Posted by Sammybabe on July 24, 2005, at 13:24:54
In reply to Re: nortriptyline AND nardil, posted by SLS on July 17, 2005, at 19:51:25
Hi Scott. Thanks for writing.
Wow - you pinpointed exactly what's going on with me: stiffness in my neck and shoulders every morning, dizziness, feeling flu-ish/achy, etc. I've also had some major twitches which my dr. said could be leading to a myochardial xxx?
so, he is rushing me off the nortriptyline. i was on 100, now i'm on 80, and next week i'll go down to 60. he said i may experience some depression as he takes me off of this so fast, but i think he was really concerned about the imminent danger of my side effects.
what i ask is, why did he put me on both in the first place knowing how dangerous it could be?
have you ever been on an maoi by itself? if so, does it work? i'm still on nardil 60 which he'll keep me on.
thanks for your advice and candor.
> Hi.
>
> I am not so quick to recommend the combination of Nardil with any tricyclic other than desipramine. Even nortriptyline is not without some degree of serotonin reuptake inhibition. Do you feel at all "intoxicated"?
>
> Orthostatic hypotension would occur with desipramine, but would not result in a continual state of low blood pressure such that you can't stand up. I had this happen with Nardil + imipramine and Nardil + nortriptyline. The nortriptyline was significantly less problematic than imipramine, but the feeling of being intoxicated and having difficulty with dizziness while trying to remain standing (not just upon rising from a supine position) were tip-offs to me that serotonin syndrome had been induced. Other symptoms included muscle stiffness and cramping of torso muscles.
>
> Like I said, I wouldn't go out of my way to recommend the combination, but I wouldn't try to dissuade someone from trying it if it is their doctor's claim that the combination is practicable. I think the dizziness and dystonia I experienced was dosage dependent. What dosages are you going to be taking?
>
> I am currently taking Parnate 80mg + nortriptyline 100mg.
>
>
> - Scott
poster:Sammybabe
thread:529099
URL: http://www.dr-bob.org/babble/20050723/msgs/532733.html