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Doctor insights on: Amitriptyline Anxiety Dosage

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Dr. Heidi Fowler
3,276 Doctors shared insights

Anxiety (Definition)

Anxiety is a general term for several disorders that cause nervousness, fear, apprehension, and worrying. These disorders affect how we feel and behave, and they can manifest real physical symptoms. Mild anxiety is vague and unsettling, while severe anxiety can be extremely debilitating, having a serious ...Read more


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Doc keeps giving me endep (amitriptyline) for Fibromyalgia but it's gives me anxiety and I've told him this. What else can I take? Doc wants me to take higher dose

Doc keeps giving me endep (amitriptyline) for Fibromyalgia but it's gives me anxiety and I've told him this. What else can I take? Doc wants me to take higher dose

Lots of options: Amitiptylene has a lot of side effects and if you don't like how you feel on this dose, DO NOT increase the dose. First, make sure the diagnosis is correct since there are many things that can cause similar symptoms and those have a totally different treatment plan. Seek out a pain management physician for consultation to be sure and to evaluate all your options. ...Read more

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Which is safer for anxiety and headaches 20 milligrams of amitriptyline everyday or 50 milligrams of 5-htp everyday?

Which is safer for anxiety and headaches 20 milligrams of amitriptyline everyday or 50 milligrams of 5-htp everyday?

5 HTP is generally: Used for depression. Please do what your doc says and don't change meds w/out asking him/her first. Having said that, there are many behavioral and natural approaches to anxiety. Consider seeing a clinical psychologist who can teach you some techniques. Peace and good health. ...Read more

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Taking 150 mg of endep (amitriptyline) for fibromyalagia & anxiety for 1 wk, still have anxiety, will this get any better?

Taking 150 mg of endep (amitriptyline) for fibromyalagia & anxiety for 1 wk, still have anxiety, will this get any better?

Anxiety may: Learning some skills and techniques would help your anxiety. A medication may provide some relief, but strategies and methods are usable any time your anxiety is triggered. ...Read more

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They prescribed me with amitriptyline 10mg for pain in my hips, will they help with my anxiety too?

They prescribed me with amitriptyline 10mg for pain in my hips, will they help with my anxiety too?

Amitriptyline: Technically, a "wider spectrum" antidepressant; it impacts several different transmitter systems. At this low dose, the antihistamine impact may help with sleep and help you make other transmitters that help with pain. It is not directly anti-anxious rx, and sometimes a side effect of rapid heart rate can make you feel more anxious, sometimes not - so it might help. Assess the side effects. ...Read more

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25mg amitriptyline for 8 years. Feel anxiety/stress 2 days after drinking. Symptoms can last up to a week. Feels like no pili. Is this related?

25mg amitriptyline for 8 years. Feel anxiety/stress 2 days after drinking. Symptoms can last up to a week. Feels like no pili. Is this related?

Probably: The best evidence of the relationship of your symptoms to your drinking is the history you give, but I can also think of a way to justify it. Amitriptyline is a tca and 25 mg is a very low dose. We have shown that, with ssris, even moderate alcohol use can interfere with its effectiveness, and I would suspect the same is true for amitriptyline. Consider drinking less or not at all. ...Read more

Dr. Alan Ali Dr. Ali
6 doctors agreed:
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Taking amitriptyline (endep/elavil) for refractory anxiety disorder. What side effects can I expect?

Dr. Alan Ali Dr. Ali
6 doctors agreed:
Taking amitriptyline (endep/elavil) for refractory anxiety disorder. What side effects can I expect?

Elavil (amitriptyline): Is an antidepressant with sedating and drying effects, causing heart rate changes, dry mouth/eyes, constipation, depending on dose. It relieves depression, pain of neurogenic origin, headache and insomnia. ...Read more

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Will 10mg of amitriptyline increase serotonin and noreph. Levels to assist with stress and/or anxiety?

Will 10mg of amitriptyline increase serotonin and noreph. Levels to assist with stress and/or anxiety?

LOW DOSE: Amitriptyline can help 10mg is super low dose may need an increase or consider other meds. ...Read more

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I started taking 10mg of Amitriptyline a couple of weeks ago. It seems to be agitating my anxiety and ADHD. Will these side effects start to diminish?

I started taking 10mg of Amitriptyline a couple of weeks ago. It seems to be agitating my anxiety and ADHD. Will these side effects start to diminish?

