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Trazodone Hydrochloride and Cardiovascular disease

Result of checking the interaction of drug Trazodone Hydrochloride and disease Cardiovascular disease for safety when used together.

Check result:
Trazodone Hydrochloride <> Cardiovascular disease
Relevance: 23.07.2019 Reviewer: Shkutko P.M., M.D., in

When checking interaction based on authoritative sources Drugs.com, Rxlist.com, Webmd.com, Medscape.com there are contraindications or side effects that may cause harm or increase the negative effect from drug use in presence of concomitant diseases.

Consumer:

Although less cardiotoxic than the tricyclic antidepressants, trazodone may be arrhythmogenic in some patients with cardiac disease. The use of trazodone has been associated with the occurrence of arrhythmias, including PVCs, ventricular couplets, ventricular tachycardia, atrial fibrillation, and heart block. Myocardial infarction has been reported. Trazodone should not be used during the acute recovery phase following myocardial infarction, and should be administered only with extreme caution in patients with hyperthyroidism and/or cardiovascular disease. Close monitoring of cardiovascular status, including ECG changes, is recommended at all dosages. Many of the newer antidepressants, including bupropion and the selective serotonin reuptake inhibitors (SSRIs), are considerably less or minimally cardiotoxic and may be appropriate alternatives.

References:
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  • Vlay SC, Friedling S "Trazodone exacerbation of VT." Am Heart J 106 (1983): 604
  • Aronson MD, Hafez H "A case of trazodone-induced ventricular tachycardia." J Clin Psychiatry 47 (1986): 388-9
  • Glassman AH "The newer antidepressant drugs and their cardiovascular effects." Psychopharmacol Bull 20 (1984): 272-9
  • McCracken J, Kosanin R "Trazodone administration during ECT associated with cardiac conduction abnormality." Am J Psychiatry 141 (1984): 1488-9
  • White WB, Wong SH "Rapid atrial fibrillation associated with trazodone hydrochloride." Arch Gen Psychiatry 42 (1985): 424
  • "Product Information. Desyrel (trazodone)." Bristol-Myers Squibb, Princeton, NJ.
  • Himmelhoch JM, Schechtman K, Auchenbach R "The role of trazodone in the treatment of depressed cardiac patients." Psychopathology 17 (1984): 51-63
  • Rausch JL, Pavlinac DM, Newman PE "Complete heart block following a single dose of trazodone." Am J Psychiatry 141 (1984): 1472-3
  • Pellettier JR, Bartolucci G "Trazodone and cardiovascular side effects." J Clin Psychopharmacol 4 (1984): 119
  • Lippmann S, Bedford P, Manshadi M, Mather S "Trazodone cardiotoxicity." Am J Psychiatry 140 (1983): 1383
  • Irwin M, Spar JE "Reversible cardiac conduction abnormality associated with trazodone administration." Am J Psychiatry 140 (1983): 945-6
  • Vitullo RN, Wharton JM, Allen NB, Pritchett EL "Trazodone-related exercise-induced nonsustained ventricular tachycardia." Chest 98 (1990): 247-8
  • Janowsky D, Curtis G, Zisook S, Kuhn K, Resovsky K, Le Winter M "Trazodone-aggravated ventricular arrhythmias." J Clin Psychopharmacol 3 (1983): 372-6
  • Janowsky D, Curtis G, Zisook S, Kuhn K, Resovsky K, Le Winter M "Ventricular arrhythmias possibly aggravated by trazodone." Am J Psychiatry 140 (1983): 796-7
Trazodone Hydrochloride

Generic Name: trazodone

Brand Name: Desyrel, Desyrel Dividose, Oleptro

Synonyms: Trazodone, TraZODone

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