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

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.

It varies: There are two critical things that would determine the level of dangerousness of the dose: 1) if you are taking it with anything that slows down the clearance of it (particularly Prozac (fluoxetine) and paxil). 2) whether or not you are a "poor, " "normal, "\ or "extensive" metabolizer in a particular liver system which breaks it down, known as "2d6.".