Posted by SLS on September 24, 2011, at 13:31:35
In reply to Re: nortriptyline with lexapro? + depersonalization » SLS, posted by g_g_g_unit on September 24, 2011, at 9:27:27
> > Maybe add nortriptyline and target a dosage of 75mg or 150mg, depending on your rate of metabolism of this drug as determined by taking blood tests to determine the therapeutic dosage. If you are not happy, you could then switch from Lexapro to a SNRI drug like Effexor or a SSRI known to be effective for treating OCD. If you choose Prozac or Paxil, you will need to reduce the dosage of nortriptyline by approximately 1/2.
> Thanks for your advice. I didn't realize Lexapro wasn't known to be effective in OCD.
It probably is effective for some people. I think Prozac and Luvox are the two SSRIs that I read about most as being effective in OCD.
> My track record with NE-targeting drugs (Mirtazapine, Buspar, Strattera, clomipramine, Ritalin) is terrible though, as far as mood and anxiety goes. Would it be to treat nortrip as its own unique entity?
I am afraid that this is what we must relegate our theories to - wild guesses. Indeed, I would try the nortriptyline without any preconceptions.
Also...
trimipramine
doxepinThese two drugs are known to help with anxiety in addition to depression. Trimipramine seems not to affect NE reuptake.
If you need a last resort, I would choose Nardil. It is effective for:
depression
social anxiety disorder
social phobia
generalized anxiety disorder
obsessive compulsive disorder
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:997487
URL: http://www.dr-bob.org/babble/20110914/msgs/997757.html