Doctor insights on:
Yes, for some.: It is generally thought that antidepressants are equally effective in treating depression. Pamelor or nortriptyline, is a tricyclic antidepressants thought to have a "therapeutic window". This refers to a range of blood levels below and above which the medication is not thought as effective. However, the studies were done in inpatient settings and may not relate to outpatient settings. ...Read more
I tried celexa, effexor, cymbalta, pristiq, (desvenlafaxine) lexapro, zoloft, wellbutrin, which barely helped. What else could i try? How do u feel about paxil?
Agree w/Dr. Buggie: I agree with dr. Buggie about the need for psychiatric evaluation and ongoing treatment. Wellbutrin does not help with anxiety. Paxil (paroxetine) is a reasonable choice, but whether it's right for you i cannot say. You're also on Adderall xr, which can exacerbate anxiety in some. Psychotherapy is an important part of treatment for anxiety also -- but you didn't mention pursuing that. ...Read moreSee 1 more doctor answer
Im on Zoloft Buspar ativan lipidil ez Risperdal do lyrica (pregabalin) make any introduction with lyrica (pregabalin)?
If you are asking: about possible drug interactions- yes, Lyrica (pregabalin) may have moderate interactions will zoloft, buspar, risperidal and ativan. There are no reported drug interactions with lipidil EZ. That does not mean that the drugs shouldn't be used together but I do hope that your medications are being managed by a psychiatrist with this complexity. ...Read more
Lot of medications: I'm not sure whether these are all prescribed by the same physician? It sounds as though your bipolar disorder (from the additional info you supplied) may be quite hard to manage, and meds have been added but none removed. Perhaps you'd benefit from a second opinion about your case and possibly simplify your regimen. It could also be that your symptoms demand high intensity measures. ...Read moreSee 4 more doctor answers
Ask your doctor: For some individuals using a combinations of medications allows them to maximize therapeutic benefit with minimizing dose dependent side effects . But for most of us "less is more". While it may be advisable to simplify your meds the specific choice and how to change the regimen requires a shared decision plan between you and your doctor. ...Read moreSee 1 more doctor answer
Yes: Lexapro (escitalopram) is FDA approved for the treatment of of depression.The drug has a low side effect profile and is effective for many patients. Make sure you are undergoing CBT cognitive behavior therapy in conjunction with the medication. Contact the doctor who prescribed the medications about any concerns. ...Read more
I want switch to Zoloft 50mg i start 25mg Zoloft and cymbalta (duloxetine) 60mg for 5 dayes then cymbalta (duloxetine) 30mg and Zoloft 50mg for 5 dayes then i stop cymbalta (duloxetine)?
No treatment Here: As earlier advised it is foolish to act as one's own doctor. Also the doctors on health tap do not provide treatment advice or prescriptions to our readers. You must do this change when appropriate under the care of the physician you see there in canada. ...Read more
Can 20 mg Lexapro/60 Cymbalta/40 viibryd (vilazodone hydrochloride) be too much serotonin ..seem better on 10 lexapro?
Discuss w/ Dr: It's not exactly an issue of 'too much' serotonin, but except for that, you might be right to seek a consult about the dosages and perhaps even eliminate a Rx cautiously as possible. Please consider that adding CBT Tx optimizes outcomes w/ or w/out medication and makes good sense. Ask about a referral and dose reduction, etc. Best! ...Read more
Interaction checker: "Using gabapentin together with DULoxetine may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Some people may also experience some impairment in thinking and judgment." See: http://www.drugs.com/interactions-check.php?drug_list=1147-0,949-2273 ...Read moreSee 1 more doctor answer
Zoloft (sertraline): All drugs have effects and side effects. Typically Zoloft (sertraline) and the other SSRI's cause insomnia (do not take before bedtime), but paradoxically, they can also cause somnolence, sleepiness and a feeling of the blahs- like your emotional spectrum is narrowed. Get a good psychiatric evaluation. ...Read moreSee 3 more doctor answers
Nortriptyline SEs: Nortriptyline is an old but very good medication. It's classified as a Tricyclic Antidepressant. It's cheap, only $4.00 at Target. 30 mgs is not a high dose, it comes in 10mg and 25 mgs, so a 30 mg dose must be three 10s. It commonly causes dry mouth, constipation and light headedness after standing up too fast-called Orthostatic Hypotension. It can help with anxiety, pain, sleep and depression. ...Read moreSee 1 more doctor answer
Yes: Nortripyline is a tricyclic antidepressant (tca). All tcas decrease rem sleep, which is the part of sleep when dreaming occurs. Stopping tcas, especially when from a high dose can cause "rem rebound." that means a person can dream more while coming off of a tca. The best thing to do is discuss with your dr. The possibilty of tapering off the nortriptyline more slowly. They make a 10 mg size pill. ...Read more
Gained 20lbs in 3 months from 50mg of Nortriptilyne. I was told by my doctor to discontinue the medicine. How soon will I loose the weight I put on?
