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29 patient evaluations for Nortriptyline

Purposes: Depressed mood and ALS (Amyotrophic Lateral Sclerosis) (Started Jul 07, 2010)
Date Dosage Depressed mood Efficacy ALS (Amyotrophic Lateral Sclerosis) Efficacy Side Effects Adherence Burden
Nov 27, 2011 50 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Feb 17, 2011 25 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate ModerateModerateModerateModerateModerate AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Feb 07, 2011 25 mg Daily Led_efficacy_1Led_defaultLed_defaultLed_defaultNone NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways A littleA littleA littleA littleA little
Side effects:
Bladder problems
Date
Feb 07, 2011
Advice & Tips
i havebeen diagnosed with Sensory Neuropathy. This is the reason why I take this drug to control burning sensations to the skin.
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  • gamma15
    Sex: F
    Data Quality: 2 stars
    MS: 10 yrs
    Type: Relapsing-Remitting
    Sensation: Moderate
    Overall: Mild
    Cognition: moderate
    Vision: none
    Speech: none
    Swallowing: none
    Upper limb: mild
    Walking: moderate
  • gamma15
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Purposes: Anxious mood, Support mental / emotional health, and Awakening due to pain (Started Dec 31, 2010)
Date Dosage Anxious mood Efficacy Support mental / emotional health Efficacy Awakening due to pain Efficacy Side Effects Adherence Burden
Oct 25, 2011 30 mg Daily Led_efficacy_2Led_efficacy_2Led_defaultLed_default ? Led_efficacy_2Led_efficacy_2Led_defaultLed_default MildMildMildMild SometimesSometimesSometimesSometimes Not at allNot at allNot at allNot at all
Jan 29, 2011 10 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_default Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_default Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_default MildMildMildMild AlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at all
Side effects:
Urinary retention
Date
Jan 29, 2011
Advice & Tips
I have only one minor symptom with this medication, urine retention.This med doesn't make me drowsy but relaxed. I used to be so depressed, feeling I was worthless, stupid and unimportant. Since I have taken this med I don't dwell on senseless thinking, no more laying in bed to trying to sleep and can't turn off negative thinking.
Cost: < $25 monthly
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Purposes: Pain, Fibromyalgia, and Depressed mood (Started Sep 01, 2010)
Date Dosage Pain Efficacy Fibromyalgia Efficacy Depressed mood Efficacy Side Effects Adherence Burden
Oct 23, 2011 50 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_default Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_default Led_efficacy_2Led_efficacy_2Led_defaultLed_default ModerateModerateModerateModerate AlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at all
Date
Oct 23, 2011
Advice & Tips
My dosage was incrementally increased 10 mg at a time. With the initial 10mg, I had a little bit of dry mouth and constipation at first. The dry mouth stopped after a short time, and the constipation was very manageable with fiber...until the last 10mg. When I moved up to 50mg the dry mouth returned and has persisted, and the constipation is decidedly harder to manage. If I miss the fiber pills or don't drink enough water for a single day, there are repercussions (and I have plenty of fiber in my diet too). This last increment also affected my sleep for better and worse: I can now fall asleep quite easily, stay pretty soundly asleep, and wake up feeling rested (very good), but it also makes me sleep for very long periods--10, 12, even 14 hours. I have found it difficult to wake up if I've slept less than that. (not good!). It's hard to describe, but there's a sort of heaviness that's come with this last 10mg. I've had a particularly hard time with concentration and thinking through work related issued. I'm not sure if that's all the fibromyalgia, or if the med is actually contributing. In terms of depression--which is what this stuff was originally meant to address--I'd say, I'm a bit more cheerful than I was, but at the same still feeling very negative. It's like I'm a bit depressed, but it seems to matter less. That said, the fear of not being able to make a living eats at me a lot, and the loss of focus makes that a genuine issue, so there's real stress too. Hard to parse this out. Meanwhile, the med doesn't entirely get rid of my fibromyalgia pain, but does definitely make it ignorable on most days and nights. I am now six weeks on with this dosage and both the dry and constipation continue. It's possible that the long, long sleeps might be improving...not quite sure yet. I'm waiting to see if these side effects abate with a little more time. Will go confer with my m.d. soon. By the way, when I was on a much lower dose--maybe it was 20mg or 30mg, I accidentally let my prescription run out, and was without it for a few days. On day 3, I find myself vomiting on the side of the road. Learned my lesson, and I'm religious about taking this every day.
