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Difficulty in sleeping. Prescribed amitriptyline, off paxil for panic attack after years. Advice?

Yes...I am a 75 year old female who had a really bad sleep problem. I would go days without sleep..or just a few hours sleep. My doctor gave me the amitriptyline to help solve it. I started off with 10 mg and worked my way up to 50 mg. til I could get any sleep. I still lay awake for maybe an hour or more til I finally go to sleep. I sleep good and All through the night but am concerned that the side affects could dig up other problems that are not good. I had been on Paxil for years for panic attack but my doctor took me off of it. She said that the medication would help my panic attacks too. Are there any risks I should consider?
Asked On : Fri, 18 Oct 2013
Answers:  1 Views:  35
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Psychiatrist 's  Response
Thanks for choosing health care magic for posting your query.
I have gone through your question in detail and I can understand what you are going through.
Amitriptyline is a good drug for sleep disorders as well as panic attacks, although an old drug. The only problem i forsee its use in your case is your age. At 75 years amitriptyline can cause cardiac rhythm abnormalities and cardiac complications as well.
You should instead try other sleep meds like zolpidem, eszopiclone, trazodone, etc. Maybe you can discuss these issues with your psychiatrist.
Hope I am able to answer your concerns.
If you have any further query, I would be glad to help you.
In future if you wish to contact me directly, you can use the below mentioned link:

Wish you good health,
Kind regards
Dr. Srikanth Reddy M.D.
Answered: Tue, 22 Oct 2013
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