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A 55-year-old female asked:

how do you wing off 25mg amitriptyline?

4 doctor answers7 doctors weighed in
Dr. Eric Weisman
Neurology 36 years experience
Elavil (amitriptyline): can be weened over a period of a few weeks at this dose. Be sure to discuss this with your prescribing doctor. If you have it in tablet form you can break it into quarters and take away one quarter every 5 days. Consider replacing it with Pamelor (nortriptyline) which is less anticholinergic (dry mouth blurred vision etc)
Dr. Lynne Weixel
Clinical Psychology 36 years experience
Slowly, best w/ Dr.: Best to have a Dr guide you. But if you must wean yourself alone, your dose (daily?) is quite low, so it should be relatively easy - but still go slowly. It has a long half-life (12-24hrs) so you could do a week or two of every other day, then a week or two of 10mg/day, then 10mg every other, then every 3rd day, 4th day, till it feels ok to stop. Again, a Dr's help is good to have. Best!
Dr. William Schmidt
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Your doctor will hel: it should be done slowly and your doctor should advise you
Dr. Rex Mahnensmith
A Verified Doctoranswered
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Wean Amitriptyline: Weaning from Amitriptyline should be doctor-directed; your dose of 25 mg is very low; if your doctor approves, you can take 25 mg alternating with 12.5 mg for about one-two weeks, then drop to 12.5 mg daily for one-two weeks, then stop it - but ask your doctor

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A 45-year-old member asked:

Can you take elavil and atarax (hydroxyzine) together?

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Dr. Douglas Bey
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Yes: They both r a little sedative but shouldn't b much of a problem.
A 46-year-old member asked:

Can you take Lexapro (escitalopram) and endep?

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Dr. Alan Alianswered
Psychiatry 32 years experience
Endep & Lexapro (escitalopram): Endep is Amitriptyline which is a tricyclic antidepressant. As long as endep dose is low & taken at bedtime, while Lexapro (escitalopram) in morning, i see no problems. Doses of Elavil higher than 50 mg. Can cause weakness & incoordination.
A 35-year-old member asked:

What is the treatment for elavil (amitriptyline) overdose?

1 doctor answer6 doctors weighed in
Dr. Neil Liebowitz
Psychiatry 39 years experience
ER: Elavil (amitriptyline) is a dangeous medication in od. If you or someone you think took and od, i would call 911 and go to er. There can be heart irregularities with serious consequences. Discuss what dose you should be on and tell if it is not working. There is no home remedy for this od.
A 31-year-old member asked:

How much extra elavil (amitriptyline) does it take before you have to think about overdose?

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Dr. Neil Liebowitz
Psychiatry 39 years experience
Depends: Elavil (amitriptyline) can interact with several other meds such that even a low dose can be toxic and some people don't metabolize well. You should discuss with your prescriber your concerns. If thinking of a suicide plan, tell them as well. It's not a pleasant nor sure thing and other help is available if this isn't working.
A 47-year-old member asked:

I am on endep, (amitriptyline) I have ran out and can not get anymore tonight. Will I go through withdrawal?

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Dr. Marc Zimmermann
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Probably not: Usually this type of delay will not cause difficulty.

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Last updated May 23, 2016
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