Cost: < $25 monthly
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Purpose: Fibromyalgia (Started Jun 07, 2011)
Date Dosage Efficacy Side Effects Adherence Burden
Jul 27, 2011 20 mg Daily Led_efficacy_2Led_efficacy_2Led_defaultLed_defaultSlight NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
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  • obody
    Sex: F
    Data Quality: 1 star
    Major Depressive Disorder
    Depression: 3
    Mania: 0
    Emotional: 1
    Anxiety: 1
    Compulsion: 1
    External Stress: Moderate
    Rx
    51 F
    Function: Low
    Distress: Moderate
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Purpose: Peripheral Neuropathy (Started Mar 01, 2008)
Date Dosage Efficacy Side Effects Adherence Burden
Jun 13, 2011 25 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate MildMildMildMildMild AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Side effects:
Dry mouth (xerostomia)
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Purpose: Sleeplessness (Started Sep 07, 2010)
Date Dosage Efficacy Side Effects Adherence Burden
Oct 29, 2010 75 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate SevereSevereSevereSevereSevere AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Side effects:
Tremor, Dizziness, Dry mouth (xerostomia), Dizziness, Dry mouth (xerostomia)
Date
Oct 29, 2010
Advice & Tips
This med's side effects were too severe for me and they were on the serious side. Taking it wasn't a problem, but the effects interfered with my day to day life. I kept dropping things because I was shaking so bad, walked into the refrigerator because I was so lightheaded and dizzy. It seemed to work on the higher dose, but the higher the dose, the more severe the effects. Heart palpitations, etc.
Cost: < $25 monthly
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Purpose: Excess saliva (Started Apr 20, 2010)
Date Dosage Efficacy Side Effects Adherence Burden
Sep 08, 2010 20 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate MildMildMildMildMild AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Side effects:
Dry mouth at night, Drowsiness
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Purpose: Cramps (Started Jan 01, 2005)
Date Dosage Efficacy Side Effects Adherence Burden
Sep 03, 2010 20 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
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Purpose: Sleeplessness (Started Jun 02, 2010)
Date Dosage Efficacy Side Effects Adherence Burden
Jul 23, 2010 20 mg Daily Led_efficacy_1Led_defaultLed_defaultLed_defaultNone SevereSevereSevereSevereSevere UsuallyUsuallyUsuallyUsuallyUsually Not at allNot at allNot at allNot at allNot at all
Jul 14, 2010   ?Can't tell NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Jun 08, 2010 10 mg Daily ?Can't tell SevereSevereSevereSevereSevere UsuallyUsuallyUsuallyUsuallyUsually Not at allNot at allNot at allNot at allNot at all
Date
Jul 23, 2010
Advice & Tips
This medication did nothing at a lower dose and so the doc told me to take more and suddenly I was wide awake and very hyper for almost two days. It was awful. It also made me feel shaky and gave me dry mouth.
Cost: < $25 monthly
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  • wysiwyg
    Sex: F
    Data Quality: 1 star
    MS: 23 yrs
    Type: Relapsing-Remitting
    Sensation: Moderate
    Overall: Mild
    Cognition: moderate
    Vision: mild
    Speech: mild
    Swallowing: mild
    Upper limb: moderate
    Walking: moderate
  • wysiwyg
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Purpose: Aching burning throbbing body pain (Started Mar 12, 1990)
Date Dosage Efficacy Side Effects Adherence Burden
Jun 25, 2010 25 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Jan 12, 2009 25 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major MildMildMildMildMild AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Side effects:
Dry mouth (xerostomia)
Date
Jun 25, 2010
Advice & Tips
If I don't take it, I really feel the tingling in feet and legs.
Date
Jan 12, 2009
Advice & Tips
Have taken it for years...doesn't take away the tingling, etc., but I am not constantly aware of it, so it doesn't drive me nuts. Like Clonazepam, don't just quit...taper off!
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