Is Sensival the same as Amitriptyline?
Can I take 50 mg sensual in the morning instead of taking 25 mor/eve so that if at all it is disturbing my sleep it can be helpful to take it in the morning...
Sorry it's sensival and not sensual. Also wanted to check whether taking sensival 50mg in the morning will have same effect as taking 25 mg mor/eve...
No risk in taking in morning.
Hello again, thanks for asking from HCM
Sensival is Nortriptyline and belongs to same group of anti depressants as Amitriptyline. The drug has similar actions as Amitriptyline but the efficacy is different. Amitriptyline is used in patients of insomnia for sleep drug which doesn't cause dependence. Nortriptyline also causes sedation and some times used for sleep. So in my opinion the drug is not resulting in sleep disturbance you are having. But taking both these drugs together might be resulting in disturbed sleep architecture and thus you are having problems.
There is no problem in taking 50 mg dose in morning but this might cause sleepiness in daytime so remain cautious for that. Otherwise there is no risk in taking 50 mg dose in morning and this would control your anxiety. No need to worry.
Was thinking of making sensival 50 from 25 in the night and reduce amitryn to 25, morning dosage 25 of sensival continues, will this change help?
Reducing the dose of Nortriptyline should help
Both drugs are TCA drugs and can cause anticholinergic side effects like slurred voice or losing control of words. In my opinion you can try to reduce the dose of Nortriptyline to 25 mg and if symptoms persist then the drug can be stopped completely. This will help in controlling the symptoms.
Taking Propranolol would not cause much change in these symptoms.
Reduce the dose of Sensival.
In my opinion its better to reduce Sensival to 25 and then stop completely. Continue to take Amitriptyline. This would help in better symptoms control. No need to worry.
The net says sensival has lesser side effects as compared to amitryn, therfore, was wondering whether I should reduce amitryn...
Amitriptyline is better
Hello thanks for asking again.
No taking Pacitane would not help much because these are not EPS and the drug will increase some side effects too.
A lot of internet reviews are biased by pharmaceutical reviews. Amitriptyline has better efficacy though to some extent the side effects are more. But the drug help in better symptoms control. If we consider efficacy, side effects benefit then better to continue with Amitriptyline. Nortriptyline is preferably used in neuropathic pain conditions than Amitriptyline. In psychiatric issues Amitriptyline is better.