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Tricyclics antidepressants

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  • Tricyclics antidepressants

    Can anyone tell me if there are anysafe tricyclics for someone that had a septal myectomy about a year ago and also has a pacemaker for 2nd degree heart block. My psychiatrist would like to prescribe one but is afraid because she knows so little about the condition.

  • #2
    Lexapro is good and i'm on celexia now which is pretty good but to be safe i would call your PCP doc or pharmacist

    Shirley
    Diagnosed 2003
    Myectomy 2-23-2004
    Husband: Ken
    Son: John diagnosed 2004
    Daughter: Janet (free of HCM)

    Grandchildren: Drew 15,Aaron 13,Karen 9,Connor 9

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    • #3
      Shirley is on an SSRI , this is very different from tricyclic antidepressants. It is a well known fact that tricyclics can result in adverse effects on the heart which can result in permanent EKG changes.

      I worked in clinic with a very experienced psychiatrist , he flat out would not prescribe them to any patients with a known heart disorder. We saw first hand a person who had taken them who experienced a heart attack. The doctor also had seen this over the years as well.

      Now how that relates to an HCM heart is a hard call. I personally would avoid them like the plaque even if my doctor wanted to try them. The Hcm heart already in most cases looks on EKG like the individual has experienced a heart attack. So reality is that there are already EKG changes.

      There are a lot of meds out there so more research is needed on your docs part. Maybe a combination of two meds would work or not. I know that often anti- anxiety drugs can be used with SSRI's and mood stabilizers with SSRI's , depending on the problem. Your doctor should consult with an experienced psychiatrist and or a pharmacologist , both whom are knowledgeable about medical/ mental health needs.

      Good luck with this.

      Pam
      Dx @ 47 with HOCM & HF:11/00
      Guidant ICD:Mar.01, Recalled/replaced:6/05 w/ Medtronic device
      Lead failure,replaced 12/06.
      SF lead recall:07,extracted leads and new device 2012
      [email protected] Tufts, Boston:10/5/03; age 50. ( [email protected] 240 mmHg ++)
      Paroxysmal A-Fib: 06-07,2010 controlled w/sotalol dosing
      Genetic mutation 4/09, mother(d), brother, son, gene+
      Mother of 3, grandma of 3:Tim,27,Sarah,33w/6 y/o old Sophia, 5 y/o Jack, Laura 34, w/ 5 y/o old Benjamin

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      • #4
        Originally posted by Pam Alexson
        It is a well known fact that tricyclics can result in adverse effects on the heart which can result in permanent EKG changes.
        Wow. I wish I'd known this years ago. For a significant period of time I took imipramine (mostly because it was cheap as a generic, and I had no health insurance at the time).
        Life is a banquet...and I got botulism! -- Me

        If time flies when you're having fun, will I age faster at Disneyland? -- Joel Perry

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