Posted by Schlepo on January 9, 2019, at 9:57:43
Okay, now after 26 years nortriptyline is starting to affect me adversely and it looks as though I might need to switch antidepressents. I think my problem is a sensitivity to dopamine (I've read that nortriptyline is a dopamine agonist on a certain part of the brain, and I'm having the same problems as I had with benzos and Abilify.)
So the first criteria would be that the new med doesn't alter dopamine. Second criteria would be something I could make an easy switch to. I tried amitriptyline a few years ago and couldn't handle it, so that's out. Are there any drugs very close to nortriptyline that don't affect dopamine? What would be the next logical choice?
As far as the second criteria, I've been looking at http://wiki.psychiatrienet.nl/index.php/SwitchAntidepressants, and see these as possibilities:
fluoxetine, bupropion, citalopram, clomipramine, dosulepine, doxepine, imipramine, maprotiline, sertraline. venlafaxine.
I'm not sure how many meet the first criteria yet.
poster:Schlepo
thread:1102725
URL: http://www.dr-bob.org/babble/20181024/msgs/1102725.html