Anxiety Community
Lexapro for bradycardia/neurocardiogenic syncope
About This Community:

This patient support community is for discussions relating to generalized anxiety, anxiety and eating, anxiety and sleeping, mood swings, panic attacks and panic disorders.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Lexapro for bradycardia/neurocardiogenic syncope

I understand that SSRIs are sometimes prescribed for neurocardiogenic syncope.  Is lexapro also effective and what would be an appropriate dose?
Related Discussions
4 Comments Post a Comment
Blank
404682_tn?1324583418
I'm not really sure if lexapro is one of the SSRI's used for this. The best person to talk to about this is your family doctor since dosage needs to be adjusted to individuals.

Jerz
Blank
460075_tn?1274853048
Neurocardiogenic Syncope is a form of autonomic failure.

While SSRI's with stimulating properties may be of some benefit (Lexapro, Prozac), they do not address the issue directly, but rather indirectly by stimulating the autonomic nervous system. SSRI's also act specifically on neurotransmitters in the brain, and this may not be a desirable effect in your situation. In short, better options are available.

The front-line treatment is to induce a state of sodium retention, which results in plasma expansion, and, consequently, a rise in orthostatic blood pressure.

Fludrocortisone 0.05 - 0.1 mg, b.i.d. is a corticosteroid typically prescribed for folks with neurally mediated syncope and neurocardiogenic syncope. The drug induces a state of sodium retention, which raises orthostatic blood pressure, and thus, minimizes or prevents syncope episodes - particularly those occurring with abrupt changes in posture.

Would suggest seeking the opinion of a cardiologist or neurologist who specializes in Dysautonomia. A baseline Isuprel tilt-table test will establish the diagnosis. A repeat tilt-table test would assess your response to the Fludrocortisone.

Would also suggest a 30-day cardiac event monitor, which you may trigger with the press of a button when you feel an "event" occur. This will exclude any abnormal cardiac rhythm that could potentially explain your symptomatology (ie: Wolf-Parkinson-White,  Lown-Ganong-Levine Syndrome, Brugada Syndrome).
Blank
Avatar_m_tn
I have taken Lexapro for 9 years now to control my NCS.  My doctor tried various other things including salt pills, support hose, beta blockers, and other SSRIs.  Lexapro is the only thing that worked for me.
Blank
Avatar_n_tn
Hi Donna,

I have been taking Lexapro for about six years now for vaso-depressor syncope but lately I have been feeling horrible. For instance, burning/anxious feeling constant and sometimes to the point to where my hands sweat. Do you think that I need to take a higher dose now? Have you experienced similar symptoms?

Ty
Blank
Post a Comment
To
Recent Activity
Avatar_m_tn
Blank
Alnan commented on Tramadol & Ultram...
3 hrs ago
Avatar_m_tn
Blank
Paxiled commented on The Dark Side of ...
4 hrs ago
Avatar_f_tn
Blank
HollowFeelings joined this community
Welcome them!
4 hrs ago
MedHelp Health Answers
Blank
Anxiety Tracker
Track Anxiety Symptoms
Start Tracking Now
Top Anxiety Answerers
Avatar_m_tn
Blank
cj29
GA
Avatar_f_tn
Blank
michigan07
Avatar_m_tn
Blank
Paxiled
Arlington, VA
Avatar_m_tn
Blank
ThePinkFloyd
Avatar_m_tn
Blank
anxiety860
Avatar_f_tn
Blank
remar
st. louis, MO
Anxiety Community Resources
RSS Expert Activity
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank
Top Anxiety Answerers
Avatar_m_tn
Blank
cj29
GA
Avatar_f_tn
Blank
michigan07
Avatar_m_tn
Blank
Paxiled
Arlington, VA
Avatar_m_tn
Blank
ThePinkFloyd
Avatar_m_tn
Blank
anxiety860
Avatar_f_tn
Blank
remar
st. louis, MO