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Doctor insights on: Amitriptyline Anxiety Dosage

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Dr. Heidi Fowler
3,299 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?

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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Could taking 5mg amitriptyline at night and 5mg Nortriptyline in the morning help me sleep yet still work on the anxiety? Is it safe?

Psychiatrist: Please discuss with your psychiatrist or professional who prescribed your medications. This is individualized therapy that is best when tailored to your special needs. Make sure that all your providers are aware of all medications prescibed that you are taking. ...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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Can anxiety cause burning sensation in legs? Would amitriptyline help for this?

Anxiety - burning: Anxiety cannot cause a burning sensation in the legs, but Amitriptyline will help the symptoms as the med is a nerve pain agent, and burning is a symptom of nerve pain. ...Read more

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Which is better for anxiety disorer, depression, panic attack and help you gain weight, amitriptyline or remerom?

Which is better for anxiety disorer, depression, panic attack and help you gain weight, amitriptyline or remerom?

Horse racing: Picking the winner is not possible. Each medication works well for some and causes problems for others. Your doctor may know you well enough to make a good choice or may need to refer you to a trained specialist. This is not a D.I.Y. type project - you need to be monitored and note that CBT therapy always optimizes medication effectiveness. Best! ...Read more

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I have G A D, an in borne genetic anxiety disorder. I am on effexor Amitriptyline and Trazodone. I am fed up of meds. Is this disease curable. Thanks?

I have G A D, an in borne genetic anxiety disorder. I am on effexor Amitriptyline and Trazodone. I am fed up of meds. Is this disease curable. Thanks?

GAD: Please do not change your medications w/out the guidance of your doctor. Choose one, perhaps your primary care doctor, since he/she looks at your overall health picture. Have you seen a psychologist for other kinds of help such as clinical hypnosis (see www. Asch. Net), biofeedback, or psychotherapy? All if these can help w/anxiety. Peace and good health. ...Read more

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Diarrhea, no appetite x4weeks. Started amitriptyline 10mg for anxiety. Diarrhea stopped, appetite came back. Gained back 3lbs. Now have mild lower back pain. Chances of this being lymphoma? 26/f.

Why lymphoma?: Your diarrhea and appetite have improved. 10 mg of Amitriptyline is a tiny dose. Your anxiety may improve with a higher dose. Is there some other reason why you are thinking lymphoma? See your doctor to discuss whether there is any reason to look at that further and ask about increasing the ami a little bit as well for anxiety. Best wishes to you! ...Read more

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Which meds is better amitriptyline or seroquerl or Prozac (fluoxetine). I have depression, anxiety disorder, panic disorder, dr has change meds 5 times now?

Which meds is better amitriptyline or seroquerl or Prozac (fluoxetine). I have depression, anxiety disorder, panic disorder, dr has change meds 5 times now?

Can't say: The 'best' one is the one that works for you. Unfortunately it is difficult to predict how people will respond to psychoactive medications and medication changes are not uncommon. Once someone has tried (honest effort of at least a few weeks) several medications without the desired response, a re-evaluation of the original diagnosis should be considered. ...Read more

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Can anxiety make your heart feel like it's going to explored, I take klonopin (clonazepam) and amitriptyline, I see a d nothing is helping, tired going to the ER?

Can anxiety make your heart feel like it's going to explored, I take klonopin (clonazepam) and amitriptyline, I see a d nothing is helping, tired going to the ER?

Reassured?: You may already trust that your heart is not the problem, but if not, do have tests that will satisfy you. Then - yes - stop ER visits. The amitriptyline alone has cardiac side effects and in combo they can be heightened. Consider requesting a different antidepressant and plan Rx to avoid such side effect risks. Best wishes! ...Read more

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Hi, I am taking celexa 20 mg for depression and anxiety and klonopin (clonazepam) for anxiety and panic. Could I replace the klonopin (clonazepam) with amitriptyline safely?

Hi, I am taking celexa 20 mg for depression and anxiety and klonopin (clonazepam) for anxiety and panic. Could I replace the klonopin (clonazepam) with amitriptyline safely?

Not enough info: Switching medications requires knowledge of your entire clinical situation. You need to discuss with prescribing doctor reason for changing any med and how to do so. Also you must be seen and carefully monitored for symptoms and side effects. I hope this helps. ...Read more

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I'm on elavil (amitriptyline) 25 yrs.150 mg. For depression & anxiety-xanax on & off could I switch to ssri. I'd need ssri w/ sedative effect like elavil (amitriptyline) - recommend?

