title: Marked sinus tachycardia resulting from the synergistic effects of marijuana and nortriptyline.
abstract: A young patient experienced marked sinus tachycardia while smoking marijuana and receiving therapeutic doses of nortriptyline. The authors discuss the potential synergistic effects of these drugs and recommend treatment with propranolol.
mesh_terms: D000328:Adult; D013759:Dronabinol / Q000494:pharmacology*; D004357:Drug Synergism; D005260:Female; D006801:Humans; D002189:Marijuana Abuse / Q000150:complications*; D009661:Nortriptyline / Q000009:adverse effects* / Q000494:pharmacology; D011433:Propranolol / Q000627:therapeutic use; D013610:Tachycardia / Q000139:chemically induced* / Q000188:drug therapy
chemical_list: D013759:Dronabinol; D011433:Propranolol; D009661:Nortriptyline