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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by tensor on April 13, 2013, at 11:18:47
If I owned a pharmaceutical company I would have my chemists manufacture a 24hr slow release pill with either amitriptyline or nortriptyline + bethanechol.
E.g. 100mg amitriptyline + 50mg bethanechol
/tensor
Posted by Phillipa on April 13, 2013, at 11:35:05
In reply to TCA SR, posted by tensor on April 13, 2013, at 11:18:47
Can you get compounded meds there? We have compounding pharmacies. Why is this your choice? Phillipa
Posted by linkadge on April 13, 2013, at 17:38:09
In reply to TCA SR, posted by tensor on April 13, 2013, at 11:18:47
Do you dose your TCA more than once a day?
As far as cholinergic side effects, you could try green tea. It inhibits acetylcholinsterase for more than a few days per dose.
Linkadge
Posted by tensor on April 14, 2013, at 3:10:29
In reply to Re: TCA SR, posted by linkadge on April 13, 2013, at 17:38:09
> Do you dose your TCA more than once a day?
No, all at bedtime.
> As far as cholinergic side effects, you could try green tea. It inhibits acetylcholinsterase for more than a few days per dose.
Did not know that, thanks. I recently made a switch from 100mg amitrip to 75mg nortrip, was partially responsive to amitrip. But before pushing the dose I decided to try nortrip again, it may work better with less side effects, can always go back to amitrip.
Can't say I had much side effects on amitrip, the orthostatic hypotension was the most notable, no dry mouth.
But you can be sure the ACh side effects will appear when the dosage increases./tensor
Posted by tensor on April 14, 2013, at 3:20:08
In reply to Re: TCA SR, posted by linkadge on April 13, 2013, at 17:38:09
Natural cholinesterase inhibitor, for tricyclic anticholinergic side effects.
http://en.wikipedia.org/wiki/Huperzine_A
http://www.super-smart.eu/article.pl?id=0442&lang=en&fromid=GG132&gclid=CJzhu77bybYCFU52cAodWjEAxg/tensor
This is the end of the thread.
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