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Re: nortriptyline low dose and tachychardia

Posted by Conundrum on November 8, 2010, at 12:58:55

In reply to nortriptyline low dose and tachychardia, posted by maggiemae on October 29, 2010, at 20:08:59

I think some doctors prescribe beta blockers for this side effect. I would ask your doc about that.
http://www.ncbi.nlm.nih.gov/pubmed/11349386

Also if I am understanding the above study correctly, taking the parent drug amitriptyline may have less cardiac effects than its metabolite nortriptyline, due to its more sedating effects.


> even at the tiny dose of 10 mg, nortriptyline, which i have just started for migraine and headache prevention and fm pain, gives me a racing heart and keeps me up if i take it in the evening. but it does seem to help the headaches and alleviate some pain and improve my overall mood, even at such a low dose. i tried going down to 5mg per day, but the headaches came back.
>
> previously i had taken propranolol, and wonder if adding propranolol to the low dose of nortriptyline would be a good way to counter the racing heart and be a reasonable combo?


Complaints: post-SSRI problems: anhedonia, memory and concentration problems, sexual dysfunction. )
Country:USA
Currently taking mirtazapine and tianeptine

 

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poster:Conundrum thread:967489
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