![[dr. bob]](/dr-bob-sm.gif)
Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 81 to 105 of 121. Go back in thread:
Posted by Phillipa on March 11, 2009, at 23:01:05
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on March 11, 2009, at 6:57:51
Scott will you go please vacuum for me? Love Phillipa don't want to jinx you so will say nothing more.
Posted by SLS on March 16, 2009, at 6:23:25
In reply to Re: I want to switch from nortriptyline to desipramine » SLS, posted by Phillipa on March 11, 2009, at 23:01:05
I am not experiencing the improvement I expected. Depression is getting worse, not better. I have been on desipramine 300mg for only 12 days, so there is still something to hope for.
I might have to go back to nortriptyline.
- Scott
Posted by JadeKelly on March 16, 2009, at 18:50:32
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on March 16, 2009, at 6:23:25
> I am not experiencing the improvement I expected. Depression is getting worse, not better. I have been on desipramine 300mg for only 12 days, so there is still something to hope for.
>
> I might have to go back to nortriptyline.
>
>
> - ScottHey Scott,
What would the response time be for someone who has never taken Desipramine? Are you still having insomnia?
Remember, its not over yet. Its going to work and you're disappointed at how long its taking. I waited months, remember? ALL on faith. I still can't believe I made it. And you will too. Sorry but 12 days is a little early to start being negative. Hope it hits soon and complete. Ya just never know.
~Grasshopper
Posted by Phillipa on March 16, 2009, at 20:20:01
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on March 16, 2009, at 6:23:25
Scott I'm sorry. If that's what you need to do so be it. Had a feeling you were not feeling right. I know how you know your body. And remember stay positive in whatever route you chose. Did the pdoc have any comment? Love Phillipa
Posted by JadeKelly on March 16, 2009, at 20:34:58
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on March 16, 2009, at 6:23:25
Hey Scott,
A story for you...
A Husband takes his wife to play her first game of golf ..... Of course, the wife promptly whacked her first shot right through the window of the biggest house adjacent to the course.
The husband cringed, "I warned you to be careful! Now we'll have to go up there, find the owner, apologize and see how much your lousy drive is going to cost us."
So the couple walked up to the house and knocked on the door. A warm voice said, "Come on in."
When they opened the door they saw the damage that was done: glass was all over the place, and a broken antique bottle was lying on its side near the broken window.
A man reclining on the couch asked, "Are you the people that broke my window?"
"Uh...yeah, sir. We're sure sorry about that," the husband replied.
"Oh, no apology is necessary. Actually I want to thank you... You see, I'm a genie, and I've been trapped in that bottle for a thousand years. Now that you've released me, I'm allowed to grant three wishes. I'll give you each one wish, but if you don't mind, I'll keep the last one for myself."
"Wow, that's great!" the husband said. He pondered a moment and blurted out, "I'd like a million dollars a year for the rest of my life."
"No problem," said the genie. "You've got it, it's the least I can do. And I'll guarantee you a long, healthy life!" "And now you, young lady, what do you want?" the genie asked.
"I'd like to own a gorgeous home complete with servants in every country in the world," she said.
"Consider it done," the genie said. "And your homes will always be safe from fire, burglary and natural disasters!"
"And now," the couple asked in unison, what's your wish, genie?"
"Well, since I've been trapped in that bottle and haven't been with a woman in more than a thousand years, my wish is to have sex with your wife."
The husband looked at his wife and said, "Gee, honey, you know we both now have a fortune, and all those houses. What do you think?"
She mulled it over for a few moments and said, "You know, you're right. Considering our good fortune, I guess I wouldn't mind, but what about you, honey?"
"You know I love you sweetheart," said the husband. I'd do the same for you!"
So the genie and the woman went upstairs where they spent the rest of the afternoon enjoying each other in every way. After about three hours of non-stop sex, the genie rolled over and looked directly into her eyes and asked, How old are you and your husband?"
"Why, we're both 35," she responded breathlessly.
"NO SH!T," He said. "Thirty-five years old and both of you still believe in genies?"
Disclaimer: I make no apologies for this post, it has been proven that laughter is a form of medicine. He needs it. ~Jade
Posted by SLS on March 16, 2009, at 20:55:11
In reply to Re: I want to switch from nortriptyline to desipramine » SLS, posted by JadeKelly on March 16, 2009, at 18:50:32
> > I am not experiencing the improvement I expected. Depression is getting worse, not better. I have been on desipramine 300mg for only 12 days, so there is still something to hope for.
