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A member asked:
Amitriptyline for lower abdominal burning makes me really tired 24/7 and stops working with each increase i am at 20mg now. what medications should i ask my doc about? imipramine?? i am not compatible with nortriptyline. pls only comment suggestions?
A doctor has provided 1 answer
I’ll presume this regards IBS-D type, a challenging chronic illness. I strongly advise a multi-treatment approach. I would stay recommend Imipramine at 10 mg (this dose should be well tolerated), add an antispasmodic such as hyoscyamine for acute pain, be very careful with diet, and perhaps add peppermint oil as a supplement. Many also find a bulking agent like MiraLax beneficial.
Answered 2/24/2022
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For functional dyspepsia (lower abdominal burning/nausea/loss of appetite), if amitriptyline is too sedating/tired making at low dose of 20mg but works well and nortriptyline made my heart race, should I talk to my doc about desipramine or imipramine?
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Amitriptyline works and stops working with each increase after 1 week on each dose, i am on 20mg and i have lower abdominal burning. What medications besides nortriptyline should I ask my doctor about? Amitriptyline also makes me very tired all day!?
For functional dyspepsia (lower abdominal burning/nausea/loss of appetite), if amitriptyline is too sedating at low dose 20mg but works well and nortriptyline made my heart race, what tryclic should I talk to my doctor about? Desipramine or imipramin?
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