Which antidepressant is safe in heart disease?

The antidepressants sertraline (Zoloft) and citalopram (Celexa) have been the best studied, are effective and safe in patients with heart disease, and also are available in generic forms.

What is the antidepressant of choice in coronary heart disease?

Selective Serotonin Re-uptake Inhibitors (SSRIs) and Mirtazapine. SSRIs are the preferred antidepressants in CHD. Sertraline, fluoxetine, or paroxetine are the SSRIs of choice. Mirtazapine is also a preferred antidepressant in CHD.

Can you take antidepressants with heart failure?

Can I take antidepressants if I have a heart condition? Yes, but you will have to take the right one, depending on the nature of your heart condition. For example, tricyclics are contraindicated (can not be prescribed by your doctor) during the recovery period following a heart attack.

What antidepressants are bad for your heart?

Several antidepressants other than SSRIs can actually be dangerous for those with heart disease: Serotonin and Noradrenaline Reuptake Inhibitors (SNRIs), including Effexor (venlafaxine), may increase blood pressure. Tricyclics, such as Elavil (amitriptyline), may cause dizziness and elevated heart rate.

Which antidepressant has least cardiac side effects?

Sertraline is effective in depressed patients with cardiovascular disease. Here, it has no significant effect on heart rate or supine or standing systolic or diastolic blood pressure (36). Sertraline is the SSRI most systematically studied in depressed patients with CHD.

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What is the safest antidepressant?

Among the newer antidepressants, bupropion and venlafaxine were associated with the highest case fatality rates. In addition, among SSRIs, citalopram and fluvoxamine appeared to be related to higher mortality rates in overdose, whereas fluoxetine and sertraline were the safest [188].

Can antidepressants cause heart palpitations?

A research team at Harvard-affiliated Massachusetts General Hospital has verified that several antidepressants may increase the risk of a potentially dangerous heart rhythm disturbance (arrhythmia).

What is Cardiac anxiety?

Cardiophobia is defined as an anxiety disorder of persons characterized by repeated complaints of chest pain, heart palpitations, and other somatic sensations accompanied by fears of having a heart attack and of dying.

Can heart patients take anxiety medication?

Depression, panic disorder, and generalised anxiety disorder may all be treated effectively with antidepressant drugs. Selective serotonin reuptake inhibitors are safe in patients with cardiovascular disease, but indirect evidence suggests that classic tricyclic agents are best avoided.

Is serotonin bad for your heart?

Serotonin [5-hydroxy-tryptamine (5-HT)] exerts a number of effects in the mammalian heart: increase in heart rate, increase in force of contraction, fibrosis of cardiac valves, coronary constriction, arrhythmias and thrombosis.

Which antidepressant does not raise blood pressure?

The only antidepressants that don’t cause high blood pressure as a side effect are selective-serotonin reuptake inhibitors (SSRIs) such as sertraline, citalopram, fluoxetine, and paroxetine. So, make sure the doctor prescribing your mental health medications knows if you have hypertension.

Is Lexapro bad for your heart?

High doses of the antidepressants citalopram (Celexa) and escitalopram (Cipralex, Lexapro) do not appear to carry greater risk of sudden cardiac death than comparable doses of other selective serotonin reuptake inhibitors (SSRIs), according to a new study in the Journal of Clinical Psychiatry.

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What are the worst side effects of Zoloft?

Tell your doctor if you have serious side effects of Zoloft including:

  • very stiff (rigid) muscles, high fever, sweating, confusion, fast or uneven heartbeats, feeling like you might pass out;
  • agitation, hallucinations, fever, overactive reflexes, tremors;
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