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Doctor insights on: Amitriptyline Dosage Insomnia

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I'm taking Amitriptyline HCL 25 mg at night for Depression, TMJ pain, and insomnia. My Dr is over 2 hrs away and I think I need an increased dosage?

I'm taking Amitriptyline HCL 25 mg at night for Depression, TMJ pain, and insomnia. My Dr is over 2 hrs away and I think I need an increased dosage?

Face-to-face: Unfortunately TCA (Amitriptyline ) medication monitoring must be done face-to-face or via video conferencing. The only allowable exception is when a patient is experiencing adverse symptoms from psychotropic medication and phone consultation with another professional is necessary. Call your doctor for appointment. ...Read more

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Dr. Heidi Fowler
1,635 doctors shared insights

Insomnia (Definition)

Insomnia is a sleep disorder in which you cannot fall or stay asleep. It usually accompanies another sleep, medical, or psychiatric disorder, and can lead to memory impairment, mood changes, and increased risk of ...Read more


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Dr gave amitriptyline 50mg for pain & insomnia. Seems to help some w/pain, not so much for insomnia. Is higher dose safe w/citalopram& 0.5 xanax (alprazolam)? Ty

Dr gave amitriptyline 50mg for pain & insomnia. Seems to help some w/pain, not so much for insomnia. Is higher dose safe w/citalopram& 0.5 xanax (alprazolam)? Ty

See a psychiatrist: For the best understanding of your medication needs (vs. A family practice doctor). Psychiatrists have much more training in the type of medications are you taking. Take care. ...Read more

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Is amitriptyline acceptible for insomnia?

Is amitriptyline acceptible for insomnia?

Elavil (amitriptyline): At low dose, yes, if not conflict with other medications you are on, and if insomnia is secondary to depression ...Read more

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It seems Amitriptyline helps people sleep. I'm wondering why it made my insomnia worse? I even took it in the AM, and still had horrible insomnia.

It seems Amitriptyline helps people sleep.  I'm wondering why it made my insomnia worse?  I even took it in the AM, and still had horrible insomnia.

The rule about: tricyclic anti-depressants..(eg Amytriptyline) is that there ARE NO RULES!!! The majority of people find initial dosing has SEDATIVE effect (which BTW soon passes its a SIDE EFFECT not a GOAL of the treatment) Hope this helps! Dr Z ...Read more

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I have been taking 25 mg amitriptyline for insomnia. I am ready to wean myself off of it. Could you please tell me the best way to wean off if 25 mg?

Slowly: If you really want to stop than taper to 20 mg for few weeks than if no problem with sleep than 10 mg for 2 weeks than take as needed if not able to sleep ...Read more

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Can someone tell me about the drug Elavil (amitriptyline)? I was given to take at bedtime 10mg for insomnia. Isnt this an antidepressant? I dont want mental changes.

Can someone tell me about the drug Elavil (amitriptyline)? I was given to take at bedtime 10mg for insomnia. Isnt this an antidepressant? I dont want mental changes.

Please repost: Please repost your question and let us know how the doctor who gave you the prescription answered your question; or, if you have not asked the doctor who gave you the prescription this question, why not. ...Read more

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My child just turned 3 months. I am exclusively breastfeeding But I started taking Elavil (amitriptyline) 10mg for bith my deppression and insomnia. I really do not stop breastfeedin 'n decided to continue. Okey????

My child just turned 3 months. I am exclusively breastfeeding But I started taking Elavil (amitriptyline) 10mg for bith my deppression and insomnia. I really do not stop breastfeedin 'n decided to continue. Okey????

Not the best : Elavil (amitriptyline) is one of the medications that will go into the breast milk if you are taking it. That means breast feeding while taking Elavil (amitriptyline) is like feeding tiny doses of Elvail to your baby. Please talk to your doctor and consider stopping wither the Elavil (amitriptyline) (and switching to something that does not go into breast milk) or breastfeeding. It is in your baby's best interest. ...Read more

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I was given 10mg Elavil (amitriptyline) for insomnia. Read up on drug, its an antidepressant. I don't have depression. Will this drug alter my mood or make me weird?

Weird, huh?: You didn't read far enough: You didn't read the information on indications and dosage. Antidepressant doses are at least 75-100 mg/d. It's also used for migraine at lower doses. It causes drowsiness, hence its use for sleep, but 10 mg is such a low dose it may have no effect on you at all, or lose what effect it does have after a week or so. It's usual to escalate the dose gradually to 30-50 mg/d. ...Read more

Dr. Robert Kent
362 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
303 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