Doctor insights on:
I'm on amitriptyline (10mg)@night for vulvodynia. It's been 3 weeks and I noticed tonight I'm very emotional and crying a lot. Could it be too strong?
Unlikely: Amitriptyline is a tricyclic anti-depressant, that is sometimes used at low doses to treat pain smptoms, like urs. Though 10mg is a very small dose, and thus the med is unlikely to b effective as an anti-depressant at that dose, its even less likely 4 it 2 cause depression, mood lability, or crying. because everyone is different, always discuss ur meds & any new symptoms with your doctor. ...Read more
Can elavil (amitriptyline) cause your hair to fall out? I'm taking it for vulvodynia and my hair is thinning and I see it all over the floor in my home.
It's not likely: That Elavil (amitriptyline) is causing ur hair loss. It's not known even among the rare side effects. However, please go back as soon as u can 2 the doctor who prescribed it 2 u 2 discuss the hair loss issue & Elavil (amitriptyline) concern 2 have it checked up. S/he might refer you to a dermatologist consultation for further evaluation & help. Take care and best wishes. ...Read more
What is the best treatment for vestibular vulvydinia? Was recntly diagnosed and am taking low dose amitriptiline and antihistimine along with some pt.
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 more
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 more
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 more
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 more
Generally yes: Every patient is different, but generally speaking Amitriptyline 25mg is a very small, and safe, dose. For specific medication questions like this, however, you should talk to your doctor who knows you and your situation and not just rely on an internet answer. ...Read more
Yes, it is: Rhodiola has been used safely with all antidepressant types except MAO inhibitors. Some studies have shown in vitro inhibition of cyp 3a4 and p-glycoprotein with rhodola http://tinyurl. Com/kkh3lhq but this hasn't caused difficulty when used by live patients. [van diermend, et al. J ethnopharmacology.2009 mar 18;122 (2):397-401; a.] amitriptylene and rhodiola can be safely used together. ...Read more
Type of pain?: Amitriptyline (Endep) is sometimes prescribed as an off-label treatment for certain types of pain. ...Read more
Go see your doctor!: Australia's endep (amitriptyline) is sold in states as Elavil brand of Amitriptyline which is an early antidepressant w/anticholinergic properties, causing dry eyes & mouth, constipation, inability to urinate & confusion. Both http://www. Webmd. Com/drugs/drug-9159-endep (amitriptyline)+oral. Aspx? Drugid=9159&drugname=endep (amitriptyline)+oral & http://www. Drugs. Com/elavil. Html recommend tapering off under your doctor's supervision. ...Read more
Antihistamine: The antihistamine effect of Amitriptyline is what stimulates appetite and ultimately leads to weight gain (also causes sleepiness). This class of tricyclic antidepressants (called tertiary amines) tends to have stronger antihistamine effect. The secondary amines like nortriptyline and desiprimine have less of the antihistamine effect. ...Read more
D/C it, or diet: Elavil (amitriptyline) often causes wt gain. If it could be replaced with another antidepressant, then have your md d/c it and replace it - but you'll still need to do some exercise to help lose the wt. If you can't d/c the elavil, (amitriptyline) then you have to be aggressive about wt management: watching caloric intake and doing vigorous exercise. In worst cases, sometimes an appetite suppressant is used too. ...Read more
Dependence: Addictions imply you need more and more to get the same effects, and it doesn't work as before. You may be dependent on it if you don't feel good without it, but are you still better on it than before you started it. Then it is still helping. Relapse off the med is not a sign of addiction. Talk to your md if you feel you need it but have side effects. ...Read more
Not quite right: I don't know that amptriptylene actually slows your metabolic rate, but it can increase appetite leading to weight gain. Also it has effects that slow your GI (gastrointestinal) system down, making constipation possible unless you're careful to drink fluids & eat good leafy greens, other vegetables, and fruits. This is different from the metabolic rate in your body, though. ...Read more
On different neurons: Though caffien and Amitriptyline work differently in brain both are stimulants. ...Read more
No: A person may become manic on it, but there are no drug-like highs no be gotten off it. ...Read more
VARIES: Amitriptyline is from an older class of antidepressant called the tricyclic for the 3 benzene rings that make up its structure. Can be very efficacious for migraine prevention. Side effects are sleepiness and dry mouth to name a few. Would take at bedtime and start low like 10mg and go up slowly. May help within one week or take up to 2 - 3 months depending on the dosing schedule. ...Read more