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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 3 of 3. This is the beginning of the thread.
Posted by Cydnie on August 8, 2010, at 13:20:47
I wrote this message above with a subject line mistake and was suggested to me to repost, so am giving it a try!
I have never responded well to SSRIs, had a bad reaction to an SNRI, and bad crashes with about every stim med there was, but when I felt good with them, I felt the best. I recently tried nortriptylene and was exhausted and trying to keep up with my newly crawling baby, trying to get over post partum, and thought I would try vyvanse one more time. No crash! Felt awesome. Next day again, no crash! Two weeks, not one crash, and then upped the nortrip, had a bad reaction (scary rage and hostility, like I had when I took and SNRI - possibily too much norepinephrine?) and was told to stop abruptly. I am so disappointed, felt I was finally a good Mom, up to going to dreaded mommy and me things I(social anxiety) and had motivation not just to play, and run after him but enjoyed it so much! Since stopping of course, I have been feeling sick, my husband is taking care of him, and I am desperate to find out, is there a reason nortriptylene, or any other med, could prevent a crash from vyvanse or another stim med? Maybe by leveling out other neurotransmitters? I am totally guessing of course, but just desperate to know if anyone has any suggestions. My doc says to wait three weeks for the nortrip to get out of system before starting something else (seems like a long time) and I feel like it's a struggle to get out of bed because I am so depressed (the nortrip also kept a lot of my chronic pain away, so I'm waking up with that too, and a crying baby!) I feel like the worst mom for being this depressed, do nothing, unmotivated, teary mom, and want so bad to go back on my meds, especially the stims to just get me over the hump and back into being a social me again (I plan on taking the vyvanse only until I am back on my "feet" again). Does anyone know if there is a chemical reason maybe that prevented the crash, so that I could take another and again prevent the crashes and be an upbeat motivated new mom again? That's a lot to ask, I know! Thanks so much, CYdnie
Posted by Phillipa on August 8, 2010, at 13:32:43
In reply to Does nortriptylene prevent rebound effect/crash?, posted by Cydnie on August 8, 2010, at 13:20:47
Good idea to repost. Maybe more responses now. Good luck. Phillipa
Posted by ed_uk2010 on August 8, 2010, at 14:51:45
In reply to Does nortriptylene prevent rebound effect/crash?, posted by Cydnie on August 8, 2010, at 13:20:47
>Two weeks, not one crash, and then upped the nortrip, had a bad reaction (scary rage and hostility....
Just out of curiosity, why was your nortriptyline dose increased when you were doing well on the lower dose + the Vyvanse?
It's quite possible for a medication to be beneficial at a low dose but harmful at a high dose. This can happen if the high dose produces toxic effects. Perhaps the high dose pushed your norepinephrine levels too high, but the low dose increased them just enough to prevent the stimulant crash and relieve your depression. Just a thought. What dose were you on when it prevented the stimulant crash and didn't cause rage?
I don't see why you can't try nortriptyline again. You could start with 10mg in the evening and increase gradually until you experience relief.
>My doc says to wait three weeks for the nortrip to get out of system...
It doesn't take that long for nortriptyline to 'get out of your system'. Perhaps your doctor is just wanting to be cautious. If you started a new med straight away and experienced side effects, you wouldn't know whether they were due to the new med or due to withdrawal symptoms or persistent side effects from nortriptyline.
This is the end of the thread.
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