Doctor insights on:
Had costochondritis for over 3 years now, have tried all nsaids, capsican cream, amitriptyline and physio. Still so sore. Any more suggestions?
Useful medication.: Amitriptyline can be helpful for many medical conditions, including migraines, insomnia, and depression. Side effects such as sleepiness, dry eyes, dry mouth, and constipation may occur. Side effects tend to be less if the medication is started at a low dose and gradually increased (titrated). ...Read moreSee 1 more doctor answer
Sometimes: It can definitely aid in sleeping as it has significant drowsy side effects, but is usually prescribed to help with another condition like chronic fibromyalgia pain or other neurological pain like migraines sometimes with the added benefit of also helping you sleep. I'm sure there are some doctors out there who may prescribe it for the sole purpose of being a sleep aid. ...Read moreSee 1 more doctor answer
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) ...Read moreSee 2 more doctor answers
Ami side effects: Not unusual but can be circumvented by using the lowest effective dose - 2.5 - 10 mg. The dose is individualised based on med sensitiviy, family history of success (and the effective dosage), type of illness being treated, comorbid medical and emotional disease, anticipated side effects and potential/ currently existing interactions with other medications/supplements. ...Read moreSee 1 more doctor answer