> >
> > I might have to go back to nortriptyline.
> >
> >
> > - Scott
>
> Hey Scott,
>
> What would the response time be for someone who has never taken Desipramine? Are you still having insomnia?
>
> Remember, its not over yet. Its going to work and you're disappointed at how long its taking. I waited months, remember? ALL on faith. I still can't believe I made it. And you will too. Sorry but 12 days is a little early to start being negative. Hope it hits soon and complete. Ya just never know.
>
> ~Grasshopper
>
Hi Grasshopper :-)I misspoke. It has actually been 21 days that I am at the 300mg dosage. It is still too early to give up on it, though. However, I should see something more substantial soon if my drugs are optimized. I see my doctor tomorrow. I received the results from the blood test for 300mg. It came back at 191. The therapeutic range is between 100 - 300. I decided to take an extra 100mg of desipramine tonight to see if I were somehow just short of my therapeutic dosage. There is certainly enough room in blood levels to do this. I would feel noticeably better tomorrow if this were the case. If there is a night and day difference, I am going to have to explain my actions to my doctor. I'm just going to tell him that I couldn't wait anymore. 3 months of deterioration was enough.
So anyway...
I began to recover later in the day today. It is nothing great, but I feel better than I had been over the last few days.
I have to admit that the last few days have been an emotional roller-coaster ride for me. I had suicidal thoughts creep in when I felt that my drugs had stopped working. I was despondent on top of being depressed. Not a good combination.
Still moving forward...
- Scott
Posted by SLS on March 16, 2009, at 21:00:43
In reply to Re: I want to switch from nortriptyline to desipramine » SLS, posted by Phillipa on March 16, 2009, at 20:20:01
> Scott I'm sorry. If that's what you need to do so be it. Had a feeling you were not feeling right. I know how you know your body. And remember stay positive in whatever route you chose. Did the pdoc have any comment? Love Phillipa
We'll see what my doctor has to say tomorrow. One way or the other, I intend to investigate higher dosages of desipramine. Columbia had me up to 450mg in 1982 using blood levels as a guide, so my need for high dosages of desipramine is not without precedent.
- Scott
Posted by Phillipa on March 16, 2009, at 21:08:32
In reply to Re: I want to switch from nortriptyline to desipramine » Phillipa, posted by SLS on March 16, 2009, at 21:00:43
Scott the hill is high and long and I have no doubt in my mind that you will make it and life will be all you wish it to be and even better. Let me know how it goes okay? Please? Love Phillipa
Posted by JadeKelly on March 16, 2009, at 22:50:29
In reply to Re: I want to switch from nortriptyline to desipramine » JadeKelly, posted by SLS on March 16, 2009, at 20:55:11
> > > I am not experiencing the improvement I expected. Depression is getting worse, not better. I have been on desipramine 300mg for only 12 days, so there is still something to hope for.
> > >
> > > I might have to go back to nortriptyline.
> > >
> > >
> > > - Scott
> >
> > Hey Scott,
> >
> > What would the response time be for someone who has never taken Desipramine? Are you still having insomnia?
> >
> > Remember, its not over yet. Its going to work and you're disappointed at how long its taking. I waited months, remember? ALL on faith. I still can't believe I made it. And you will too. Sorry but 12 days is a little early to start being negative. Hope it hits soon and complete. Ya just never know.
> >
> > ~Grasshopper
> >
>
>
> Hi Grasshopper :-)
>
> I misspoke. It has actually been 21 days that I am at the 300mg dosage. It is still too early to give up on it, though. However, I should see something more substantial soon if my drugs are optimized. I see my doctor tomorrow. I received the results from the blood test for 300mg. It came back at 191. The therapeutic range is between 100 - 300. I decided to take an extra 100mg of desipramine tonight to see if I were somehow just short of my therapeutic dosage. There is certainly enough room in blood levels to do this. I would feel noticeably better tomorrow if this were the case. If there is a night and day difference, I am going to have to explain my actions to my doctor. I'm just going to tell him that I couldn't wait anymore. 3 months of deterioration was enough.
>
>
>
> So anyway...
>
> I began to recover later in the day today. It is nothing great, but I feel better than I had been over the last few days.
>
> I have to admit that the last few days have been an emotional roller-coaster ride for me. I had suicidal thoughts creep in when I felt that my drugs had stopped working. I was despondent on top of being depressed. Not a good combination.
