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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 5 of 5. This is the beginning of the thread.
Posted by rovers95 on July 13, 2019, at 5:21:24
So yesterday I started amitriptyline 25mg for agitated/anxious depression. It made feel stoned and my anxiety/panic and feeling of dread worse, and I woke in the middle of the night; aside from that I slept quite deeply with no dreams.
Today I still feel a bit anxious/feeling of dread but I think my actual mood is better (could be placebo).
Is this a bad sign? Or what I've seen called 'start up effects'?
Posted by Christ_empowered on July 13, 2019, at 6:31:41
In reply to Amitriptyline anxiety = start up effects?, posted by rovers95 on July 13, 2019, at 5:21:24
i vote start up effects, just based on what tofranil was like for me.
Posted by rovers95 on July 13, 2019, at 7:06:23
In reply to Re: Amitriptyline anxiety = start up effects?, posted by Christ_empowered on July 13, 2019, at 6:31:41
> i vote start up effects, just based on what tofranil was like for me.
Ah okay so effects subside in days? Or weeks?
Posted by linkadge on July 13, 2019, at 8:36:15
In reply to Amitriptyline anxiety = start up effects?, posted by rovers95 on July 13, 2019, at 5:21:24
Yeah, I would increase amitriptyline in 10mg intervals (if possible). Some of the TCAs mechanisms can be rapid acting (M1, 5-ht2c antagonism).
LinkSFW
Posted by Christ_empowered on July 13, 2019, at 16:32:47
In reply to Re: Amitriptyline anxiety = start up effects?, posted by rovers95 on July 13, 2019, at 7:06:23
tofranil-pm w/ other stuff...a week or 2. tofranil, generic, just with abilify...fewer start up effects, dropped after 1 month because of dry mouth and weight gain.
that's imipramine, of course. and...im not you, not your md, etc.
This is the end of the thread.
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