Psycho-Babble Medication Thread 215684

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Nortriptyline/Pamelor advice anyone?

Posted by Jackster on April 3, 2003, at 2:01:41

Hi

I've been on nortriptyline for about 7 weeks now. My blood levels are in the therapeutic window - and it's helped my anxiety - but I'm still getting break through panic attacks. I'd like to increase the dose - but my PDoc seems reluctant to since the levels are in the therapeutic window. Is there any point in increasing dosage - or once you're in the window - do you not get any more benefit from the med?

Thanks
Jackie

Re: Nortriptyline/Pamelor advice anyone?

Posted by SLS on April 3, 2003, at 8:11:55

In reply to Nortriptyline/Pamelor advice anyone?, posted by Jackster on April 3, 2003, at 2:01:41

> Hi
>
> I've been on nortriptyline for about 7 weeks now. My blood levels are in the therapeutic window - and it's helped my anxiety - but I'm still getting break through panic attacks. I'd like to increase the dose - but my PDoc seems reluctant to since the levels are in the therapeutic window. Is there any point in increasing dosage - or once you're in the window - do you not get any more benefit from the med?
>
> Thanks
> Jackie

Hi Jackie.

The therapeutic for nortriptyline window is pretty wide. Blood levels can range from 50-150ng/mL. You may need to be at the higher end of the window to obtain optimal benefits. Most people end up taking 75mg. For me, 100mg was needed for me to receive any benefit. My blood level at this dosage was 123. Unfortunately, nortriptyline was only partially effective for me and not worth continuing. Perhaps you need another drug.

Good luck.

- Scott

Re: Nortriptyline/Pamelor advice anyone?

Posted by Mimi on April 6, 2003, at 20:22:28

In reply to Nortriptyline/Pamelor advice anyone?, posted by Jackster on April 3, 2003, at 2:01:41

> Hi
>
> I've been on nortriptyline for about 7 weeks now. My blood levels are in the therapeutic window - and it's helped my anxiety - but I'm still getting break through panic attacks. I'd like to increase the dose - but my PDoc seems reluctant to since the levels are in the therapeutic window. Is there any point in increasing dosage - or once you're in the window - do you not get any more benefit from the med?
>
> Thanks
> Jackie

Hi Jackie--How much Nortriptyline are you taking? I take 50mg. at night--works for me, in combo with 20mg. Celexa. MIMI

Re: Nortriptyline/Pamelor advice anyone? » Mimi

Posted by Jackster on April 7, 2003, at 2:13:38

In reply to Re: Nortriptyline/Pamelor advice anyone?, posted by Mimi on April 6, 2003, at 20:22:28

>
> Hi Jackie--How much Nortriptyline are you taking? I take 50mg. at night--works for me, in combo with 20mg. Celexa. MIMI
>
>

Hi Mimi

I'm taking 40mg Paxil and 40mg Nortriptyline. What are you taking them for?

Thanks
Jackie

Re: Nortriptyline/Pamelor advice anyone?

Posted by Mimi on April 7, 2003, at 11:56:58

In reply to Re: Nortriptyline/Pamelor advice anyone? » Mimi, posted by Jackster on April 7, 2003, at 2:13:38

>
> >
> > Hi Jackie--How much Nortriptyline are you taking? I take 50mg. at night--works for me, in combo with 20mg. Celexa. MIMI
> >
> >
>
> Hi Mimi
>
> I'm taking 40mg Paxil and 40mg Nortriptyline. What are you taking them for?
>
> Thanks
> Jackie

Hi Jackie,
I'm taking those meds for Major Depression (Recurrent) with Dysthymia. MIMI

>
>

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