>
> Still moving forward...
>
>
> - Scott
>
>
Hi Scott,Glad your keeping in touch here. Its scary, to me anyway, when someone is very depressed and I can't reach them. Could you check in once a day here even just to say on a 1-10 (1 being suckiest) I'm a 3 or an 8. And add whatever else your up to sharing? Deal? Its selfish, I know...but what kind of mentor would you be if no-one knows you are okay? It is your calling.
So I'm a little confused. Is 100-300 Desipramine everyone's therapeutic range, or yours? If you don't respond to 191, but closer to 300, wouldn't it be a no-brainer as to why you are not responding? And why would you only give your therapeutic amount an overnight to work? You know better than I do. You need to think about other options as well. Thats what you told me, good to think ahead. Impress us. Everyone here loves you and even I do in that "your mean but your right" kinda way, haha. Hang in, okay? People care, you'll figure this out. Till tommorow then...let me know if you need more "stories".
~Grasshopper ;-)
Posted by Phillipa on March 17, 2009, at 0:43:21
In reply to Re: I want to switch from nortriptyline to desipramine » SLS, posted by JadeKelly on March 16, 2009, at 22:50:29
Hate to try and answer for Scott but desipramine levels on their own there is a theraputic blood level but combining with parnate is not ideal. Phillipa
Posted by SLS on March 17, 2009, at 10:22:59
In reply to Re: I want to switch from nortriptyline to desipramine » SLS, posted by JadeKelly on March 16, 2009, at 22:50:29
> So I'm a little confused. Is 100-300 Desipramine everyone's therapeutic range, or yours?
This is the range that is accepted to apply to everyone. Of course, there are always exceptions, and this test is to be used as a guide rather than an absolute.
> If you don't respond to 191, but closer to 300, wouldn't it be a no-brainer as to why you are not responding?
Yup. We'll see what my doctor has to say today. I am inclined to give 300mg some more time, though. I would have no problem going up to 350-400mg at some point. However, my previous experience with desipramine was such that going from 300mg to 350mg made no difference.
> And why would you only give your therapeutic amount an overnight to work?
If I were very slightly underdosed, I believe that I would experience a surge of improvement as soon as 24 hours after a loading dose.
> You know better than I do.
Not necessarily!
I think it is a lot easier to tell other people to be patient than it is to be patient for myself. I just hate underperforming in my school work. This is what is placing some urgency in my regaining functionality.
You are quite cool, by the way. Thanks for your encouragement.
- Scott
Posted by Vincent_QC on March 17, 2009, at 12:20:13
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on March 16, 2009, at 6:23:25
> I am not experiencing the improvement I expected. Depression is getting worse, not better. I have been on desipramine 300mg for only 12 days, so there is still something to hope for.
>
> I might have to go back to nortriptyline.
>
>
> - ScottI'm sorry to hear that Scott...don't be desesperate...it will work for sure... I can send to you the new pills of Nortriptyline I buy 2 weeks ago...lol I take only 6 pills of 10mg ...and it was enought for me...
For now, my PDoc put me off everything...except the Valium and a small dose of Topamax (25mg week 1, 50mg week 2, 75 week 3...)...and he want that I try the new Pristiq, it's avaible in the Canada since this month...my PDoc will recieve some samples boxs next week... For what I read, the Pristiq do very poor on studies...it's less effective than everything avaible on the market for now...with poor results, 20% less goog than the others avaibles AD's... and poor result compare with the regular Effexor-XR...that's strange no? Some inactives metabolites of the Effexor-XR, who was remove from the Effexor because they was aparrently innefective on the the brains seem to lack now in the new Pristiq (who don't have any metabolite inside...)
Strange... The Cymbalta did poor results on studies also...I never try it anyway...
The good news is that the Pristiq is a regular pill format...extended release but in a pill format, not a capsule with small rounds balls made with some plastic inside, so I will be able to crush the pill, so maybe it will work, the gastric by-pass made the other XR in capsule not working very well on me...so I hope it will be ok with that one...and the Marplan importation seem to be impossible to get in the Canada for now...no answer from health canada...nothing also get out of my EKG results...my heart seem ok...but I continue to have fast heart rate pulse and high pressure...even if I don't take anything that can affect my heart like this...The coffee never make my heart acting like this...so I don't see why some people point out that...even my PDoc...and the cigarettes smooking also never do anything on my heart pressure or pulse...Strange....
