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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 12 of 12. This is the beginning of the thread.
Posted by linkadge on July 21, 2010, at 18:08:22
Hi there, after a week of:
nortriptyline 10mg
escitalopram 5mg
methylphenidate 5-15mgI feel almost normal.
Nortriptyline is a little less sedating than amitriptyline *but* it still makes me feel somewhat out of it. The fish oil seems to still be helping. I still need the morning coffee though.
Linkadge
Posted by Justherself54 on July 21, 2010, at 19:28:06
In reply to Euthymia, posted by linkadge on July 21, 2010, at 18:08:22
So glad to hear you are having success Link.
Posted by g_g_g_unit on July 21, 2010, at 21:19:03
In reply to Re: Euthymia » linkadge, posted by Justherself54 on July 21, 2010, at 19:28:06
that's great news. i tried nortriptyline at a low dose for about two weeks early into treatment - when i was less sensitive to monitoring drugs' effects - and think i severely underestimated what it did for me: it helped with anhedonia, made me more productive, had me planning things again, modestly improved attention.
i'd be interested to know if the 'out of it' side-effect passes as it's something i'm curious about maybe revisiting.
Posted by Phillipa on July 21, 2010, at 22:00:53
In reply to Re: Euthymia, posted by g_g_g_unit on July 21, 2010, at 21:19:03
Great to here Link!!!! Phillipa
Posted by SLS on July 22, 2010, at 8:00:09
In reply to Euthymia, posted by linkadge on July 21, 2010, at 18:08:22
> Hi there, after a week of:
>
> nortriptyline 10mg
> escitalopram 5mg
> methylphenidate 5-15mg
>
> I feel almost normal.Remember that you said this.
I wish that you had listened to me sooner. However, today is the first day of the rest of your life, and you potentially have a great many rewarding ones to come.
Antidepressants that are to ultimately work well can sometimes make people feel weird at first. It can take over a month for these feelings to dissipate. It is my personal experience with nortriptyline that the sedation and cognitive blunting resolved completely whereas these things persisted with amitriptyline.
Don't try to micromanage your mood state so early in treatment. You might have some ups and downs that resemble a saw-tooth response curve, but this is to be expected, even in the most ideal of circumstances.
Good luck.
- Scott
Posted by morgan miller on July 22, 2010, at 9:41:31
In reply to Euthymia, posted by linkadge on July 21, 2010, at 18:08:22
That great Link! So you just started fish oil huh, good move.
What else is new out of the meds in your regimen that you think is helping?
Posted by jade k on July 22, 2010, at 11:13:11
In reply to Euthymia, posted by linkadge on July 21, 2010, at 18:08:22
Almost normal is a good thing!
~Jade
Posted by linkadge on July 22, 2010, at 14:32:31
In reply to Re: Euthymia, posted by jade k on July 22, 2010, at 11:13:11
Its kind of a spacy "feeling everywhere" type of feeling. A bit like zyprexa, but not as unpleasant.
There is some effect on short term memory (I don't feel as alert), but at the same time, I generally feel hyperalert when I'm depressed (sensitivity to all exernal stimulii).
It is helping me sleep and seems to counteract escitalopram insomnia.
Linkadge
Posted by bleauberry on July 24, 2010, at 7:33:23
In reply to Euthymia, posted by linkadge on July 21, 2010, at 18:08:22
Screw the brain barrier stuff. Stay on this cocktail for another 2 months and don't change anything. I like that it is a wise choice of 3 synergistic meds and all are at very low doses. Applause. Like I said, whatever you read about nortriptyline and toxicity or whatever, screw that stuff.
This life is so short and no one knows our last day. It might be tomorrow. Might be in 40 years. Next month. Everything we do is in vain, in the big picture. The most important thing is...what do you do with the days you have. If you are feeling better, live your days and do good. Screw the pinheads telling you about nortriptyline brain barriers.
Posted by linkadge on July 24, 2010, at 14:24:53
In reply to Re: Euthymia, posted by bleauberry on July 24, 2010, at 7:33:23
Too late, I've already returned it to another pharmacy for disposal.
Linkadge
Posted by morgan miller on July 24, 2010, at 20:51:59
In reply to Re: Euthymia, posted by linkadge on July 24, 2010, at 14:24:53
It's not too late, you simply start taking it again.
I can hear your apathy in your posts. I know you are frustrated. BB has it right I think. Why not just give it a shot and forget about what it may or may not be doing that may or may not be bad for you in the long run. Live for today, life is too damn short. Now if we were at a point where extreme life extension was possible, your concerns may be more worth considering.
Posted by linkadge on July 26, 2010, at 14:20:43
In reply to Re: Euthymia, posted by morgan miller on July 24, 2010, at 20:51:59
No, the pills are gone - disposed of.
Linkadge
This is the end of the thread.
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