Am J Psychiatry 1986; 143:1603-1605
Copyright © 1986 by American Psychiatric Association
Paradoxical effects of amitriptyline on borderline patients
PH Soloff, A George, RS Nathan, PM Schulz and JM Perel
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.