Posted by SLS on February 3, 2005, at 3:18:03
In reply to Re: ask SLS about nortriptyline » zeugma, posted by Maxime on February 2, 2005, at 22:19:37
Hi Maxime.
I saw my name tossed around, so I figured I'd chime in. I think it makes sense to try augmenting with either lithium or Lamictal first before moving on to more exotic treatments. I am currently taking:
Parnate 60mg
nortriptyline 100mg
Lamictal 300mg
Abilify 10mgI have once been on a comination of Parnate + desipramine + d-amphetamine + T4. Things like this are done, albeit infrequently. I would avoid imipramine and clomipramine, as they are a bit too serotonergic to be mixing with MAOIs. My personal experience with Nardil + imipramine was that I experienced serotonin syndrome. Choosing desipramine or nortripyline is probably best.
The other thing, of course, is to try taking the Parnate way up to 120mg or higher. It can act like a different drugs at these dosages. Some study that I read 10 years ago suggested that high dose Parnate downregulated 5-HT2 serotonin receptors, something not seen at lower dosages. It was an animal study. (Sacraficing and decapitating humans was still frowned upon in those days).
- Scott
poster:SLS
thread:451719
URL: http://www.dr-bob.org/babble/20050202/msgs/452277.html