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Doctor insights on: Elavil For Sleep And Depression Panic

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Dr prescribed Effexor (venlafaxine) xr 225 mg in morning and Elavil 50 mg at night for anxiety, panic disorder and depression is that safe to take.

Dr prescribed Effexor (venlafaxine) xr 225 mg in morning and Elavil 50 mg at night for anxiety, panic disorder and depression is that safe to take.

Risky- Discuss w/ Dr: Can cause serotonin syndrome: confusion, hallucination, seizure, big changes in blood pressure, increased heart rate, fever, sweating, shivering, shaking, blurred vision, muscle spasm/stiffness, tremor, incoordination, stomach cramp, nausea, vomiting, and diarrhea. Severe cases may be lethal. If you have ANY, call Dr or go to ER! ...Read more

Dr. Pamela Pappas
4,598 Doctors shared insights

Depression (Definition)

Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more


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Does elavil or tofranil help with sleep along with depression thinking of changing my remeron (mirtazapine) because still depressed and massive weight gain?

Does elavil or tofranil help with sleep along with depression thinking of changing my remeron (mirtazapine) because still depressed and massive weight gain?

Elavil? Remeron (mirtazapine)?: Elavil (amitriptyline) and tofranil (imipramine) are both sedating antidepressants. These can also contribute to weight gain, however. It is essential to speak with your prescribing doc so you can discuss your current sxs and side effects and determine the best plan for you going forward. ...Read more

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I have insomnia and mild depression. I was just prescribed. 5 Klonopin and 10mg Elavil at bed time for sleep and 20 MG Prozac in the morning. My question is, since they are all 3 antidepr. Would you suggest I try Klonopin and Elavil first or all 3?

I have insomnia and mild depression. I was just prescribed. 5 Klonopin and 10mg Elavil at bed time for sleep and 20 MG Prozac in the morning. My question is, since they are all 3 antidepr. Would you suggest I try Klonopin and Elavil first or all 3?

It depends upon: Upon several factors, and without knowing more about you it’s hard to say. You may wish to speak to your prescriber and ask these specific questions.
Prozac and Elavil are different types of antidepressants, and Klonopin (clonazepam) is a benzodiazepine; none of them are specifically for insomnia, but may cause sedation which may be why you were instructed to take them at night.
Good luck! ...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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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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Recently I just know that I am anemic, is it ok to take amitriptyline 5mg, Xanax (alprazolam) 0.25 mg and sangobion. I have a bit depression and panic attack.

Recently I just know that I am anemic, is it ok to take amitriptyline 5mg, Xanax (alprazolam) 0.25 mg and sangobion. I have a bit depression and panic attack.

Anemia and mood: I don't know the last medication you mentioned but otherwise it's okay. Treating the cause of your anemia will help your mood issues. ...Read more

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I on 5mg diazapam a day for bad depression high panic attacks but still can't sleep can I take nytol to thank u?

I on 5mg diazapam a day for bad depression high panic attacks but still can't sleep can I take nytol to thank u?

Yes, not together: Generally when people have anxiety/panic disorder, they cannot sleep. The diazepam may not be controlling your anxiety/panic disorder. Contact your doctor for adequate managment.
Both nytol and diazepam have have as side effect sleepiness. when taken together they effect can be additive and dangerous. ...Read more

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Wake up multiple times every night and upon waking I feel as if I'm dying and I jump up in bed small panic pinch myself then back to sleep. Father passed away months ago a lot of stress/ depression/anxiety. Could possibly be cause?

Wake up multiple times every night and upon waking I feel as if I'm dying and I jump up in bed small panic pinch myself then back to sleep. Father passed away months ago a lot of stress/ depression/anxiety. Could possibly be cause?

Grief/Depression: You are probably having symptoms of Depression and fear of dying because of grief from the loss of your Father. It sounds like a psychological rather than a physical problem. But to be sure it would be good to have a physical exam with your Doctor. Then you could consult with a Clinical Psychologist who could help you with your grief and fears. Medication may offer additional help for you. ...Read more

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Last year went to hospital for panic attack, tested me for drugs, & liver test, ALT was 105, now having severe depression sleep during day. Anything?

