bluelikejazz Posted March 28, 2009 Share Posted March 28, 2009 So we have added mirtazapine to the scrapheap, and started amitrptyline 10mg for a week, and then 20mg. I asked what to do after that and she said to go to my gp, so i'm assuming pdoc is sending her a letter telling her what to do, and then I see pdoc in a month. She did say that it will probably take at least 70mgs for it to work. I don't know if she is just titrating me slowly because I had really bad side effects to other meds but she also mentioned my heart. I've had some palpitations/blackouts before and she mentioned cardiotoxicity and wanted me to get an ecg, but I told her my cardiologist has checked it out and there's nothing dangerous going on, and she dropped it. so questions: 1) whats the deal with my heart? Is there an actual risk of me going into AF? i'm only 20. 2) is she likely to jump up faster after two weeks, or will I have to continue feeling this awful for 7 weeks + the 6-8 weeks for it to work? I know i'm whinging, but it's hard enough for me to survive an hour at a time let alone for months without relief. 3) is there less of a risk for increased suicidal ideation with TCAs than SSRIs? Link to comment Share on other sites More sharing options...
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