A member asked:

Does amitriptyline work well for hypochondria? i'm only on 10mg, x4 weeks. not helping much, brought my appetite back, thats it. can i take citalopram 10mg in morning and amtriptyline 10mg at bedtime?

8 doctors weighed in across 4 answers
Dr. Marsha Davis answered

Specializes in Internal Medicine

Shows promise: And yes you can take both medications that way.

Answered 5/23/2018

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Dr. James Okamoto answered

Specializes in Family Medicine

Always ask your doc: Always ask your doc before making changes in your medications - whether its the dosage, time you take it, or if you want to add a medication! there is no "standard treatment" that works for every patient when it comes to treating anxiety, depression, or hypochondria. Your doctor may want to add an ssri to your treatment, but that should only be done after you have discussed it with him/her.

Answered 7/19/2016

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Dr. Pamela Pappas answered

Specializes in Psychiatry

Need therapy too: Amitriptylene does not "work for hypochondria" per se, but it can decrease certain physical symptoms like anxiety, insomnia, and loss of appetite. At this low dose it can be taken safely at bedtime while you're also on Celexa (citalopram) -- hoping you're working with a psychiatrist on this. Individual psychotherapy is essential in hypochondriasis, so you learn to work with anxiety in healthy ways.

Answered 11/28/2017

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Dr. Joel Gallant answered

Specializes in Infectious Disease

May help: There is no great drug treatment for hypochondriasis, but antidepressants can help control obsessive thoughts and compulsive behaviors, which may help. The usual effective doses of Amitriptyline are above 75 mg per day, so you have a long way to go. Citalopram at dose of 20-40 mg per day may be an easier and more effective approach.

Answered 6/24/2014

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