I am a 62year old male. I had my first heart attack 6 years ago and had three stents paced. Six months later I had another procedure to place stents because of thrombosis at one of the stent sites. About 2 years ago I had another heart attack and had two more stents placed. About six months ago I had to undergo another procedure due to thrombosis. the Doctor tells me that my next procedure will be bypass surgery. That is my cardiac history.
About three weeks ago I saw a neurologist due to a diagnosed neuropathy. He prescribed 50 mg. daily of oral Nortriptyline. I mentioned my cardiovascular disease to the doctor, but I did not go into any detail. Since then, I have discovered that there are strong warnings against using this drug if you have cardiovascular disease. Is this low dose safe for me to take? Should I be taking this drug at all?
There are studies that have shown that even low dose nortriptyline can have negative effects on the heart for those that have known heart disease. These trials have usually compared nortriptyline with other drugs not specifically looking at neuropathy. That being said, I would discuss this with your cardiologist before you start the medication.
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