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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Should Doxepin Or Amitriptyline Be Avoided While On A Pacemaker?

Is there any reason my mother cannot take doxepin or amitriptyline if she has a pacemaker. She is 89 and not sleeping at all. Her heart doctor took amitriptyline away from her and ignores her when she tells him she can t sleep anymore. Her primary doctor gave her Ambien and she woke up in the floor on the other side of the bed, so she quit that. She used to read books all the time, but now her eyes get tired and she can t even do that. Any ideas would be appreciated. She needs sleep very badly. She is also shaking bad. Debbie
Sat, 28 Jul 2018
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Cardiologist 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I would recommend discussing with her attending physician on the possibility of starting Mirtazapine for her sleep problems.

This is a relatively safe drug compared to Amitriptyline and Doxepine, which can help improve her situation.

Hope to have been helpful!

Wishing good health,

Dr. Iliri
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Why Should Doxepin Or Amitriptyline Be Avoided While On A Pacemaker?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would recommend discussing with her attending physician on the possibility of starting Mirtazapine for her sleep problems. This is a relatively safe drug compared to Amitriptyline and Doxepine, which can help improve her situation. Hope to have been helpful! Wishing good health, Dr. Iliri