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Hypotension and bradycardia induced by amitriptyline in healthy volunteers

โœ Scribed by Stephen H. Curry; C. Lindsay Devane; M. Michael Wolfe


Book ID
102265308
Publisher
John Wiley and Sons
Year
1988
Tongue
English
Weight
452 KB
Volume
3
Category
Article
ISSN
0885-6222

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โœฆ Synopsis


Seventeen healthy volunters in three groups received no treatment, or 25 or SO mg doses of amitriptyline. Maximal measured concentrations of amitriptyline occurred at 4 h post-dosage. There was a dose-dependent change i n performance of a digit symbol substitution test. Visual analogue scales measuring drowsiness, speed of thinking, and lethargy were sensitive to the drug. The low dose induced no blood pressure changes, but tachycardia occurred. The higher dose induced hypotension with bradycardia, a hitherto undocumented reaction to the drug.


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We have compared the effects of single oral doses of fluvoxamine (50 mg and 100 mg), amitriptyline (50 mg and 100 mg), and placebo on some autonomic functions in ten healthy volunteers, using a balanced, double-blind, crossover design. Amitriptyline significantly reduced salivation, the miosis evoke