Anyway...I ask for a small dose of Topamax...it's not effective for social anxiety, but it's good to remove some pain...I always have pain from my gastric surgery...and it's good to loose some weight...the weight I gain on the Cipralex and on the Clomipramine tries also...since the Clomipramine, I never stop gainning weight...at least 5 pounds by week, without changing my food intake...so I hope the Topamax will take care of this issue!!!
I wish you good luck and keep the faith Scott!!!
Bye!
Vincent ;-)
Posted by SLS on March 17, 2009, at 12:31:57
In reply to Re: I want to switch from nortriptyline to desipramine » SLS, posted by Vincent_QC on March 17, 2009, at 12:20:13
> I wish you good luck and keep the faith Scott!!!
I will!
Thanks, Vincent.
- Scott
Posted by SLS on March 17, 2009, at 13:06:19
In reply to Re: I want to switch from nortriptyline to desipramine » JadeKelly, posted by SLS on March 17, 2009, at 10:22:59
Hi Jade.
> > And why would you only give your therapeutic amount an overnight to work?
> If I were very slightly underdosed, I believe that I would experience a surge of improvement as soon as 24 hours after a loading dose.
Yup. Feeling better already. What's more, my doctor raised the dosage from 300mg to 350mg without my asking him to do so. He didn't like the descriptions of what I experienced last week. Since there was enough room in the blood levels of desipramine as reported on the results of the blood test, he decided that I was indeed a rapid metabolizer, and had no problem with going up in dosage.
I sure was patient with this one. 12 weeks of being underdosed, and knowing it, was a frustrating experience and an exercise in patience and tolerance. With the exception of last night, I followed my doctor's orders to the letter.
Anyway, I am encouraged by what I am feeling.
- Scott
Posted by JadeKelly on March 17, 2009, at 18:48:41
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on March 17, 2009, at 13:06:19
> Hi Jade.
>
> > > And why would you only give your therapeutic amount an overnight to work?
>
> > If I were very slightly underdosed, I believe that I would experience a surge of improvement as soon as 24 hours after a loading dose.
>
> Yup. Feeling better already. What's more, my doctor raised the dosage from 300mg to 350mg without my asking him to do so. He didn't like the descriptions of what I experienced last week. Since there was enough room in the blood levels of desipramine as reported on the results of the blood test, he decided that I was indeed a rapid metabolizer, and had no problem with going up in dosage.
>
> I sure was patient with this one. 12 weeks of being underdosed, and knowing it, was a frustrating experience and an exercise in patience and tolerance. With the exception of last night, I followed my doctor's orders to the letter.
>
> Anyway, I am encouraged by what I am feeling.
>
>
> - ScottHey Scott!
> Anyway, I am encouraged by what I am feeling.
You know you can be really irritating sometimes! I'll never get used to it. I'll call it "Scott Speak"
Quite relieved you're better.
I know why you are careful with what you say. I get it. I didn't post on the board until my remission was fully in place for a month. It feels terrible to get all excited, and others, in case of a let down. But it seems you have a lot to be excited about, so I hope secretly your at home jumping up and down on your dirty carpet.
On the flip side, I'm assuming last week was pretty sh*tty, about as sh*tty as it gets maybe??
Don't forget our deal. You didn't reply to that, but I'm holding you to it anyway >:-(So, I do have a couple questions:
How long after he offered to raise to 350, did you counter with, how about 400? 1-2 secs max?Really, though, I'm confused about your dosing. You added 100 yesterday. You felt results today. I think you know where I'm headed. I geuss I'm asking, doesn't that mean you need 400, not 350?
Based on blood results that were taken prior to his increase, he wants you at 350. You just responded to 400. Okay, maybe I'll stop there before I hurt my self.Also by now you should at least be as good as earlier-one would think ;-) Let me know!
~Jade aka grasshopper aka patient patient~
Posted by Phillipa on March 17, 2009, at 20:22:04
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on March 17, 2009, at 13:06:19
Scott well that's a relief for you. Congrats. Love Phillipa
Posted by SLS on March 17, 2009, at 20:33:20
In reply to Re: I want to switch from nortriptyline to desipramine » SLS, posted by JadeKelly on March 17, 2009, at 18:48:41
> So, I do have a couple questions:
> How long after he offered to raise to 350, did you counter with, how about 400? 1-2 secs max?LOL
> Really, though, I'm confused about your dosing. You added 100 yesterday.