Talk to your doctor: It is common for this medication to have this side effect. Some psychiatrists may suggest to give it more time to see if these symptoms improve. On the other hand, if the side effects are intolerable, call your doctor and ask for his/ her advice. ...Read more

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Can amitriptyline cause intense feelings of anxiety? I've been on it for 10 days and started feeling severe anxiety all day but heart rate is normal.

Can amitriptyline cause intense feelings of anxiety? I've been on it for 10 days and started feeling severe anxiety all day but heart rate is normal.

Not likely: Anxiety is a frequent comorbidity with depression. It is more likely that your anxiety is a comorbid condition of your own, related to your depression, for which endep (amitriptyline) has been prescribed. You may need a separate medicaion for anxiety. ...Read more

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Taking 150mg of endep (amitriptyline) for anxiety & fibromyalagia. Still have bad anxiety, is it safe to go up to 200mg? I've seen my GP just after 2nd opinion.

Taking 150mg of endep (amitriptyline) for anxiety & fibromyalagia. Still have bad anxiety, is it safe to go up to 200mg? I've seen my GP just after 2nd opinion.

Specialist: The best second opinion would be to see a psychiatrist. That way they can get all your history from your GP, speak with you, and give you specific advice. ...Read more

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Can I please get a prescription for elavil (amitriptyline)? I suffer from depression also anxiety.

Can I please get a prescription for elavil (amitriptyline)? I suffer from depression also anxiety.

Elavil (amitriptyline): Prescription medications can only be dispensed after face-to-face contact with the doctor. Sorry. ...Read more

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I take 150 mg. Amitriptyline at night for anxiety and depression. Does drinking caffeine takes away the benefits of the medication?

I take 150 mg. Amitriptyline at night for anxiety and depression. Does drinking caffeine takes away the benefits of the medication?

Can add to anxiety: Caffeine doesn't alter the antidepressant effect of Elavil (amitriptyline), but it can cause or worsen anxiety. So in that sense it could counteract the effect of the medication. Low to moderate amounts of caffeine shouldn't be a problem unless you're fairly sensitive to it, but on general principles I advise anxious patients to minimize caffeine. ...Read more

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Is it safe to take Amitriptyline 50g & citalopram 40g together. I use the Amitriptyline for neuropathic pain and Citalopram for anxiety?

Is it safe to take Amitriptyline 50g & citalopram 40g together. I use the Amitriptyline for neuropathic pain and Citalopram for anxiety?

Do: You mean 50mg and 40 mg? Because those are unusually high doses. The combination is common however the physician will have to overwrite the drug to drug interaction if using e prescribing ...Read more

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Endep (amitriptyline) that I take for anxiety, causes my tongue to burn and makes swallowing difficult. Any better alternative for anxiety?

Yes: While amytriptyline has some antianxiety effects, it is unusual for it to be prescribed for that purpose. There is a wide range of medications for anxiety. Which one would fit best for you -- this is a matter to be discussed with your doctor. ...Read more

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I take 40mg citalopram is it safe to take Amitriptyline also to stop my bladder urgency? Or recommend some other anxiety medications stop urgency

I take 40mg citalopram is it safe to take Amitriptyline also to stop my bladder urgency? Or recommend some other anxiety medications stop urgency

Consult prescriber: Citalopram + amitriptyline can increase risk of rare serious serotonin syndrome, which may include symptoms such as confusion, hallucination, seizure, extreme changes in blood pressure, increased heart rate, fever, excess sweating, shivering, shaking, blurred vision, muscle spasm/stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, diarrhea. Severe case may include coma and death. ...Read more

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Scared of lymphoma. No swollen nodes per dr. Lost 15lbs in 1.5 months because of no appetite. Doc says it was dep/anxiety. On amitriptyline 10mg, appetite is back, not gaining/losing weight, lymphoma?

Diagnosing: I believe in doing a complete history and physical exam. Getting an impression. Then a plan. First a diagnostic plan which includes blood tests, x-rays, ct if I think it is necessary. Your physician knows you and perhaps she is aware that you have depression and anxiety. Hopefully you tell her about your diet and exercise. Perhaps that is why you are prescribed amitryptyline. Never assume. ...Read more

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Dr. Jeffrey Satinover
377 Doctors shared insights

Elavil (Definition)

Elavil is a tertiary amine tricyclic which is a kind of tricyclic type drug (serotonin-norepinephrine reuptake inhibiting ...Read more


Dr. Heidi Fowler
326 Doctors shared insights

Endep (Definition)

Endep is a tertiary amine tricyclic which is a kind of tricyclic type drug (serotonin-norepinephrine reuptake inhibiting ...Read more