Mental Health Trimipramine to help respecting my daily benzo dosage, especially at night time

THE_REAL_OBLIVION

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I'm seeing my psydoc soon. Off the bat I'll say I'm diagnosed with GAD, I told BL that since a long time, but I never really said I have Bipolar I, the most I could endure was the yellow 10mg of Paxil for 3 months and I think I tolerated this without going into mania like with all SSRI's/SNRI's I tried later on, was because I was prescribed 0.25mg xanax 4 times a day for a month and a half, I was a benzo virgin then, only having used some so me and some friends could drink less alcohol, and that was 2mg clonazepam pills from my weed/acid guy. I'm able to handle Manerix (moclobemide) a reversible MAOI that requires no diet restrictions, other than massive amounts of strong old cheese, amounts nobody would eat pretty much. It's not available in the US, but Canada, Australia and the UK have it. It works fast too and boosts benzos and opiates. But it made me feel stupid-happy, know what I mean? It made me dumb-happy like I could read very distressing news or a friend or family member being mad at me and I would shrug it off and was happy all the time, which annoyed me.

He understands I cannot take SSRI's/SNRI's (I'll spare you what happened to me when I got on 20mg paxil a day), failed experiments with Wellbutrin (made me more anxious and felt a bit like very cut meth pills (methbombs) and Effexor XR where a single 37.5mg starting dose had me get massive pupils like if I was on L, Shrooms, MDMA etc. + a strange all over body feeling and nausea I had to buy some benadryl to kill it.

So I've had myself thinking of bringing up Trimipramine, which could be a good idea, if I don't get any serious side effect. I've been prescribed nortryptiline and amytriptiline in the past for a type of neuralgia that fixes itself after some time, apparently, to take with 375mg naproxen 4 times a day and 30mg temazepam (15 a month) and the neurologist then also gave me a cortisone infiltration in the upper part of my neck. Tolerated them well, especially nortryptiline, it actually worked for the pain, the naproxen I should have asked for Ketoralac instead, but I didn't know better then. I only had one bad experience with TCA's or Tetracyclic? (not sure if it's the former or latter), Trazodone, this stuff gave me vivid nightmares and night terrors and the fact I was scripted Ritalin 10mg twice a day then did not help (as far as I remember, I read back in, well, likely 2002, the first time I went to a GP all of my own, I remember reading that there was some toxicity increase with ritalin when used with trazodone, should have given me a tiny dose of benzos like the other GP when I lived in Montreal, 0.25mg clonazepam 3-4 times a day and Ritalin might have worked, they blamed the seizure I got on the Ritalin alone, with the benefit that I was going to have a Dexedrine script instead, which was very beneficial at least for 5 years when almost done with college, never finished my Masters but at least I did 1 year..

Trimipramine seems ideal because of how it does not mess with REM sleep and is known to have analgesic effects. I'm sure the guy (psychiatrist) would have no problem prescribing me an anti-depressant, but I really just want something so I can reduce my benzo intake, where I would only need them through the day for the GAD and have something else than another benzo for sleep. The monograph from the generic maker, the only one who still makes trimipramine up here, has me hesitating, possible side effects are as numerous as methadone. I don't suffer from any cardiovascular disease, nor diabeetus, so that's a bonus to start with.

Any advice or experience with Surmontil (the brand name isn't marketed anymore here, I'm sure it's still there south in the land of the 2 horrible choices of presidents. Also, I called my pharmacy and the pharmacist told me they only had 12.5mg and 25mg pills, when the monograph says there is also 50mg pills, 75mg capsules and 100mg pills. I'm not sure what dose would work best for me, but in the monograph, they really push the 75mg gelcap for some reason, the studies in it all use those. She told me I'd be surprised if you are given more than 25mg at once when you start. I'd def start with 12.5mg, if going that route anyway, due to how sensitive my brain's neurotrasmitters are to any change in serotonin and norepinephrine in particular. I think it's all the LSD I've had (250-300 trips in my life, last trip was from ETH-LAD last summer, but I hadn't had any L other ergoloids since '08.

