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Paradoxical effects of amitriptyline on borderline patients

Published Online:https://doi.org/10.1176/ajp.143.12.1603

A paradoxical increase in suicide threats, paranoid ideation, and demanding and assaultive behavior occurred among 15 borderline inpatients receiving amitriptyline in a double-blind study. This pattern differed significantly from that of 14 nonresponding patients receiving placebo.

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