Posted by SLS on November 17, 2018, at 16:06:55
In reply to Playing Nortriptyline levels by ear..., posted by Schlepo on November 16, 2018, at 10:24:30
You might indeed have to play it by ear.
It would be nice to get a nortriptyline blood level. It would help guide you. However, it does not always predict the right dosage. At 150 mg/day, my blood level was about 150 ng/mL. Apparently, this was too high, even though it was technically within the therapeutic window. I did significantly better once I lowered the dosage to 100 mg/day. It is more likely that someone would respond to 100 mg/day than to 200 mg/day. So, it makes sense to investigate how you feel at 100 mg/day first. No guarantees, of course. At this point in your treatment, you may only need to give a new dosage 7 days to see in what direction things are headed.
Let us know how things go.
Good luck.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1102072
URL: http://www.dr-bob.org/babble/20181024/msgs/1102090.html