Posted by Schlepo on November 20, 2018, at 16:39:25
In reply to Re: Playing Nortriptyline levels by ear... » Schlepo, posted by SLS on November 17, 2018, at 16:06:55
> 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.
>
>
> - ScottSo I got my test results from an outpatient Pdoc and I think sheshe said my nortriptyline level was 220 (she couldn't give me a copy for some reason). Can this account for an onset of previously controlled depression and anxiety and the reduction of clonazepam efficacy?
poster:Schlepo
thread:1102072
URL: http://www.dr-bob.org/babble/20181024/msgs/1102126.html