Last year went to hospital for panic attack, tested me for drugs, & liver test, ALT was 105, now having severe depression sleep during day. Anything?

H/o panic attack (s): Now w? Major depressive disorder? Could you clarify your question? Did you have just the one panic attack or did you suffer from panic attacks regularly? What helped? Have you seen an MD for what you feel is depression? Do schedule an appointment to be evaluated for major depression and have other medical causes ruled out, so you can begin treatment ASAP! Be well! ...Read more

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Since I had my baby I have severe weakness, anxiety, panic, feelings of doom, irritable, sleep apnea is this post partum depression? Tests normal

Since I had my baby I have severe weakness, anxiety, panic, feelings of doom, irritable, sleep apnea is this post partum depression? Tests normal

If there was onset: Within a year of your baby's birth - you may have post partum depression. There isn't enough info here to know. Would encourage comprehensive psychiatric evaluation to know. ...Read more

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I am struggling with anxiety, panic attacks insomnia and depression although I don't know what triggered it, maybe stress at work? This has not happened to me before. My Dr prescribed tryptophan to help sleep and told me to take vit d. Tryptophan made me

I am struggling with anxiety, panic attacks insomnia and depression although I don't know what triggered it, maybe stress at work? This has not happened to me before. My Dr prescribed tryptophan to help sleep and told me to take vit d. Tryptophan made me

May need more: It sounds like your symptoms are recent and reactive and that your doctor suggested an initial approach. Another supplement which helps with sleep is melatonin. However, I would check with your doctor about this. If your, symptoms persist, you may want to speak with a therapist about stress management. In addition, your doctor can prescribe an antidepressant if all of these options don't solve ...Read more

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Dr prescribed 50mg zoloft (sertraline) for depression, 80 mg propranolol for panic and. 5 clonazepam for sleep from insomnia. Not sleeping. What otc sleep aid safe

Otcs are safe: But that is not to say that they work well. Before trying one, consult your prescriber to give feedback that the clonazepam is not working. ...Read more

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Problem sleeping abrupt waking up with panic attacks? Non heart side chest pain. And now a sore throat. Family history of panic and OCD and depression

Problem sleeping abrupt waking up with panic attacks? Non heart side chest pain. And now a sore throat. Family history of panic and OCD and depression

You could have: Panic attacks, sleep apnea, post traumatic stress disorder or other issues. You described chest pain ; pressure as sxs and depression as a condition. This warrants a through evaluation. Both psychiatric evaluation and sleep medicine evaluation are likely warranted. Polysomnogram (sleep study) may be indicated. ...Read more

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I sleep at night & in the afternoon just before I go 2 work & at work I fill terrible anxiety panic attack depressed till 8pm after fill fantastic why?

I sleep at night & in the afternoon just before I go 2 work & at work I fill terrible anxiety panic attack depressed till 8pm after fill fantastic why?

Wondering: If you like your job? Sound like you reve up right before work and drop back down prior to work ending or when work ends. I would examine your relationship and your feelings about your job. ...Read more

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I'm considering taking elavil or tofranil (imipramine) for depression. Which is best?

I'm considering taking elavil or tofranil (imipramine) for depression. Which is best?

They're very similar: Elavil (amitriptyline) (amitripyline) and tofranil (imipramine) are both tricyclic antidepressants, an older category. While they are effective against depression, both can cause antihistamine-like effects e.g., sedation, dry mouth, dry eyes, constipation, and temporary trouble focusing vision. Elavil (amitriptyline) does this a little more, so tofranil may be better unless elavil's extra sedation helps. ...Read more

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

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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I am taking elavil, nuvigil, remeron, and Xanax (alprazolam) for anxiety/depression/chronic daily fatigue. The first 3 have me in a fog. Will weaning off help me?

