Conversation: The conversation between human and AI assistant.
[|Human|] i am having medication for depression for 18 years,i am having clonazepam and amitriptylene,recently my doctor wanted to change my medication but it didn t suit me...now i am not able to adjust in my old dose.i feel rapid palpitations and cold body,feet,i had done ECG ,Echo and TMT 2 yrs. back all were normal,only i could not walk for long in TMT,i had fatigue..pls suggest if my heart is ok
[|AI|]  It seems that your cardiac parameters were normal 2 yrs back. You need to go for preliminary cardiac evaluation again. If they are normal then your doctor can think of venlafaxine or desvanlafaxine starting from low dose along with low dose of clonazepam during daytime & higher dose at nighttime. These molecule better control navigability component. Gradually omit daytime & later nighttime clonazepam.