I need some rest during a certainly, uncertain time in my life where I could be, my endocrinologist will only dispense meds after 3 blood work indicating the same thing in intervals of 3 months, the final one I took last week; where I could end up needing hypothyroidism medication, prolactine lowering meds and restart a Testosterone treatment, but with something less drastic than SC/IM Delatestryl, we discussed me and her (the endocrino) using Androgel and if that gives me painful cysts like Delatestryl did on my chest which turned into gyno, which has receded since I stopped using Delatestryl and Anastrazole (anti-oestrogen med), and in case that doesn't work well either, the oral (pill) option, which doctors here even my ORT doc who started the whole low T caused by methadone and continuing into my bupe regimen, not as bad as when I was on methadone though, said that pills for low T either worked or didn't at all, it's literally a heads or tail situation, she told me she rarely ever scripted pills for low T, only when other things have failed/caused more issues.

I'm sick of this shit and the remnants of the gyno, non painful to the touch lumps (they were painful back when the showed when only using Delatestryl before I was put on an anti-oestrogen medication) close to my nipple on the left side, which is apparently 20 fucking centimeter, but nope, no biopsy has been made, she says the blood tests would have said if I had any sort of cancer going on, which I find hard to believe, but sure. Reminds me of the Dead Kennedys song "Trust Your Mechanic", it's literally fix something, another falls apart, back to the doc, where they are paid by visit from our taxes. I'd really love for all this to end at once :(
 
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Nobody at all was scripted Surmontil (trimipramine) here at all before or currently? I know TCA's are much less commonly used except for freak ones like Remeron and tetracyclics like Trazodone, which I assume nobody ever was scripted it for depression/anxiety after they discovered it made people extremely sleepy (and vivid nightmares). Only TCA I heard being prescribed often still is Sinequan (doxepin) and off-label for pain amytriptiline or nortryptiline, the latter actually helped me at some time in my life, for pain.

Any personal experience is appreciated, empirical evidence helps putting a light on just info from a website. Maybe this belongs more in another forum? Although I am speaking about mental health and issues I have. Being on benzos everyday worked very day from '07 to late 2010, but it was 2mg clonazepam a day, once with breakfast, another in the evening, at 4mg a day, I felt zombified like how the 2 mood stabilizers I have tried did (no wonder clonazepam is often usedi Neurology, for seizures and nerve pain. But it shuts down one's temporal lobes so bad, I could have seen news that went North Korea blackmails Russia (they also share a border, with Vladivostok, a large city of 2 million people is just 25km north-east of the border with NK, where Russia destroyed the bridge to get over to NK when the USSR collapsed, a friend I know visiting Europe, the European part of Russia and on a lark decided to take the trans-siberian train to Vladivostok,,,must be one cool experience, he drove down a road from Vladivostok to the south where the border bridge used to be. Couldn't believe that barren mountainous and seeminly empty space they could see on the other side was North Korea, tried to throw his cigarette butt over the river on NK, but the river's way too large heh) but anyway, yeah, I mean it was 2010, my Habs were making unbelievable comebacks Jaroslav Halak in goals, and it was truly amazing to see the always underrated Montreal Canadiens (the contemporary MTL Canadiens) go through 4 out of 7's by climbing up a 3-1 deficit both against Ovechkin's team (Washington Capitals) and then right away same situation with Pittsburgh with Crosby et al. It was insane, but I could not feel joy nor happiness on that high a dose of clonazepam.