> You felt results today. I think you know where I'm headed. I geuss I'm asking, doesn't that mean you need 400, not 350?
The 400mg was what is called a loading-dose. Average of 300mg and 400mg over two days is 350mg/day. I guess you have to know the personality of these drugs and how they affect you to know what you can and cannot get away with. It usually takes a week or so to reach steady state. I wanted a quicker answer.
> Also by now you should at least be as good as earlier-one would think ;-) Let me know!
By the way, I am SO happy for you! I'll throw a few prayers around that your remission should be a permanent one.
:-)
- Scott
Posted by JadeKelly on March 18, 2009, at 12:33:06
In reply to Re: I want to switch from nortriptyline to desipramine » JadeKelly, posted by SLS on March 17, 2009, at 20:33:20
Hey Scott,
Hope you're feeling okay and I want to hear about it, but I'm really worried about poster "Myco" right at the moment. He's been messin around for a few days with Nardil stuff, well, I'll just let you read his post. I retitled Myco needs help. Your name is on it. If you get this can you talk some sense into him please? Look at his latest symptoms. Thank You! I'll post you later...
~Jade
Posted by JadeKelly on March 18, 2009, at 17:28:57
In reply to Re: I want to switch from nortriptyline to desipramine » JadeKelly, posted by SLS on March 17, 2009, at 20:33:20
Hey Scott,
You okay? Not like you to not answer a plea for help, lol. I think crisis has been diverted. He says he'll go to hospital today, his ride is on the way. I think I sufficiently scared him into it. Da*n kids adding this and that to MAOI's! But we wouldn't know anything about that.
So, I do have a couple questions:
> > How long after he offered to raise to 350, did you counter with, how about 400? 1-2 secs max?
>
> LOLI'm betting that you actually DID laugh out loud at that. Probably because its exactly what you did. I bet you play a mean game of poker.
So I'm wondering why we haven't heard from you yet. I think you're probably feeling okay, but if not, remember new dose will take some time, AND, if "loading dose" has worn off and 350 isn't enough, you'll just have to find a way to get back up to 400. Point being, you have felt enough response, however transient, it seems its just a matter now of time and dose, right? Well I wont say anymore on that for now, you could be outside doing cartwheels for all I know, lol.
> By the way, I am SO happy for you! I'll throw a few prayers around that your remission should be a permanent one.
>
> :-)
>
>
> - ScottYour gonna throw the prayers around? I get on my hands and knees and thank my higher power for my remission and (uncharacteristically) beg for duration and continued wellness. That was hell. Its hard, isnt it. Remember I had those ten days and we debated about was that remission? When that ended, and I couldn't get it back I was so discouraged. And to find out it was the simple addition of a 5mg tab of ritalin. Crazy.
I'm sure you do this at times like these, but when I wake up and take my meds, and maybe I'm just tired that day, there is still that whisper "is today the day it will stop working? OMG is it working? Am I going down hill? Jeez. I'm learning that I'm great the next day and it wasn't like I was euphoric every day before depression. Happy most of the time? Yes. Normal ups and downs? yes. Even responders can be in a sh*tty mood sometimes. Sorry for the extreme running of the mouth. Well, its 6pm, usually you would have posted by now. Remember our deal! 1-10? It'll just take you a second, if thats all you have. Okay, I can see its story time, but its gonna get ugly with the stories if you don't post today!
Btw- remember my remission is your remission. For now. There were a few key parts to my puzzle. I certainly put in my dues.(I also know what happens when you hang out with people smarter than you ;-) With out your advice it is not only possible, it is likely I would still be in misery. Which causes my kids pain, and on and on and on. You leave quite a wake in your path Scott....remember that while you wait for your remission to return. And when it does, we'll both celebrate.
~Jade
Posted by SLS on March 19, 2009, at 6:53:21
In reply to Re: I want to switch from nortriptyline to desipramine » SLS, posted by JadeKelly on March 18, 2009, at 17:28:57
I feel kind of crappy this morning.
I can feel the desipramine levels in my body increasing based upon side effects. Unfortunately, I am not getting the improvement I had hoped for. So now, I guess the thing to do is to wait for 3 weeks and make a decision at that point. Of course, I am disappointed, but still hopeful. Another disappointment is that I haven't lost weight for having changed from nortriptyline to desipramine. I think Abilify is most likely responsible for this.
