Most doctors are afraid of high dose TCAs. This family of drugs can cause long QT syndrome, and affect the heart.
Low electrolytes (low potassium and low magnesium) can also bring this on when you are using a TCA.
more here:
http://www.azcert.org/
Any dose of TCA may do this, esp when mixed with other drugs on the lists. However, mostly it appears when people overdose (depression patients may take overdoses in suicide attempts), or when electrolytes get low from diarrhea/vomiting.
Recovering from an overdose of TCA is not easy, so doctors are afraid to use high doses.
50mg of Elavil is not a typical dose (or higher) for PN. Typically 10-25mg are the more common doses.
If a doctor goes higher, then he is seeking a bit of antidepressant action, as well.
You can be screened for long QT with an EKG.
__________________
All truths are easy to understand once they are discovered; the point is to discover them.-- Galileo Galilei
************************************
.
Weezie looking at petunias 8.25.2017
****************************
These forums are for mutual support and information sharing only. The forums are not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider. Always consult your doctor before trying anything you read here.