Posted by papillon2 on January 25, 2012, at 8:09:23
In reply to New SE from all SSRIs -- pounding heart, posted by stewie on January 22, 2012, at 13:59:50
Hey Stewie,
I haven't experienced that with SSRIs but I get heart palpitations, tachycardia and chest pain with nortriptyline (TCAs are notorious for this).
I have noticed that:
- My heart gradually adapts to each increasing dose over time. I will still experience heart disturbances occasionally but the intensity and frequency is greatly diminished.
- Delaying medication by a few hours increases the likelihood of experiencing disturbances the following day(s), I guess because there's an overlap where I have more of the drug in my system than usual.
- Mini aspirin (100mg) and high-potency fish oil (3g) help reduce the intensity and frequency of disturbances. This was confirmed by forgetting to take one or both of them for a few days.Since you're treatment resistant, it might be worthwhile sticking with it to see if the heart problems become more bearable over time, provided you don't have some sort of heart abnormality which would make this tactic dangerous. This can be determined by a cardiologist through an echo, 24hr halter monitor and stress test.
Hope this helps.
poster:papillon2
thread:1008079
URL: http://www.dr-bob.org/babble/20120120/msgs/1008339.html