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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Amitriptyline safe for a patient with left bundle branch block?

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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 5731 Questions

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Posted on Wed, 13 Jun 2018 in Hypertension and Heart Disease
Question: Is it safe to safe to take amytritline if I have a left bundle branch block?
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Answered by Dr. Ilir Sharka 14 minutes later
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

Regarding your concern, I would explain that amitriptyline is not safe in your clinical situation, because it is known to cause conductance abnormalities as a common adverse effect.

For this reason, I would recommend starting sertraline or paroxetine to help manage your anxiety (and wean off xanax) which do not have this adverse effect. These drugs are better tolerated at your age and do not have any impact on the heart rhythm or conductance disorders.

You should discuss with your doctor on the above treatment options.

Hope to have been helpful!

Kind regards,

Dr. Iliri






Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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