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Nortriptyline Added To Mix / Question For Pro's


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9 replies to this topic

#1 RocketMan

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Posted 11 November 2009 - 11:13 AM

My depression has been lingering for several months now and I am unable to see my p/doc for another 6 weeks. So I went to my GP yesterday and he told me to add nortriptyline 50 mg to my mix of zoloft, lamictal, zyprexa and clonazepam.
I did not think to ask him questions so I'm hoping someone here can help?

Do you think the nortriptyline and zyprexa are safe together as far as potential interactions?

I take my zyprexa at 6pm and am still alert @ 10pm, trouble falling asleep, but I sleep well once I get there. Will the nortriptyline add to the "falling asleep" issue. I'm thinking I could take the nortriptyline in the morning with my zoloft?

Thanks for your support.
Regards, Rick
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#2 therapeuticbrigg84

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Posted 11 November 2009 - 11:29 AM

umm i have no idea why any doctor would add nortriptyline 50 mg to a zoloft 75 mg. without at least some apprehension about too much serotonin-serotonin syndrome.

but as for your other question yeah, there shouldn't be much of an issue between zyprexa and nortriptyline. you could even probably fall asleep earlier with this combo.

as for time to take them, i wouldn't take the zoloft and the pamelor together, i would actually take the nortriptyline at night with your zyprexa. but hey, that's just my take.

Edited by therapeuticbrigg84, 11 November 2009 - 11:34 AM.

dx: schizotypal personality disorder, dystonic neck and back pain, GERD. a bit of TD, akathisia, dysmorphic thoughts, affect is questionable

seroquel and inderal 60mg made me fatigued/ depressed. may hafta try lopressor or bisoprolol

inderal interacts with ssris and anti-psychs.

success HCTZ not only lowers my blood pressure and pulse more effectively. but it also has helped with the headaches ive been having. i should see a doctor about this.

[color="#0000FF"]rx: klonopin .5-1 prn, omega 3 fish oil, vitamin D3 iu, albuterol sulfate inhaler, magnesium hydroxide(for the constipationg)

in flux: seroquel 50mg
up and coming: nuvigil

looking into injectables.


artane 2 mg PRN(rare), trazodone 50mg PRN, lyrica PRN?


#3 dymphna

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Posted 11 November 2009 - 01:08 PM

Rick, call your Pdoc's office and ask for a phone consult since you can't get in for 6 weeks.

GPs really shouldn't play Pdoc.


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#4 sg2028

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Posted 11 November 2009 - 05:59 PM

Strongly seconds Dymphna.

That aside, I took nortrypaline briefly for sleep - like you said, it didn't help with falling asleep, but i slept better. Also, for the first couple of days i felt deeply drugged, almost sedated within a few hours of waking up the next morning. that faded after a 2-3 days. Not sure if it would be better at night or morning, suspect it depends on the individual.
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#5 therapeuticbrigg84

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Posted 11 November 2009 - 08:41 PM

most pdocs do not do phone consults, unless they have free time, which rarely they do

dx: schizotypal personality disorder, dystonic neck and back pain, GERD. a bit of TD, akathisia, dysmorphic thoughts, affect is questionable

seroquel and inderal 60mg made me fatigued/ depressed. may hafta try lopressor or bisoprolol

inderal interacts with ssris and anti-psychs.

success HCTZ not only lowers my blood pressure and pulse more effectively. but it also has helped with the headaches ive been having. i should see a doctor about this.

[color="#0000FF"]rx: klonopin .5-1 prn, omega 3 fish oil, vitamin D3 iu, albuterol sulfate inhaler, magnesium hydroxide(for the constipationg)

in flux: seroquel 50mg
up and coming: nuvigil

looking into injectables.


artane 2 mg PRN(rare), trazodone 50mg PRN, lyrica PRN?


#6 Anna

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Posted 11 November 2009 - 08:44 PM

Actually, it's been my experience that ALL of my pdocs (but one, which I fired) have done phone consults as needed.

Anna
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Anna

Diagnosed Bipolar Type I, most recently Mixed.

Current Meds: Seroquel, Risperdal, Neurontin, Provigil.

#7 therapeuticbrigg84

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Posted 11 November 2009 - 09:45 PM

Actually, it's been my experience that ALL of my pdocs (but one, which I fired) have done phone consults as needed.

Anna


well....that's amazing. i still think i have a good one though, cuz the one i have teaches pharmacology

dx: schizotypal personality disorder, dystonic neck and back pain, GERD. a bit of TD, akathisia, dysmorphic thoughts, affect is questionable

seroquel and inderal 60mg made me fatigued/ depressed. may hafta try lopressor or bisoprolol

inderal interacts with ssris and anti-psychs.

success HCTZ not only lowers my blood pressure and pulse more effectively. but it also has helped with the headaches ive been having. i should see a doctor about this.

[color="#0000FF"]rx: klonopin .5-1 prn, omega 3 fish oil, vitamin D3 iu, albuterol sulfate inhaler, magnesium hydroxide(for the constipationg)

in flux: seroquel 50mg
up and coming: nuvigil

looking into injectables.


artane 2 mg PRN(rare), trazodone 50mg PRN, lyrica PRN?


#8 dymphna

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  • Current Meds:LTG 600, TPA 400, CLZ 2, Dostinex 0.5, Zoloft 0.5-1
  • Location:A Mac Computer

Posted 12 November 2009 - 01:12 AM

Pdoc profs are a different animal than standard Pdocs.

Standard Pdocs do phone consults. Even if it's only the patient describing what is going on to the person on the phone (office manager or whatever), that person then telling the doc, the doc telling the phone person, and the phone person calling the patient back with instructions.


D
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Yes, my name really is Dymphna.

 

I'm not a doctor, nurse, pharmacist, or therapist.

I can find you an answer and I won't blow smoke up your ass.

 

St. Dymphna is the Patron for brain maladies.

 

I'm the Enforcer.

 

eqnmrt.jpg

 


#9 RocketMan

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Posted 12 November 2009 - 11:29 AM

So I just got off the phone with p/doc (actually spoke directly to him!) and he gave me the okay to add nortriptyline, 25mg rather than 50mg as I originally asked. He knew I had a good run with effexor several years ago and said it would be a similar result..... (zoloft+nortrip), but in a different way?
Thanks for everyone's input.
Regards, Rick
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#10 DrSara

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Posted 13 November 2009 - 09:55 AM

Just to add, I LOVED nortriptyline.
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