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Old 10-15-2008, 08:13 AM
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mrsD mrsD is offline
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Join Date: Aug 2006
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mrsD mrsD is offline
Wisest Elder Ever
mrsD's Avatar
 
Join Date: Aug 2006
Location: Great Lakes
Posts: 33,508
15 yr Member
Post at low doses, it is not much of a concern.

But, there is another thing more serious with Elavil and that is prolonged QT potential.

One reason the SSRIs are so popular is that they are less QT affecting than Elavil. To get good antidepressant effects with Elavil one needs high doses. Elavil is very dangerous on overdose/suicide attempts, whereas SSRIs are not.

Mixing drugs that have potential to affect the heart however, is problematic.
I explain this on a Sticky in the Chronic pain forum.
http://neurotalk.psychcentral.com/thread1120.html
post #4

http://www.azcert.org/medical-pros/d...ts/list-04.cfm
I'd read the whole site there since it is very helpful.
Simple dehydration, with low potassium and/or magnesium will add to drug risk and even perhaps trigger a person with low risk to have an event.

Serotonin syndrome is not likely at doses of Lexapro at 5mg.
But as doses increase, or mixtures are used (or drugs that impair metabolism etc), then the risk goes up.
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