I'm on elavil (amitriptyline) 25 yrs.150 mg. For depression & anxiety-xanax on & off could I switch to ssri. I'd need ssri w/ sedative effect like elavil (amitriptyline) - recommend?

Options are availabl: Alternatives to xanax (alprazolam) are available. Discuss options with your physician. Abrupt unsupervised discontinuation of high regular xanax (alprazolam) doses can lead to withdrawal symptoms and possibly seizures. ...Read more

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I Amon 60mg of citalopram and 50 mg of amitriptyline I am also on 60mg of mirtazapine. Am having anxiety and jaw clenching and dizziness!!

I Amon 60mg of citalopram and 50 mg of amitriptyline I am also on 60mg of mirtazapine. Am having anxiety and jaw clenching and dizziness!!

Combination not good: Consult prescribing provider. Issues with this med combination: Amitriptyline and Citalopram - higher risk for Serotonin Syndrome which may be related to clenching, muscle tension and concomitant anxiety. Citalopram Max Dose recommended is 40mg. Higher may not be useful also problematic with Amitryptiline. The dose of Mirtazapine seems high and may be related to dizziness. Consult provider. ...Read more

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Is Imipramine with Buspirone a good option to treat social anxiety & depression if sertraline, duloxetine, venlaflaxine, amitriptyline haven't helped?

Is Imipramine with Buspirone a good option to treat social anxiety & depression if sertraline, duloxetine, venlaflaxine, amitriptyline haven't helped?

Caution: Imipramine + buspirone may interact to increase risk for serotonin syndrome. Be sure you are closely supervised by prescribing doctor while taking these meds. Imipramine alone is effective for both depression and anxiety. See: http://www. Mayoclinic. Org/diseases-conditions/serotonin-syndrome/basics/definition/con-20028946 I hope this helps. Best wishes. ...Read more

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Lymphoma? Had diarrhea and no appetite x4weeks lost 10lb. Doc put me on amitriptyline 10mg. Thought anxiety and depression. Appetite is back. No more weight loss, no gain either. Intestinal lymphoma?

Lymphoma? Had diarrhea and no appetite x4weeks lost 10lb. Doc put me on amitriptyline 10mg. Thought anxiety and depression. Appetite is back. No more weight loss, no gain either. Intestinal lymphoma?

Doubtful: It is doubtful that you have an intestinal lymphoma. The main thing is that your weight has stabilized. Your doctor was probably correct his diagnosis of depression and anxiety as both of those can cause the symptoms that led to your weight loss. Overtime your weight will likely return unless of course you diet. Keep in touch with your family doctor if you develop any further symptoms so that you could be evaluated further if necessary. The likelihood of an intestinal lymphoma is exceedingly low. Enjoy your holidays. Best wishes. ...Read more

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Chronic leg pain and depression and anxiety. Peripheral neuropathy or any neurological disease ruled out. Would amitriptyline be a good treatment?

Combinations: Of amitriptyline with another psychoactive drug are used for treatment of continuous chronic pain disorders with anxiety and depression. Examples are Triavil and Etrafon, which combine amitriptyline and perphenazine, and Limbitrol, (chlordiazepoxide and amitriptyline) composed of amitriptyline and chlordiazepoxide. Ask your doctor for more information. ...Read more

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What home treatments can l do do for anxiety? I occasionally take 5mg of endep at night to relax. Anxiety worse at night

Treatments: While there may be a number of things that might be attempted, it is strongly suggested you see a professional who can evaluate your condition. Cognitive behaviour therapy can be very helpful in this regard to provide approaches to deal with anxiety. ...Read more

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I am being prescribed Lexapro, wellbutrin and elavil for depression and anxiety. Is this combo safe?

Drug Interactions: Elavil (amitriptyline) + Wellbutrin (bupropion) ^ es seizure risk. Escitalopram +amitriptyline ^'es risk of serotonin syndrome. Wellbutrin + Lexapro ^es seizure risk. I am assuming that the Elavil is added in for insomnia or pain control and not for depression/ anxiety. This does not mean that these drugs can't be used together but there are possible drug interactions. D/W your physician. ...Read more

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On saphris (asenapine) 5mg/night 2wks now, on elavil 100mg/d 1y. Saphris (asenapine) maybe to help w/sleep and anxiety. Carb craving intense after saphris (asenapine). How to stop?

Variety of causes: Antipsychotic compounds such as saphris (asenapine) are linked with weight gain and the causes can be multifactorial ranging from modification of stress response system to Insulin resistance. The best strategy would be to use minimally effective dose of medication and combine it with a regimented exercise (cardio) program. If this fails, switching to another agent may be useful. ...Read more

Dr. Jeffrey Satinover
380 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
329 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