Ask a Neurologist and Get an Answer ASAP
Welcome to Just Answer. I am an Adult Neurologist and was contacted to answer your question.Hello. as a Neurologist, I would suggest you not use herbal products at all during the time you are trying to decide if Nortriptyline is helpful in reducing or eliminating your CDH (chronic daily headaches).I looked at both of these substances, Rhodiola and DMAE. The truth is that although there is benefit, you really do not know how they work, and there is no useful information as to how they interact with nortriptyline, either in terms of absorption in the GI tract, or transfer across the BBB (blood brain barrier). I have experience working in brain imaging, using compounds in PET to track their utilization in the brain, and one thing I've learned is that many of the herbal compounds, Ginkgo Biloba, for example, does not interfere with specific receptor binding in the brain, but interferes with transfer of these medications in the blood and across the blood brain barrier. In the lab, we do not test subjects taking herbal medications.The botXXXXX XXXXXne is you do not know. So in an "experimental" treatment where you are trying to decide if Pamelor helps, you lose that ability to tell. One thing at a time. Try the pamelor alone, and see if it works, If you are feeling better on Pamelor, you can then add the herbal meds and see if that improves your mood/affect or not. I think taking a single Vitamin B complex is fine, but using extra pyridoxine or cyanocobalamin could also interfere with the actions of Pamelor. Please get back to me if you have questions. Dr Frank t
Ok. From now on, I won't drink the drink I usually drink (1-3 x a week). I have only been on the Pamelor 3 days and just drank my drink with the Rhodiola and DMAE in it this morning for the first time. I will stop. Thanks for the help!
Ok. Is this something I need to worry about? The packet I drank this morning is this: http://www.iweightloss.com/visalus-neuro-lemon-lift-packets.html
What about caffeine of green tea?
Why would it feel as if something is inside my skull causing me headaches? The feeling has been there for months now. I am hoping the pamelor helps heal me. The brain MRI was negative, but I am tempted to get another one done.
Ok. I just had blood work done for Lyme and Autoimmune diseases ordered by my ENT. He told me that he has seen very similar symptoms as mine show up as Lyme or Autoimmune. I do not have high hopes, its worth a shot though. Sorry to bother with so many questions. I am constantly wondering about things I am going through with the headaches.
Is it ok to take ibuprofen or aleve while taking pamelor?