Yes: Weaning off medication may help. Nuvigil is not usually sedating or causing "fog", the three other medications could. Discuss adjusting medication with treating physician, it is not safe to abruptly stop all of these medications. ...Read more

Dr. Alan Ali Dr. Ali
1 doctor agreed:
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Why is elavil (amitriptyline) prescribed for nocturia when I am not depressed?

Dr. Alan Ali Dr. Ali
1 doctor agreed:
Why is elavil (amitriptyline) prescribed for nocturia when I am not depressed?

Elavil (amitriptyline): Elavil (amitriptyline) at low dose is prescribed due to its drying effect and at that dose would not treat depression. ...Read more

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Why might my doctor stop prescribing me elavil (amitriptyline) even though I'm still depressed and in pain?

Why might my doctor stop prescribing me elavil (amitriptyline) even though I'm still depressed and in pain?

Other meds: Maybe the md decided to trial a different medication that also increases serotonin and mixing the two can be dangerous. Examples would be other tcas like desipramine, snris like Cymbalta or effexor, (venlafaxine) ssris such as Prozac or celexa, or even tramadol. ...Read more

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I was prescribed 10mg of Elavil for anxiety. Prozac (fluoxetine) gave me palpitations &Zoloft made me depressed. I'm so scared of side effects! Should I try this?

Medication effects: I understand you feeling scared of side effects of medication due to unpleasant experiences with 3 medications.
Discuss with Psychiatrist:
• Intensity of Symptoms at that time
• Diagnosis-Anxiety, Depression, or both
• Therapy for stresses of relationships, separations, school, work, and finances
• Develop Coping Skills
• Breathing Relaxation
• Visual Imagery
• Meditation
Yoga
Tai Chi ...Read more

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I was prescribed 10mg of Elavil for anxiety. Prozac gave me palpitations & Zoloft (sertraline) made me depressed. Should I try this? I'm so scared of side effects!

Agree with you: You have already had adverse effects from medications far less toxic than Elavil, (amitriptyline) which has substantial anti-cholinergic problems. Sounds like you may benefit from a second opinion regarding all of this. ...Read more

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How effective is amitriptyline for treating depression?

How effective is amitriptyline for treating depression?

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. Can also be used at low dose for Nocturnal enuresis. ...Read more

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I've been prescribed mirtazapine for depression and amitriptyline for pain. Is it okay to be on both?

I've been prescribed mirtazapine for depression and amitriptyline for pain. Is it okay to be on both?

Just take one.: Both can cause mouth dryness/constipation & both are sedating anti-depressants. Would prefer mirtazapine although you did not really provide details of what type of depression you have. If you really need to continue amitriptyline, would suggest SSRI like sertraline instead of mirtazapine in AM to counteract the constipation side effect of amitriptyline. ...Read more

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I'm 3 days in to taking 10mg of amitriptyline for IBS and I'm having bad depression and dizzyness. Will the side effects get better? If so when? Thnx

I'm 3 days in to taking 10mg of amitriptyline for IBS and I'm having bad depression and dizzyness. Will the side effects get better? If so when? Thnx

Amitriptylene: Amitriptylene is an antidepressant whose side effects can help ibs -- especially when bowel activity is overactive. It can also cause changes in blood pressure when standing up from a lying position. This may dissipate in a few more days. Taking it at bedtime may help alleviate this & any sedating effects too. Please tell your doctor about any increase in depressive symptoms though! ...Read more

Panic (Definition)

Panic is a psychological and somatic state of anxiety usually involving extreme fear, characterized by symptoms such as shortness of breath, rapid pounding heartbeat, sometimes dizziness or light-headedness, tunnel vision, a sense of unreality, and a feeling of needing to escape from ...Read more


Dr. Heidi Fowler
5,052 Doctors shared insights

Sleep (Definition)

Sleep is a topic that involves concepts such as how long it takes to fall asleep, how many times one wakes up at night, how many hours one sleeps at night, sleep stages, ...Read more