Posted by Vincent_QC on March 8, 2009, at 10:10:32
In reply to Re: Nortriptyline = Tachycardia » Vincent_QC, posted by mav27 on March 8, 2009, at 0:38:23
> Yeah i'm on imipramine at the moment but a low dose because of the usual tricks the TCA does on the heart. It's not being useful for my SAD but is for my lack of energy which i wasn't able to get with the ssri's or snri or even reboxetine. SO i'm going to ask my doc about staying on the small amount of imipramine and adding a weaker ssri like luvox to it as the ssri's have helped with my SAD but i don't like the side effetcs of them at high dose. I was actually having success on just lexapro but i had no energy to want to get out and do anything and was sleeping around 15 hours a day.
>
>Hi ;-)
I totally agree with you...the SSRI's make you tired, and tehd to make people lazy and lack any energy or motivation, it's why I always hated them.I never get a proper answer on any SSRI's, SRNI's, as well as wellbutrin or Remeron or Trazodone...I never try the Reboxetine cause it's not avaible in the Canada, but I assume it's purely acting on the NE so I guess more heart problems on it.
The main problem is that I never had any heart problem before. I was put on a lot of combos...the last ones was Lexapro, who don't do anything for my anxiety or SAD BTW, with Ritalin...The Ritalin fail to give more energy and more motivation to me so we change the Ritalin for the Wellbutrin at 300 mg...nothing...it was worse...
For The Luvox, since I never get an answer from a SSRI, I still don't see the utility to try it...I know that in somes countries it's approved for SAD...but well a lot of others SSRI'S like Paxil or Zoloft are approved by the FDA for this and they don't work on me. They just worse my depression and make my anxiety more hard to support...
I don't think all the TCA's have this strong effect on the heart. They can give hypotension orthostatic, like the MAOI's but the faste heart pulse is something linked to the more selective for the NE action (Nortryptiline, Despiramine), Imipramine don't hit a lot the NE, as far as know...
Well anyway I never get a high hope on the TCA's and I now understand why my Family Doctor, who is also a specialist for anxiety and depression problems never try them on me...he told me often they was not usefull for SAD or GAD...and their efficacity on the panic disorder was weak...
Today i'm off any AD'S...no more Nortryptiline...I hope the PDoc will not already in vacation for 2 weeks...IF so, I Will have do be at least 14 days without any meds to help me, with the exception of the innefective Valium...
I really think I will just do a washout period and be back again on a slow dose of Parnate...at least it's hard on my heart also but I see some improve for my SAD...something I never had on any others meds...
At this stage, I dont care about my daytime energy of my motivation, all I want is to be relieve of my anxiety (social or general)...One problem at the time, I will work more on the energy and motivation level after the main problem will be stabilized...
Have a nice day !!!
Bye!
Vincent ;-)
poster:Vincent_QC
thread:884225
URL: http://www.dr-bob.org/babble/20090304/msgs/884387.html