I take nortriptyline, too, but one of its side effects combined with not eating enough fiber started the problems to the point I refused to take as much as they wanted me to.
The tricyclics seem to be the only ones I can tolerate now. Thanks for your knowledgeable response.
If even the tricyclics and tetracyclics sour on you give SAM-e a try. OTC here; prescription in northern Europe; a couple studies showed comparable effectiveness as antidepressant, but is not a hypnotic so won’t help with insomnia for most people. I take it and the only issue is the cost especially when I take an adequate dose (800 mg).