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Re: Nortriptyline Bust

Posted by SLS on July 27, 2009, at 4:56:43

In reply to Re: Nortriptyline Bust » linkadge, posted by SLS on July 26, 2009, at 17:15:00

Linkadge:

> > I am personally learning towards the notion that the TCA's are just generally not all that safe.
>
> What are your concerns?

You have been avoiding TCAs, presumably because you have concerns over cardiac function. I hate to see you skip right over an entire class of relatively safe drugs. A number of things about your case point to TCA as being possibly effective - more so than the SSRIs.

Do any of these apply?

1. Melancholic
2. Weight loss
3. Early morning awakenings
4. Worse in the mornings
5. Male
6. First degree relative responding to TCA
7. Areactive
8. Psychomotor retardation
9. Agitation

Go get yourself an EKG before starting a TCA and then several times afterwards to screen for conduction problems.


- Scott

 

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URL: http://www.dr-bob.org/babble/20090721/msgs/908783.html