Health Organization for Pudendal Education

TracyB7777 wrote:I've noticed the last two times I've added 10mg of nortriptyline to my evening dose I don't sleep well, or hardly at all, for at least three or four nights. Anyone else have this oddity happen to them?

Yes, I tried switching to nortryptiline from amytript and was almost unable to sleep for a week, so I switched back to amytript.
Nortrip contains a stimulant although obviously it doesn't affect everyone on this thread that way. It's great that it helps your pain so much though.

Well, running on less than 5 hours of restless sleep (I'm usually an 8+ gal). While upping the Nortiptyline 10mg a week I've been reducing the Paxil by 10 mg, I'm thinking about adding it back in to the evening dose to try to sleep. Trying to hold out until Thurs when I see my DO.

So I'm completely off the paxil, have dropped the nortiptyline down to just 20mgs at night (none in the morning) and finally getting some sleep again. Neuro is still in Australia so I'm just going to keep dropping the does down until I'm off it. Told my family to speak up if my mood gets worse since I'll be off all meds at that point. Figure the meds aren't working (gabapentin, lyrica, tramadol, nortriptyline and others I took in the beginning), I'm just losing sleep and slowly losing my mind, so it was time to go off. BTW...I'm actually getting my memory back!!! YEAH!!!!

TracyB7777 wrote: BTW...I'm actually getting my memory back!!! YEAH!!!!

What's memory?...I forgot.

I dropped the nortriptyline back to 50m mgs. I was up to 100mg and the symptom control was fantastic but I started putting on weight like mad. When you eat a half can of tuna for breakfast, 2nd half for lunch, and a burger without a bun for dinner and gain a pound, something has got to give. 50 mg gives me pretty decent symptom control without the side effects. No more weight gain and what I did gain is slooooowly coming off. I miss feeling almost symptom free, but symptom free and normal are 2 very different things. on 100mg I did not feel normal at all. not only the chubby thing but also a general drugged out feeling.

HerMajesty wrote: When you eat a half can of tuna for breakfast, 2nd half for lunch, and a burger without a bun for dinner and gain a pound, something has got to give.

Ha ha ha I know how you feel! These nerve pain drugs suck!

another thank-you for this detailed discussion. Just re-read this thread and once I am off the Vitamin "M", (which by the way, I am down to 5 mg 3x a day and believe it or not, it is still controlling my pain)... I may try the Nortriptyline and see how I tolerate that. Thing is right now my side effects are minimal and I am doing well on this very low dose- so, I shall stay on this dose a few more weeks and re-evaluate. But again, just wanted to thank all of you for posting such detailed discussions as they are really helpful.

Cora