Table 1 Case 1 medication and pain summary from three days prior to three days after completion of calcitonin therapy (100 international units) Day -3 -2 -1 0 Pain score Best 3 8 8 4 Worst 10 10 10 10 Calcitonin, SC 100 Oxycodone, PO 40 60 60 105 Methadone, PO - - - - Ketamine infusion, IV 200 200 200 - Nortriptyline
, PO 25 50 50 50 Sodium valproate, PO 1500 1500 1500 1500 (usual medication) Prochlorperazine, SC - - - 12.
Effects of nortriptyline
on depression and glycemic control in diabetes: results of a double-blind, placebo-controlled trial.
More than half (11, 55%) of the patients who reported clinical improvement stayed on the initial dose of 10 mg daily of either amitriptyline or nortriptyline
, with good results.
Sexual function in postpartum women treated for depression: results from a randomized trial of nortriptyline
One of the four placebo-controlled studies included both nortriptyline
and bupropion arms.
Clomipramine, fluoxetine, paroxetine, and sertraline have the highest affinity for the serotonin transporter; citalopram, fluvoxamine, and venlafaxine have intermediate affinity; and doxepin, mirtazapine, mo-clobemide, and nortriptyline
have low affinity.
Antidepressants, such as the selective serotonin reuptake inhibitors (SSRIs) including sertraline hydrochloride (Zoloft) and fluoxetine hydrochloride (Prozac), citalopram (Celexa), escitalopram (Lexapro) and paroxetine (Paxil); selective noradrenaline reuptake inhibitors (SNRIs), including venlafaxine (Effexor) and duloxetine (Cymbalta); and tricyclic antidepressants, including amitriptyline (Elavil), nortriptyline
(Pamelor), desipramine (Norpramin), and imipramine (Tofranil); and atypical antidepressants such as bupropion (Wellbutrin) and trazodone (Desyrl)
Since then I've taken (one a day) 10 mg nortriptyline
(antidepressant), and it keeps the pain away.
5 Citalopram (Celexa) 20 20-60 Escitalopram (Lexapro) 10 10-20 TCAs Amitriptyline (Elavil) 25 tid 100-300 * Clomipramine (Anafranil) 25 100-250 Desipramine (Norpramin) 25 100-300 Nortriptyline
(Pamelor, Aventyl) 25 tid-qid 50-150 Imipramine (Tofranil) 25 100-300 * SNRIs Venlafaxine XR Immediate-release (Effexor) 37.
These include the anti-epileptic drugs topiramate (Topamax) and sodium valproate (Depakote), tricyclic antidepressants such as amitriptyline (Elavil) and nortriptyline
(Pamelor), beta blockers such as propranolol (Inderal), calcium blockers such as verapamil, and the antihistamine cyproheptadine (Periactin) in children.
The research will involve participants taking the antidepressant nortriptyline
once an evening for eight weeks, using nicotine replacement products, and attending group smoking cessation classes.
Prescription drug therapy, including anti-anxiety drugs like Xanax, antidepressants like nortriptyline
, antihistamines, anticonvulsants, and anesthetics like lidocaine.