Posted by SLS on July 15, 2004, at 1:40:00
In reply to Re: TCAs and Tachycardia - experiences ...KaraS, posted by KaraS on July 15, 2004, at 0:20:30
I don't think that any one tricyclic is markedly better than another with regard to accelerating heart rate. Perhaps Sad Panda or King Vultan can comment on that. I guess the ones with the lower anticholinergic load would be preferable - desipramine and nortriptyline. Surely, clomipramine is no bargain when it comes to side effects, although it does score high on efficacy for depression and OCD.
If you are that concerned with TCAs and their producing a resting HR of 100 at the beginning of treatment, you should consult with a physician who has lots of experience using them. What alternatives have you explored without success?
Wellbutrin
Adderall
Ritalin
Thyroid
Prozac
LamictalIf nothing exists more palatable than a TCA, I don't think 100 bpm is too much of an issue. It is more important to screen for ECG irregularities and heart disease than for accelerated HR per se. Consult with a cardiologist. I don't feel qualified to tell you anything more than my own personal experience and relate to you the level of concern that the doctors who have treated me have shown over the last 22 years regarding my elevated heart rate on tricyclics. I would be surprised if your HR didn't eventually settle down to something closer to 80 bpm, but I am unwilling to sign and contracts.
I guess I've said this stuff already. I'm such a bore. :-)
- Scott
poster:SLS
thread:366212
URL: http://www.dr-bob.org/babble/20040714/msgs/366363.html