Low dose nortriptyline

[Librella]

Just an update as I’ve been taking this for 10 days now. I didn’t have any bad side effects, a little sleepy the first 3 days but then it faded. (Unfortunately, it hasn’t helped my middle of the night awakenings!) if anything I’ve noticed an increase in anxiety the past few days, but I don’t know if that’s related. Digestive symptoms still there but as I understand it that might take a few more weeks.

[panic_down_under]

Unfortunately, it hasn’t helped my middle of the night awakenings!

Nortriptyline is only mildly sedating. Its parent amitriptyline is much more potent in that regard.

if anything I’ve noticed an increase in anxiety the past few days

Unfortunately, this is the biggest drawback of most antidepressants, they often make anxiety worse in the beginning. It usually diminishes after a week, or two, but may return for a while following dose increases.

[WiseMonkey]

Nortriptyline is only mildly sedating. Its parent amitriptyline is much more potent in that regard. Unfortunately, this is the biggest drawback of most antidepressants, they often make anxiety worse in the beginning. It usually diminishes after a week, or two, but may return for a while following dose increases.

If you're looking for a sedating effect then Ami is the one to try and I'd try a low dose if the Nortripyline doesn't suit you. I don't know what dose you're taking but I didn't get any anxiety symptoms on either Doxepin (unavailable now) or Ami. The only noticeable symptoms I had was dry mouth and that wears off after a while.

TCA's suit some people's systems whereas the SSRI's and SNRI's just don't due to bad anxiety. It's good they're still available.