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Re: Should I just cut my losses or what?

Posted by zeugma on December 12, 2004, at 15:23:28

In reply to Should I just cut my losses or what?, posted by jujube on December 12, 2004, at 14:28:18

tamara,

I didn't know you were continuing to take Celexa with clomipramine.

While 50 mg clomipramine is well below the therapeutic threshold for clomipramine, it's in the range for nortriptyline. To me the combination nortriptyline plus Celexa makes more sense than combining clompramine with Celexa.

Adding nortriptyline will almost certainly result in similar s/e to the ones you are experiencing with clomipramine. The difference is that dose escalation beyond that point will probably not be necessary.

Provigil is a strange drug, and made me gain weight (more than nortriptyline!). Its effects can be unpredictable. For me, its efficacy was remarkable, but so were its side effects.

Cutting one's losses has to be balanced against symptom control. This necessitates hard choices, and often the outcome is less than perfect, but outcomes seldom are.


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poster:zeugma thread:428328
URL: http://www.dr-bob.org/babble/20041211/msgs/428379.html