, 1999, at 21:44:11
In reply to Please help me with medication suggestions, posted by Pat on December 11, 1999, at 11:14:24
> I had been on triavil (tricyclic) for a long time, which helped me sleep and worked on the depression somewhat, but made me relentlessly constipated to the point where I had to had a couple operations because of it.
Oof...I'm sorry. FWIW, there are other tricyclics, such as desipramine, that have fewer side effects. In order to get the tricyclic-antipsychotic combo effect you'd take one of them with a separate antipsychotic (Triavil is amitriptyline (Elavil) plus the antipsychotic perphenazine (Trilafon)). Or you could take amoxapine (Asendin), which is a tricyclic that has both antidepressant and antipsychotic effects. Some of the newer antipsychotics, such as Zyprexa, Risperdal, and Seroquel, might be better than perphenazine.
> My pdoc said I need the type of medication that affects the dopamine, not the seratonin. But, he said, all the medications that affect the dopamine will constipate me.
I don't think that's true. Anyway, Triavil has a different sort of effect on dopamine than Wellbutrin does.
> He is now at the point where he is saying I'm at the end of the list of medications. Can this be true?
Nope. :)
poster:Elizabeth
thread:16692
URL: http://www.dr-bob.org/babble/19991123/msgs/16716.html