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.
> Good luck!
> > > 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.