- Scott
Posted by Phillipa on March 19, 2009, at 19:29:25
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on March 19, 2009, at 6:53:21
Scott darn how bout now? Later in the day? Sorry about weight also. Love Phillipa
Posted by JadeKelly on March 20, 2009, at 8:25:38
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on March 19, 2009, at 6:53:21
Good Morning Sunshine. Haha. Hope it is anyway ;-)
Patience and tolerance, two outstanding qualities in a human being...don't you think?
Glad you have both. So what are you thinking to do about that Abilify? I think it's the culprit in your weight gain as well. My son is just now losing the last of it.
My PDoc raised my Parnate to 90mg yesterday. I'm also taking 60mg of Ritalin. I dropped down in Klonopin from 3mg to 1.5mg but had to go back up to 2 cause my neck started hurting.
Well, I'm gonna see if I can track Myco down the little brat.
Hope this morning is better for you...
~Jade
Posted by JadeKelly on March 20, 2009, at 10:34:37
In reply to Re: I want to switch from nortriptyline to desipramine, posted by JadeKelly on March 20, 2009, at 8:25:38
> Good Morning Sunshine. Haha. Hope it is anyway ;-)
>
> Patience and tolerance, two outstanding qualities in a human being...don't you think?
>
> Glad you have both. So what are you thinking to do about that Abilify? I think it's the culprit in your weight gain as well. My son is just now losing the last of it.
>
> My PDoc raised my Parnate to 90mg yesterday. I'm also taking 60mg of Ritalin. I dropped down in Klonopin from 3mg to 1.5mg but had to go back up to 2 cause my neck started hurting.
>
> Well, I'm gonna see if I can track Myco down the little brat.
>
> Hope this morning is better for you...
>
> ~Jadebtw- was looking at stuff about Nifedipine and came across this thread with you, Oky, and Undopamingeric-sp? In July, 08, just before I came along I think.
"Although MAOI + TCA is a potentially useful option that probably should be used more frequently than is currently the case, I presume the same to be even more accurate for MAOI + stimulant."
I think that was Undop, I lost the rest of it. You obviously do better with MAOI + TCA. Did you say you tried stims with MAOI and didn't do as well? In what way? Did it "poop out" sooner, or did it just never work as well for you? What is better about the TCA's for you than stims?
I notice my remission, and treatment, are very dose dependent right now, as in I HAVE to take doses at certain times or it doesn't have the same result. Not complaining you understand!! I'll do it forever if I have to. Just wondered if TCA's were a more "around the clock" feeling. Not to be greedy or anything, but have you seen all three combined, in lower doses? Just wondered.
As for nifedipine, sounds like under the tongue is not a good choice, nor is squirting a gel cap in your mouth. I have nifedipine, in a hard capsule to swallow. I think the idea is that its not a good idea to change BP too rapidly. Don't want to scare people off, but do you think a thread is in order? To have some and when to use it? Just a thought. I had to ask my my PDoc for it (old one) he didn't offer it as an option. I think a lot more people are taking MAOI's, I'd bet they would be interested to know what you would recommend in certain situations (as would I).
An example: I accidently eat a slice of pizza loaded with pepperoni (dumb, I know lol) I develop a headache that gets increasingly bad towards the back of my head. I take my BP, systolic is 190.
Take tablet?
Call 911?
Lay down, take advil?
Call PDoc?
If headache is severe?
As in need relief asap?Just thought you might make yourself useful while you wait. Hah. Thought you were getting a break?
~grasshopper ;-)
What was that show? "patience grasshopper, patience" lol
Posted by SLS on March 28, 2009, at 10:46:02
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on March 11, 2009, at 6:57:51
> Encouraged.
Now discouraged.
I have been on 350mg of desipramine for 12 days. I am not feeling very well. I certainly am not feeling the improvement I was expecting.
I am not sure how much longer I will give this thing. I would like to take it for another week or two, just to allow it 3 weeks to work at this higher dosage. If there is no discernible improvement, my intention is to return to nortriptyline.
- Scott
Posted by Phillipa on March 28, 2009, at 20:29:39
In reply to Re: I want to switch from nortriptyline to desipramine, posted by SLS on March 28, 2009, at 10:46:02
Scott so sorry. Love Phillipa
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Psycho-Babble Medication | Extras | FAQ
Dr. Bob is Robert Hsiung, MD,
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