Is taking 100mg of nortriptalyne with 150mg of bupropion X-R long term safe? Is this a healthy liver combo for someone who used to drink very heavily?
Risky combination: Combining these medications may increase the risk of seizures, which may occur rarely with either medication. In addition, buPROPion can increase the blood levels of nortriptyline, which may increase other side effects. Ref: https://www.drugs.com/interactions-check.php?drug_list=440-0,1734-0 ...Read more
I've been taking nortripyline 20mg for two weeks and I can't fall asleep anymore. Should I contact the doctor? Is it a common side effect?
Gained 17lbs in 7 months, not pregnant. Taking 20mg lexapro, 50mg nortriptlyne, 150mg wellbutrin (bupropion). Why? Can I take something to reduce the gain?
See your MD ASAP: 30 year old lady concerned about recent weight gain of 17 lbs over 7 months. You are currently taking three antidepressants: Escitalopram, Nortriptyline, and Bupropion. Is your psychiatrist aware that you are on all three? Are you on all three for depression or anxiety? One of these agents, preferably the SSRI, can be used at the proper dose and the other two medicines should be tapered off asap ...Read more
Been prescribed nortriptilyne for headaches now found out Im 5 wks pregnant. have stopped taking it. Can I still take it or anything else? no Tylenol (acetaminophen)
I have been experiencing lightheadedness, low bp, low hr after taking Zenaflex 4 mg in split doses yesterday. I am also on nortripaline 10mg and verapamil 40mg in split doses. I am still drowsy and slightly dizzy. Can I go to work still bp111/69 Hr55?
Depends: Dizziness is a side effect of zenaflex: http://www.webmd.com/drugs/2/drug-14706/zanaflex-oral/details#side-effects The vital signs seem ok but if your job requires driving or operating heavy machinery etc or anything else that might be compromised by being dizzy it would be safer to see doctor and have your medications reviewed. ...Read moreSee 1 more doctor answer
Diagnosed with IBS - cramping and constipation. Was prescribed nortrypline-no relief. Alternatives?
I'm taking 25mgs of nortriptylne for depression & 1 mg Xanax (alprazolam) for anxiety daily. Can i take Dulcolax for bad constipation?
In kids, have you seen chiari type 1 (5-6mm) present with neuropathy in hands in feet as the symptoms? And did surgery help? Nortriptylne is helping
Chiari1 malformation: Surgery can be helpful, but the surgery may have several serious effects. Therefore, if you are contemplating surgery make sure you go to a pediatric teaching hospital and that the surgeon has experience in doing the surgery. ...Read more
Want to take vitamins to help loose weight. Daily meds are lexapro, (escitalopram) welbutrin, bc, ompreprozal, valtrex, and nortriptelyne. What vits can I take?
Vitamins unhelpful !: Vitamins are trace elements needed in very small amounts by the body. No need for supplementary vitamins UNLESS you are shown to be deficient of them in blood tests or have chronic diseases ,malabsorption syndromes ,recovering from serious illness, after child birth etc. At any rate they are NOT going to help you lose weight ! ...Read more
Side effects of nortripline. Doc said take at night for headaches. Worried about side effects while i'm sleeping. Like fast heart beat. I have murmor?
No problem.: Nortriptylline has few and easily managed side effects. A murmur in general would not be affected in any significant way by nortriptylline.D. ...Read more