Doctor insights on:
Nortriptyline 10mg Cap
Hydroxyzine 10mg ordered PRN for anxiety. Is it ok to take it every night? Viibryd (vilazodone hydrochloride) 10mg is also taken 10mg daily.
Classified as a tricyclic antidepressant, and considered of modest benefit these days due to significant anti-cholinergic side effects (drowsiness, dizziness, dryness of mouth, blurring, and perhaps effect on bladder). Confusion may occur in older folks. Had some value in migraine prevention at one point. Used rarely these days as ...Read more
Would taking 10mg diazepam, 30mg remeron 10mg tyrptizol and 300mg lyrica (pregabalin) at night cause a hangover the following day. Thanks?
Am concerned: Is this being prescribed by one doctor? It may be dangerous polypharmacy. All of these drugs are sedating, and have many potential harmful interactions. They certainly could make someone feel hung-over, groggy and sedated in the morning. The dose of amitryptaline is pretty low, but the other drugs are in full dose and could be too much for you. Talk to your doctor and pharmacist. ...Read more
Probably OK: The question is whether they interact metabolically or have additive side effects. Paroxetine (Paxil) inhibits enzyme 3A4, the metabolism (break down)path of clonazepam (Klonopin) WEAKLY, insignificant unless you have rare genetic limitation of 3A4. But each of these meds may cause drowsiness--be careful--test them before you try driving, and don't become sleep deprived. ...Read more
Is it Safe to take day quill while on 10mg celexa (citalopram) 100mg gabapentin and 150 mg of ranitidine?
Yes, but ...: I would recommend treating cold symptoms more conservatively. The active ingredients of DayQuil are acetaminophen (Tylenol), dextromethorphan (a cough suppressant) and phenylephrine (a decongestant). If anxiety is part of the reason you take Celexa and gabapentin, phenylephrine could make you more anxious. You would do better to use a nasal spray like Afrin to avoid the systemic effects. ...Read more
Could 20mg Lexapro, (escitalopram) 30mg Remeron and 10mg Diazepam be causing a nagging headache each day. Thanks?
Seems likely: Headache can have many causes. But your combination of antidepressants certainly is a plausible cause. Remeron enhances the release of serotonin while Lexapro (escitalopram) interferes with serotonin clearance. You possibly have quite a lot of extracellular serotonin. If that is the case, then headache and elevated blood pressure can follow. ...Read more
My neurologist put me on Depakote 1, 000mg @ bedtime klonopin (clonazepam) 1mg 2-3x's day.3rd 1 is as needed, sound like proper tx 4 mylconus?
Myoclonus: Yes. Follow your neurologist recommendations and inform him/her if u experience any side-effects. ...Read more
Quit taking 12.5mg toperlol 3 weeks ago. Heart rate still slow 55-60 bpm, what could be cause? Take 10mg ramipril, 10mg lexaproand7.5 mg Buspar (buspirone) 2x dai
Not due to other: Medications...Either you are very fit or have underlying conduction system disease that most frequently occurs with aging. ...Read more
Buspar (buspirone): As prescribed, this seems okay.Get a more detailed answer ›
I'm on 100mg trazodone, 100mg Zoloft (sertraline) 1000mg Depakote 2mg risperal & seroquel XR 150mg at night. I feel high 30minutes later should this be happening?
No: No, you should not feel "high" after taking your medications. Hopefully you're not adding recreational drugs to this combination. Please call your psychiatrist today about this. It could be the zoloft, (sertraline) which in people with bipolar disorder can trigger mania -- experienced by some as a "high.". ...Read moreSee 3 more doctor answers
Anxiety bad switching 100 to 50mg of zoloft (sertraline). Amitriptiline 10mg substitute b/ headaches at 100mg of zoloft (sertraline). What is best balance = to 100 zoloft (sertraline). ?
Be careful: This is a mix of a tricyclic antidepressant and a selective serotonin reputable inhibitor. The most important principle is very cautious introduction and very slow escalation in dose. The potential for qtc prolongation is elevated in this scenario and an ekg might be a precaution in dose adjustments. I would be surprised if you need more than 10 mg, 20 mg or 25 mg of amitriptyline. Talk to your md. ...Read more
50mg amitrip , 400mg tramadol , 10mg cyclobenzaprine and .1 clonidine dailey . Is this too much or safe ?
Off cymbalta 1 month, off Abilify (aripiprazole) 1 week. On 10mg Adderall twice daily, .5 mg klonipin as needed at bedtime. Is it safe for me to try 5htp yet?
Yes, but why?: There is no substantive evidence that orally administered 5htp is effective for depression. But there are verified reports of severe reactions to it. It makes no sense to think that ingested tryptophan will increase brain serotonin any more if taken in pills than in food. This is an example of "a little knowledge is a dangerous thing." i wouldn't waste money on this treatment. ...Read more
Probably: That is a relatively safe dose of Ibuprofen for most people, and should be ok to take with the medications you mentioned, but any medication can have side effects, and especially in combination with other medications. So take it with food and watch for any unusual side effects (especially unusual gruising or bleeding), contact your doctor if any new symptoms develop. ...Read moreSee 1 more doctor answer
How much time should be inbetween a dose of 100mg gabapentin and: 5/325 hydrocodone, 10mg cyclobenzaprine, or 1mg xanax (alprazolam)? Gabapentin scares me.
