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Re: Sedating tricyclic for use in elderly patients?

Posted by SLS on December 3, 2004, at 9:58:39

In reply to Re: Sedating tricyclic for use in elderly patients? » KaraS, posted by Colleen D. on December 3, 2004, at 5:31:14

> Hi Kara!
>
> I was going to suggest doxepin too, because I take it. 25mg an hour before bed and it works so well. It looks like maprotiline might be a good choice too. Here's a link and there aren't really any contraindications re: the elderly and or cardio-toxicity.
>
> http://www.psyweb.com/Drughtm/maprot.html
>
> Good luck!
>
> Colleen
>
>
> > > doxepin (sinequan in canada) is a sedating TCA, that is one of the less cardiotoxic ones.
> > >
> > > Linkadge
> >
> > Thanks. (I've taken doxepin myself and it worked really well for anxiety and insomnia. It totally healed my panic disorder as well.)
> >
> > What about maprotiline for an elderly person? It's got a slightly higher chance of causing seizures but I'm not really worried about that - particularly at the low dosages that my mother would take it.
>
>


I believe maprotiline is more cardiotoxic than doxepin. I would recommend doxepin over maprotiline.


- Scott

 

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poster:SLS thread:423518
URL: http://www.dr-bob.org/babble/20041201/msgs/423840.html