I have been taking these for nearly a year, doctor has now said I need to reduce the dosage and have to have an ECG as they are not a long term thing, anyone else had to do this
ive been on 20mg for a year and asked my doc if i can start to reduce the dose now so now on 15 mg.i have a friend whos been on them for 6 years now and shes never mentioned an ecg but shes only on 20 mg.
I have no personal experience of anti-depressants as I have never needed them, but heart problems have been shown to be brought on by this drug in some individuals and it is dose related.....the larger the dose, the greater the chance.
40mgms is not that big a dose, but your doctor may well be extra careful for good reasons.