Gabapentin scares U?: Really? Because the hydrocodone and its pharmacology would worry me more. I have seen people get side effects on small doses of gabapentin for sure. But I've never seen them have trouble stopping compared to Hydrocodone. You should not take all those drugs together. I think that's a lot (especially if you happen to be petite?). Check with your doctor for rationale dosing schedule to following. ...Read more
Caution: While the 10 mg dose of Elavil is low, combining with Lexapro (escitalopram) increases the risk for serotonin syndrome and irregular heart rhythm. Also you are taking two antidepressants. If Lexapro (escitalopram) is not working, discuss with prescribing doctor to consider trying Elavil alone or another class of antidepressant. Be sure you have careful medical supervision while on these meds. I hope this helps. ...Read more
I take 300mg lamictal, 900mg lithium, 50mg Luvox (fluvoxamine) and 1 mg klonopin every day. Is there something odd about this? PMHNP said Luvox (fluvoxamine) n lithium don't mix
Drug interaction: Lithium and Luvox (fluvoxamine) together can increase the chances of serotonin syndrome( and NMS)...which are rare but dangerous conditions. Your healthcare professional should monitor you regularly. Also lithium with klonopin can increase sedation ( tiredness), so you should be careful driving , operating machinery etc ...Read more
Take cymbalta (duloxetine) 60, lamictal 100, tegretol 600, klonopin 2.5 for OCD and mood..Is this a safe combination..And is 60 the usual dose for cymbalta (duloxetine)?
Seems fine: These dosages seem to be workable although it is an intense combination of mood stabilizers. The dose of duloxetine at 60 mg is at the usual amount for the treatment of a mood disorder although higher dosages are thought to be potentially helpful for the treatment of chronic pain. Stay safe! ...Read moreSee 1 more doctor answer
I have been taking nortriptyline for 4 days (10mg). If i stop how long would it take to get out of my system?
9 days : The elimination half life of nortriptyline is about 20 to 90 hours. It takes almost 6 elimination half life's for a drug to be cleared from the human body. Well... It could take a maximum of 540 hours or 8.25 days (6 x 90 hours) for nortriptyline to be completely eliminated. In any case do not discontinue abruptly. Taper down 5mg q3 days. Rec.: consult with your prescribing physician. ...Read moreSee 3 more doctor answers
Are there any major side affects on nortriptyline? Start 10mg for week. Then so on & so on till reach 50mg. Wats the updose do? Any mental change?
Not usually major: Nortriptyline is a tricyclic antidepressant (tca) that has been used for decades. Tcas commonly cause dry mouth, constipation, and momentary dizziness upon standing, but rarely anything major. The dose is increased gradually to minimize these side-effects as your body gets used to the medication. Most patients feel better (less depressed) after taking nortriptyline for a few weeks. ...Read moreSee 1 more doctor answer
Nortriptylene: Generally a doctor would prescribe an antidepressant like nortriptylene to help someone's life, not ruin it. Depression itself can ruin a life! but this medicine can also bring side effects like rapid heart rate, dry mouth, constipation, and sexual problems. If you're having symptoms you think may be related to this medicine, it's time to discuss it with your doctor. Other options are available. ...Read more
Not advised: Please do not stop your antidepressant without checking with the prescribing physician. Many conditions that nortriptyline (pamelor) are used to treat tend to recur, especially if the medication is stopped too quickly. Abrupt discontuation of nortriptyline can result in nausea, headache and insomnia and uncommonly even delirium/psychosis. The taper would depend on dose and duration of treatment. ...Read more
Older antidepressant: Classified as a tricyclic antidepressant, and considered of modest benefit these days due to significant anti-cholinergic side effects (drowsiness, dizziness, dryness of mouth, blurring, and perhaps effect on bladder). Confusion may occur in older folks. Had some value in migraine prevention at one point. Used rarely these days as better meds are available. ...Read moreSee 1 more doctor answer
Let your prescribing: physician/ psychiatrist know if you are gaining weight on Nortriptyline. Ensure that you are eating healthfully, physically active and hydrating well. Depending on what you are taking the nortriptyline for - there are likely other medication alternatives as well. Take care. ...Read more
Do not stop suddenly: Nortriptyline is a tricyclic antidepressant, available only by prescription. It can make you dizzy or drowsy. Your doctor should monitor your use regularly. Do not stop use suddenly, your doctor will need to decrease you dose gradually before you stop it completely. You may need to stop using it several days before you have surgery. Let any doctor or dentist who treats you know about it. ...Read more
Time to effect: It will take app. 1-2 weeks to start working. ...Read more
Yes: Weight gain is a factor with this entire class of anti-depressants, and with Depression itself. In some cases the relief from depression makes people hungrier, and in other cases the sedation effect from the medicine reduces movement. Very important to manage your diet, exercise, and level of response to the medicine with your doctor. So important that you do not become sedentary. ...Read more
7-10 days : Median half life for nortryptiline is about 25-30 hours. So i average to get out of your system roughly, its about 7-10 days. That's of course is a rough estimate, as there are a lot of variables that van affect the elimination half life. Thanks. ...Read more
Side effects persist: Established blood level measuring and therapeutic ranges are available to guide dosing and provide feedback if doses threaten safety for example cardiac. Most abandon meds that provide significant side effects. They can be unpleasant but can cause various medical problems in their own right..Weight gain, dry eyes/mouth, urinary hesitancy, sedation, memory problems. All are reversible. ...Read more
Yes, many: Yes, I have seen many people who are taking nortriptylene. What is your question? ...Read more
Depends : Depending on the dose. I have had some patients respond after the first dose and some respond after a few days. ...Read more
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