What would be the safest ssri for a patient with heart disease (stents)?

Cardiologists..... Please answer...... What do you think? I have always gotten the feeling that they favor zoloft, but i don't know if that is still true. Lexapro may be fine with them as well. I would love to hear what they have to say. Sounds like you may be ready to give up on the Cymbalta (duloxetine) for an ssri? In general an ssri would take the place of the cymbalta (duloxetine). Speak to your prescribing psychiatrist about this.
Lexapro (escitalopram) It is my opinion that Lexapro would be the safest. My rationale for this is that it has fewest drug drug interactions of all of the medications of its class. When you are having a cardiac condition there are a lot of drugs that can potentially interact with ssris. Citalopram which is close to lexapro, can cause potential difficulties with what is referred to as a prolonged qtc interval. It would be best to avoid that.Zoloft, paxil, (paroxetine) luvox, all have significant drug drug interactions that would be preferable to avoid. Lexapro also has the advantage of working very well in generalized anxiety disorder which often accompanies cardiac conditions. Best wishes.

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I'm 19 years old and a hypochondriac. I am being put on an SSRI but am worried about the side effects. What are the chances of heart disease and death?

Unlikely. It would be very unlikely for an otherwise healthy young person to experience heart disease or death from anti-depressants in usual doses. Close monitoring for efficacy and side effects is usually employed by your prescribing physician. I hope you are feeling better very soon! Read more...

Can children of a patient with heart disease also get heart disease?

Sometimes. There are a couple heart conditions that are genetic, such as cardiomyopathy, and some arrhythmias. For the "ordinary" heart disease caused by cholesterol, high blood pressure, and such, it's more vague. While the lifetime risk of heart disease may be due to eating, alcohol use and smoking, and exercise, there is a genetic link in susceptibility. So if dad has heart disease, take care of yourself. Read more...
May be. Some cardiomyopathies and arrhythmias are familiar or inherited. Mostly autosomal dominant. Which mean that one copy of the gene fault, from either parents, is enough to cause the condition. Different from other forms of heart disease, like coronary artery disease, which is cause by many genes and affected by environmental causes like diet and lifestyle. Read more...

What does ER do if a patient with heart disease and tachycardia has anaphylaxis shock? Do they still give epinephrine injection?

Usualloy yes. Tachycardia is frequently caused by anaphylaxis. The only drug that truly treats the condition is epinephrine. Therefore, the drug should still be used in patients with heart disease. However, a good way of reducing the danger from the medication is to give lower initial doses, e.g. A pediatric dose of 0.15mg im, which can be repeated every 10 minutes as necessary. Read more...

Can patients with heart disease go on daily home hemodialysis?

Yes. Daily home dialysis is better tolerated by most patients compared to in center dialysis as small amount of fluid and toxins are removed with each session. Read more...
Dialysis. This is a decision for the patient and the nephrologist to make. The heart disease isn't the limiting factor. Read more...