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Dizziness and Antidepressants


Updated September 23, 2011

Dizziness, due to low blood pressure, is most common with tricyclic antidepressants (TCAs). The elderly are most often affected because they tend to be more sensitive to drug effects.

Coping strategies include:

  • Rise slowly from sitting and avoid sudden position changes.
  • Use handrails, canes or other sturdy items for support.
  • Wear properly fitted, non-slip shoes.
  • Make your living environment safer by removing throw rugs and furniture with sharp edges.
  • Use compression stockings or T.E.D. hose.
  • Avoid driving or operating machinery.
  • Avoid excess alcohol.
  • Avoid hot environments.
  • Drink plenty of fluids.
  • Take your medication at bedtime.
  • Talk with your doctor about lowering your dose.
  • Talk with your doctor about using medications which increase salt retention.
  • Talk with your doctor about changing medications.


Nettina, Sandra M. "Comprehensive Management of Dizziness in Elderly Clients." Topics in Advanced Practice Nursing eJournal 1.1 (2001). Accessed: March 6, 2008.

Alagiakrishnan, Kannayiram. "Postural and Postprandial Hypotension: Approach to Management." Geriatrics and Aging 10.5 (2007) : 298-304.

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