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Mental Health Currently on low dose Nortriptyline (10mg) but not sure if that's the med for me

T

Trumpeltier

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Nov 9, 2020
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A few days ago I added 10mg of Nortriptyline to my present 7.5 mg of Escitalopram to help with IBS, Anxiety and Depression. I figured my target dose of the Nortriptyline would probably be 25 mg, but right now I can hardly handle 10 mg: It makes me feel lethargic, sedated and drowsy. I sleep 12 hours / day. I feel kinda spaced out in the head, somewhat slow and forgetful in the head.

On the plus side: It enhances my appetite and that is great! It gives me good sleep! It relaxes my muscles. It also seems to diminish my restless legs. It is motivating.

Will those negative side effects diminish? I want to try 25 mg, but I am afraid of even more sedation and sleepiness. Do 10 mgs seem like a ridiculously low dose? I am worried about sedation! Will it become more sedating when I get past 10 mg...?

I forgot to mention it: very vivid dreams on Nortriptyline!

EDIT: Last night was strange: my esophagus and stomach was sore and kinda "burning", I had bouts of hot flashes and dry mouth in the morning.

But otherwise I feel quite motivated... kinda o_O

Will my teeth rot away due to dry mouth?
 
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I've been thinking about trying Aripiprazole ("Abilify"), in case Nortriptyline won't work...
 
Users say that aripiprazole at 5 mg per day causes activation instead of sleepiness. It also causes akathisia often.
 
ftcgq said:
Users say that aripiprazole at 5 mg per day causes activation instead of sleepiness. It also causes akathisia often.
Click to expand...
Yes, indeed. Aripiprazole is pro-dopaminergic at low dosages and becomes anti-dopaminergic at higher dosages...
 
Stimulants are sometimes prescribed to treat depression. You find and print some scientific articles to try to convince your prescriber. They are a good option if your current regime causes too much sleepiness.
 
Increased to 15mg of Nortriptyline.

So far: Bouts of Dysphoria, hot flashes and restlessness. Motivational spikes...

Some soft poop today... no diarrhea, but something in-between normal poop and diarrhea.
 
I would like to continue my Nortriptyline trial, BUT it seems that I am showing some sort of dental reaction to it. Not sure if it's NORTRITYPLINE and if so, whether it's the anticholinergic properties or some other intrinsic property of Nortriptyline. I will make photos and show them to you. Something seems to f*ck*ng up my enamel and I suspect NORT... also my other teeth start to show signs or problems (pain sensitivity, small darkish dots). It's a shame, because NORT is an interesting drug, but I cannot let my teeth go to waste O_O

I have an appointment at university hospital @ DENTIST / DENTAL SPECIALIST to check that shit out. It concerns me greatly!

That's why I am thinking about alternatives ;=)
 
new side effect... some "numb" tingling of my face and jaw. A paraesthetic feeling.

Also throat pain and sore throat since starting Nortriptyline.
 
Nortriptyline seems to make my "OCD" worse xD I've been obsessing about stupid stuff and was kinda anxious. NRIs do that? Generally speaking?

Although I am unsure if the worsening of OCDish features causes the anxiety or the other way around... sometimes it is difficult to distinguish

Yesterday...It was 23:30 PM... I still had 15 liters of fuel n my car-tank, but wanted to fill it up... first gas station was closed, the second one was too expensive, the third one was closing.... the forth too expensive, the fifth... closed and so on....I drove through half of Hamburg until I finally found a cheap open gas station....

totally obsessive and dumb... I surely made 35km and an hour of driving xD

That's what NTP does to me... but I am unsure which component causes it.

Presumably NRIs can cause agitation, anxiety, headache, restlessness and OCDish like side effects, but not sure ^^
 
I upped to 25mg. My anxiety and agitation is definitely up. Feeling edgy and jumpy...

Weight has gone down. Shakiness and tremor has gone up.

Motivation has gone up. Wastefulness has gone up.
 
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