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Old 04-06-2015, 11:52 AM
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mrsD mrsD is offline
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Join Date: Aug 2006
Location: Great Lakes
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mrsD mrsD is offline
Wisest Elder Ever
mrsD's Avatar
 
Join Date: Aug 2006
Location: Great Lakes
Posts: 33,508
15 yr Member
Lightbulb

The way tricyclics work is in the brain, where they tweak serotonin receptors to ignore pain signals.

So the sedation does come right away, but the real actions take weeks to manifest. The drug has to get to the centers necessary and thru the blood brain barrier, both situations that take time.

Nortriptyline and amitriptyline both show potential for peripheral nerve improvement by affecting nerve growth factors. This is also a slow process.
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