The main point is that the clonazepam and later the diazepam or bromazepam helped me stop the racing bipolar I mania (thankfully I have very long cycles) and with a little counseling, not much, but 5 or 6 sessions that do not just last 30 or 45 minutes. He's a weird one for Americans, we get free healthcare in many ways, even paid bus tickets to other hospitals with shorter waiting lists that are far away and for people too sick to drive or to see some specialists, the town I live in has 3 Neurologists, and 155 000 people or so, the government reimburses one after that, all expenses. But only psychiatrist are covered, no such thing as a free psychologist, and most of them are just paying to have someone listen to you/be your friend. But yes, the benzos did help me come to terms with some stress / panic attack triggers all by myself, and it changed my behaviour so people liked me better, especially my dad and brother whom I never had a serious argument with back in 07 when still living with my brother, but I was some fucking eccentric electric guitar player and song composer using FXBOX (amp emulator for PC), just need the correct jack and you got yourself a guitar or bass recording session. Anyway, benzos helped settled a lot of old scores and forgotten bitterness by me or by others, I did not have debilitating social anxiety where I thought everyone knew I was high, and sometimes, I know they definitely did, but yeah, the 3 years I lived in Montreal were harsh, so many people, so much walking, so much everything. They were a useful too and still are mostly when it comes to insomnia, I'll always need a Restoril 30mg or 2 here and there, was put in a sleep study at 6 year old and later on 2 other times.

Don't know what was in the water when I was born. But it kinda pisses me off my mom did not stop smoking cigarettes entirely when pregnant, she only reduced her habit in half. Could explain things, lol.
 
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Nobody? I found a little (2 threads) dedicated solely to trimipramine on here, the others are about mixing with antipsychotics or recreational drugs. My appointment with my psychiatrist, in his new practice, solely dedicated to anxiety problems. I won't have trouble having him renew my 20mg diazepam script, although, I wonder if it would be better to just switch back to Rivotril (clonazepam) like I was on in the past before doing a partial (2/3) taper, from 4mg clonaz to 20mg diazepam, that's a 66% reduction in benzo action on the GABA-A benzo subcomplex.I know how to bring up the Trimipramine, especially at how it is an antidepressant taken at night and it actually helps for nerve pain like amytriptyline and nortryptiline, but more importantly, that it's the only medication of 2 (one is a little known benzo only available in America afaik, Doral (quazepam) which do not mess with the natural sleep pattern/stages, which I feel I desperately need, benzo sleep is often blissful, but sometimes it feels like you hardly slept even if you slept 10 hours (I'm the kind of person who need 9-10 hours to have a functional day).I have very bad anxiety about going to see him, it's been 2 years, last year he was in the process of making his anxiety clinic so he had little time for appointments that were only for my valium renewal so he just had me tell the pharmacy to fax the prescription in. But I feel like I need something additional for the insomnia, and if it makes my mood better...well good. I've tried SSRI's like Paxil and SNRI's (Effexor XR...a single 37.5mg starter dose gave me LSD saucer pupils and I felt wired on some kind of weird speed and nauseous, discontinued immediately). Paxil was useful to me at a low dose, the 10mg yellow ones, but when I was increased at 20mg, hell, that's old shit, decade ago, totally lost it to mania. So it's official I'm Bipolar I. I wonder if I can even take this if Bipolar I. The only antidepressant that did not make me ill or go manic psycho was moclobemide, a reversible MAOI only available in Canada, UK, Australia, worked great, but it made me feel dumb happy...benzos make my mood neutral/blunted, and moclobemide apparently boosts everything from benzos to opioids so, maybe it was just boosting the inhibition removal effect from the Clonazepam, but the 2 times I got into taking 150mg twice a day, always needed to take it twice a day, and of course he was saying that's a weak dose, because there's 300mg pills that also can be taken twice a day...they always wanna raise doses of those antidepressants don't they, I said I did not feel the need for more and that was it.Askapatient (lol) has 12 reviews and the lowest rating is 3, so I guess it's not something people dislike a hell lot, running to the internet to say how horrible it is, like for almost all SSRI's...except Celexa, that one seems like the only good SSRI but I can't take them so, all I need is someone's experience with it.
 
i have some of this substance, how recreational is it? would it help calm me down tried 20mg valium and nothing CALMING ME DOWN :@
 
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