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At 12:01 am 22/03/98 -0500, Bruce Anderson wrote:
>What if  the the tricyclic (amitriptyline) was prescribed strictly as, and
>taken strictly as, a sleeping aid? I believe imipramine is also prescribed as a sleeping pill.  I wonder if he would suggest an alternative be found, which should be easier to do.
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In my case, amitriptyline 'was' presecribed as a sleep aid as well as an antidepressant, and it has worked reasonably well for me. While I do intend to discuss these latest findings with my doctor, I'm reluctant to change medications that are working for something else that may or may not work, especially since my system does not take kindly to the inroduction of new meds. Also if I take something else as a sleep aid, I would probably also need something else as a antidepressant, which means I would be introducing two new meds to my system. As my neuro said on my last visit, "It's better to dance with the devil you know..."

Again I refer you to the following paragraphs of the article:

>> Lead author Dr. Richard Hubbard says that ["although these findings need
confirmation in other studies,] it seems sensible to suggest that [any
patient with IPF who is taking tricyclic antidepressants, particularly imipramine,] should discuss with his or her doctor having this antidepressant changed to another drug." Hubbard adds that ["it seems sensible to avoid starting tricyclics in patients with IPF,] particularly now that there are a lot of other effective newer antidepressants available." However, he notes that
treatment decisions must be made on a case-by-case basis between patients
and their doctors, since "depression can be life-threatening, and some
cases respond only to tricyclic antidepressants."

The new finding needs to be confirmed by other studies, according to Dr.
Gary Hunninghake, director of the pulmonary division at the University of
Iowa Hospitals in Iowa City. ["For now, I would advise that patients taking
tricyclic antidepressants not stop their medications,"] said Hunninghake in
a statement released by the American Lung Association. ["They may want to
discuss this with their personal physician."]

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Judith Richards