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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 8 of 8. This is the beginning of the thread.
Posted by alchemy on July 15, 2013, at 14:14:10
I started at 25mg and have increased to 50mg. I think it has skimmed off the really bad depression. If this continues, it will be a miracle considering how many drugs I have tried. I have not experienced any improvement in anhedonia. Simple things seem too hard, dont want to do anything, and and wondering what "fun" is.
Because I have experienced a slight improvement, how likely is it that a higher dose will give me additional improvent?The weight gain is a huge issue for me. If I hadn't already trief almost every med out there I would stop taking it for the horrible weight gain.
Posted by SLS on July 15, 2013, at 16:01:52
In reply to nortript-will i likely cont. mprove with increase?, posted by alchemy on July 15, 2013, at 14:14:10
> I started at 25mg and have increased to 50mg. I think it has skimmed off the really bad depression. If this continues, it will be a miracle considering how many drugs I have tried. I have not experienced any improvement in anhedonia. Simple things seem too hard, dont want to do anything, and and wondering what "fun" is.
> Because I have experienced a slight improvement, how likely is it that a higher dose will give me additional improvent?
>
> The weight gain is a huge issue for me. If I hadn't already trief almost every med out there I would stop taking it for the horrible weight gain.
Most people do not feel well until they take 75 mg/day. I need 150 mg/day. I found that I felt better and better as the dosage was increased. Get a blood test to help guide you in finding the right dosage.
- Scott
Posted by alchemy on July 15, 2013, at 16:18:52
In reply to Re: nortript-will i likely cont. mprove with increase? » alchemy, posted by SLS on July 15, 2013, at 16:01:52
> > I started at 25mg and have increased to 50mg. I think it has skimmed off the really bad depression. If this continues, it will be a miracle considering how many drugs I have tried. I have not experienced any improvement in anhedonia. Simple things seem too hard, dont want to do anything, and and wondering what "fun" is.
> > Because I have experienced a slight improvement, how likely is it that a higher dose will give me additional improvent?
> >
> > The weight gain is a huge issue for me. If I hadn't already trief almost every med out there I would stop taking it for the horrible weight gain.
>
>
> Most people do not feel well until they take 75 mg/day. I need 150 mg/day. I found that I felt better and bett
er as the dosage was increased. Get a blood test to help guide you in finding the right dosage.
>
>
> - ScottThanks Scott! That is so good to hear (especially today). If you had problems with weight gain, did that get worse as you increased your dose?
Posted by alchemy on July 15, 2013, at 18:53:03
In reply to Re: nortript-will i likely cont. mprove with increase? » alchemy, posted by SLS on July 15, 2013, at 16:01:52
Just got my lab results in. My level is at 72, so i will start moving up from 50mg to 75mg. And get some fat clothes.
Posted by SLS on July 15, 2013, at 20:18:40
In reply to Re: nortript-will i likely cont. mprove with increase?, posted by alchemy on July 15, 2013, at 18:53:03
> Just got my lab results in. My level is at 72, so i will start moving up from 50mg to 75mg. And get some fat clothes.
I will be curious to see if you gain any weight. For me, I think the weight I've gained is more the product of Abilify than nortriptyline.
- Scott
Posted by alchemy on July 15, 2013, at 22:14:41
In reply to Re: nortript-will i likely cont. mprove with increase? » alchemy, posted by SLS on July 15, 2013, at 20:18:40
Scott, what is your blood level at for nortipt?
Posted by SLS on July 16, 2013, at 5:47:52
In reply to Re: nortript-will i likely cont. mprove with increase? » SLS, posted by alchemy on July 15, 2013, at 22:14:41
> Scott, what is your blood level at for nortipt?
Somewhere around 125 ng/ml.
- Scott
Posted by jono_in_adelaide on July 19, 2013, at 6:38:04
In reply to Re: nortript-will i likely cont. mprove with increase? » alchemy, posted by SLS on July 16, 2013, at 5:47:52
I'd increase to 75mg/day, stay there for 2 weeks or so, then get your blood levels checked. Between 50 and 150 is "the zone"
If you are within that range, but need more relief, you can add certain SSRI's (Zoloft, Celexa, Lexapro) to nortriptyline to hit both serotonin and noradrenalin
This is the end of the thread.
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