Aa
Depression and Long QT
I am suffering from depression but I have Long Qt and am obese , diabetic and have svt's my GP has been unable to find any medication that is suitable - do you have any suggestions?
I have prolonged Q-T but not vtach or vfib...my problems are atrial tachy/flutter post ablation. My mood leveler is lamotrigine 25 mg bid, BUT I also take Flecainide 100 mg bid to control my irregular rhythm.
After going thru so many other anti arrhythmics, Flecainide worked for me. I checked for interactions on several websites and nothing came up between the two. I am seeing the Psych next week and am definitely going to bring all of this up. I haven't shared this with my cardiologist yet, but I will. I am also going to call my EP and get his thoughts on the subject.
I will deal with the depression on my own without the mood leveling drug if it means knocking my ablated heart back into Afib! Absolutely!
Thank you all for your good information, and esp to "is_something-wrong"... I am going to the links that you listed to read up on this stuff now! Thanks again!
After going thru so many other anti arrhythmics, Flecainide worked for me. I checked for interactions on several websites and nothing came up between the two. I am seeing the Psych next week and am definitely going to bring all of this up. I haven't shared this with my cardiologist yet, but I will. I am also going to call my EP and get his thoughts on the subject.
I will deal with the depression on my own without the mood leveling drug if it means knocking my ablated heart back into Afib! Absolutely!
Thank you all for your good information, and esp to "is_something-wrong"... I am going to the links that you listed to read up on this stuff now! Thanks again!
Thank you all for your very helpful comments - I will make another appointment with my GP armed with your medication advice - as I do not live in ths US they may be unavailable here but at least it shows that treatment with medication is possible - I am waiting to see if I am accepted into the mental health system tomorrow as they are having an intake meeting then. I guess that I just have to be patient. It is just that I know that any treatment both medication and therapy takes time before any effects can be realised - I am grateful that you have taken the time to answer my questions and listen to me
There is an anti-d called nefazodone that might be a n option. It's an SNRI class. It's got got known liver side effects but this can be managed through careful monitoring. Brand names are Serzone or Nefadar.
There was a recent study that demonstrated correlation between depression and QT variability. Also for panic disorder.
Try copying and pasting this link into your address bar for more info.
http://scholar.google.com/scholar?q=depression+qt+variability&hl=en&as_sdt=0&as_vis=1&oi=scholart
There was a recent study that demonstrated correlation between depression and QT variability. Also for panic disorder.
Try copying and pasting this link into your address bar for more info.
http://scholar.google.com/scholar?q=depression+qt+variability&hl=en&as_sdt=0&as_vis=1&oi=scholart
My LQT isn't genetic but can be brought on by drugs - as I have said I have the list but unfortunately most of the anti depressants are on this list- I have suffered depression before and it took 12 years to overcome - and 3 1/2 years in a psychiatric hospital as well as many ect's one of which apparently stopped my heart which was the last one I received. I don't want to go down that dark road again ( I have been out of the mental health system for 5 years now)
my doctor tried putting me on anti depressants last year for anxiety but i refused them because of all the side effects, these included irregular heart, insomnia ect...
i researched the internet and found anti psychotics are the worse and can even cause sudden cardiac death
i researched the internet and found anti psychotics are the worse and can even cause sudden cardiac death
This question is really not easy to answer.
As you probably know, anti-depressants and antiarrhythmic drugs (class III) has QT prolonging as a side effect. You probably know long QT time increase the risk of a ventricular arrhythmia named Torsades de Pointes.
The list of drugs you cannot use can be found at www.torsades.org if you don't carry the papers with you. Just so you know.
SVT is usually treated with class 2 and 4 antiarrhythmic drugs (beta blockers and calcium channel blockers) that don't prolong the QT time. They can both slow the heart rate, though, which can sometimes prolong the QT time (but not the QTc though) but it's the actual QT time that is important.
How prolonged is your QT. Are you diagnosed with genetic LQTS? Do you frequent experience Torsades?
Depression can be treated without drugs, but it takes time. Since you've had an event of V-fib, do the doctors consider implanting an ICD?
As you probably know, anti-depressants and antiarrhythmic drugs (class III) has QT prolonging as a side effect. You probably know long QT time increase the risk of a ventricular arrhythmia named Torsades de Pointes.
The list of drugs you cannot use can be found at www.torsades.org if you don't carry the papers with you. Just so you know.
SVT is usually treated with class 2 and 4 antiarrhythmic drugs (beta blockers and calcium channel blockers) that don't prolong the QT time. They can both slow the heart rate, though, which can sometimes prolong the QT time (but not the QTc though) but it's the actual QT time that is important.
How prolonged is your QT. Are you diagnosed with genetic LQTS? Do you frequent experience Torsades?
Depression can be treated without drugs, but it takes time. Since you've had an event of V-fib, do the doctors consider implanting an ICD?
Although I have SVT's they are not considered dangerous - I have been having them for 38 years - the problem I have, is that with Long QT, which is different to SVT's there are many drugs that cannot be used (my Cardiologist printed 4 pages of them for me to keep with me whenever I need to see anyone even a chemist) so please don't worry about the SVT's I am sure that your Psychiatrist knows what she is doing. I have only been diagnosed since an anaesthetist gave me the wrong drug during an operation when my heart rate dropped too low and this subsequently caused fibrilation and cardiac arrest. I was lucky they persisted with CPR for 20 Minutes before they got a pulse apparently they were just about to stop. My main Problem now is a recurrence of depression and an inability to treat it with safe medication
My psychiatrist is treating depression and bipolarity with my antiarrhythmic meds and she is an MD. She stated that there were no interactions with my medications. Perhaps I should consult with my cardio Dr and my EP. I did not know that these drugs interfere with my heart. Please tell me how you know this information?
the best way would be to treat the depression by talking to a councillor and take meds for the svt, you cant take medication for depression because the meds can cause irregular heart rythm and this wouldnt be good to mix with heart problems, you should be looking into loosing weight if you're diabetic because you are more at risk of heart disease, good luck
Have an Answer?
You are reading content posted in the Heart Rhythm Community
Are there grounds to recommend coffee consumption? Recent studies perk interest.
Salt in food can hurt your heart.
Get answers to your top questions about this common — but scary — symptom
How to know when chest pain may be a sign of something else
A list of national and international resources and hotlines to help connect you to needed health and medical services.
Herpes sores blister, then burst, scab and heal.
