Is an ECG needed when prescribing low-dose doxepin?

Question from a Member: It used to be recommended that [older] patients … have an EKG before beginning a tricyclic antidepressant. Is this still advised with low-dose doxepin? ECG when prescribing tricyclic antidepressants (TCAs) The American Psychiatric Association’s Practice Guideline for the Treatment of Patients with Major Depressive Disorder (3rd edition, 2010) notes (emphasis in…