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Doctor insights on: Is Amitriptyline A Controlled Substance

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Dr. Dariush Saghafi Dr. Saghafi
Neurology
29 years in practice
Autonomous University of Guadalajara Faculty of Medicine
1

1
My gp tiold me to just stop 25mg amitriptyline to see if it was controlling my pain. Advice here seems to be to taper off. Why?

My gp tiold me to just stop 25mg amitriptyline to see if it was controlling my pain. Advice here seems to be to taper off. Why?

Why the taper?: Well, I think tapering any drug that a person has been taking for any length of time is always a good idea in my opinion while some people would argue that it's a total waste of time. However, when it comes to amitriptyline I think the better part of valor dictates that you slowly come down since rebound seizures or convulsive attacks can occur under rare circumstances.

Dr. Robert Kent
375 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. Paul Grin Dr. Grin
Pain Management
32 years in practice
UCLA School of Dentistry
4

4
Over 35 days titrated to 50mg Amitriptyline for Vestibular Migraines/CDH not attaining headache control, no side effects, continue to titrate up?

Over 35 days titrated to 50mg Amitriptyline for Vestibular Migraines/CDH not attaining headache control, no side effects, continue to titrate up?

See HA specialist: Once a diagnosis of migraine has been made, effective treatment involves 3 specific strategies: 1) patient education, 2) nonpharmacological 3) pharmacological (medical) management. Prophylactic therapy is recommended for the chronic and disabling migraine.

Dr. Kenneth Lanier Dr. Lanier
Pharmacology
6 years in practice
Texas A&M Health Science Center College of Medicine
5

5
I have tachycardia syndrome that is under relatively good control with beta blocker. I am starting amitriptyline for migraines. Is it safe w/rapid hr?

I have tachycardia syndrome that is under relatively good control with beta blocker. I am starting amitriptyline for migraines. Is it safe w/rapid hr?

Consult cardiologist: Amitriptyline tends to slow the heart beat but can also cause irregular heart rhythms. If you have a cardiologist I would recommend you speaking with him/ her before you begin therapy with amitriptyline.

Dr. Chirag Patel Dr. Patel
Neurology
years in practice
University of Texas Health Science Center at Houston
6

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Is a combination of meds like tramadol, amitriptyline and Zoloft (sertraline) better for controlling nerve pain than one of the meds alone?

Is a combination of meds like tramadol, amitriptyline and Zoloft (sertraline) better for controlling nerve pain than one of the meds alone?

Depends: Presumably you're working with a neurologist or pain management specialist for neuropathic pain treatment. If not, you should see one. It is always better to treat a condition with the least number of medications and the lowest dose of each medication possible. Discuss this with your physician. Http://www. Webmd. Com/pain-management/guide/neuropathic-pain

Dr. Lynne Weixel Dr. Weixel
Clinical Psychology
32 years in practice
University of Connecticut School of Medicine
7

7
I don't have a UTI but my bladder is sensitive and sore and I go frequently, what can it be?? On endep (amitriptyline) to control it very sensitive : (ouch

I don't have a UTI but my bladder is sensitive and sore and I go frequently, what can it be?? On endep (amitriptyline) to control it very sensitive : (ouch

Some good ideas: There are several addt'l things you can do until this clears, but talk w/ your doctor about alternatives too if it doesn't clear soon. Endep (amitriptyline) will not kill an infection from what I know. Drink lots of water - lots! And read this website - try an OTC pill like AZO or Aussie equivalent. Http://www. Ic-network. Com/conditions/interstitial-cystitis/exploring-treatments/ Good luck - I feel your pain.

Dr. Edward Kuhnley Dr. Kuhnley
Pediatrics - Psychiatry
41 years in practice
University of Virginia School of Medicine
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8
I take Elavil (amitriptyline) (Amitriptyline) along with my Rheumatoid arthritis medications 2 control pain but it causes morning headaches. How 2 stop these headach?

I take Elavil (amitriptyline) (Amitriptyline) along with my Rheumatoid arthritis medications 2 control pain but it causes morning headaches. How 2 stop these headach?

Headaches may result: From all 3 meds Plaquenil (hydroxychloroquine), Norco (hydrocodone and acetaminophen) (acetaminophen/hydrocodone), Elavil (amitriptyline), rheumatoid arthritis, Iron deficiency anemia, ovarian cyst and stress. Using amitriptyline together with hydrocodone may increase side effects such as dizziness, drowsiness, and difficulty concentrating. Seek evaluation. Use lifestyle changes and stress reduction. Best regards for relief.

Dr. Stuart Hickerson Dr. Hickerson
Family Medicine
28 years in practice
University of Illinois College of Medicine
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Is adding 10mg Elavil to 300mg lyrica unsafe for a person with CABG/MI for postherpetic neuralgia? At 300mg there is moderate pain control

No: There are no interactions between Elavil and Lyrica. Also, at 10mg the side effects are very low. Actually it helps reduce pain by aiding sleep and reduces the afferent pain pathway.

Dr. Steven Griggs Dr. Griggs
Clinical Psychology
35 years in practice
10

10
How long should I wait after stopping sam-e before I take Elavil (amitriptyline)?

How long should I wait after stopping sam-e before I take Elavil (amitriptyline)?

I've asked a lot: Of MD's this question. Some start you off on the new med right after stopping the old one. Some wait as much as two weeks. You are mixing an herb with a Tricyclic, so I'd play it safe and wait awhile. As a psychiatrist who knows about herbs. Most don't.

Dr. Axel Martinez-Irizarry Dr. Martinez-Irizarry
Family Medicine
13 years in practice
University of Puerto Rico School of Medicine
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What's the best time to take amitriptyline?

What's the best time to take amitriptyline?

At bedtime.: Amitriptiline can be used for neurologic pain and depression. It usually causes sleepiness or mild sedation, so the best time to take is at bedtime.

Dr. Alan Ali Dr. Ali
Psychiatry
28 years in practice
University of Arkansas for Medical Sciences/UAMS College of Medicine
12
Dr. Natalie Sieb Dr. Sieb
Family Medicine
10 years in practice
Kansas City University of Medicine and Biosciences College of Osteopathic Medicine
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Is amitriptyline used to help sleep?

Is amitriptyline used to help sleep?

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.

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Dr. Aaron Haug Dr. Haug
Neurology
10 years in practice
University of Kansas School of Medicine
14

14
Why prescribe titrate amitriptyline?

Why prescribe titrate amitriptyline?

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).

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Dr. Eric Weisman Dr. Weisman
Neurology
32 years in practice
St. George's University School of Medicine
15

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How do you wing off 25mg amitriptyline?

How do you wing off 25mg amitriptyline?

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)

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Dr. K. Olson Dr. Olson
Psychiatry
35 years in practice
Medical College of Wisconsin
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Side effects from amitriptyline normal?

Side effects from amitriptyline normal?

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.

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Dr. Austina Cho Dr. Cho
Psychiatry
22 years in practice
Louisiana State University School of Medicine in New Orleans
17

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What are the side effects of amitriptyline?

What are the side effects of amitriptyline?

Drowsiness, dizzy: More common side effects of Amitriptyline include drowsiness, dizziness, impaired coordination, palpitations, dry mouth, blurry vision, constipation, and urinary retention.

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Dr. Eric Farbman Dr. Farbman
Neurology
22 years in practice
University of Medicine and Dentistry of New Jersey - New Jersey Medical School
18

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Is 25mg amitriptyline (elavil) safe to take?

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.

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Dr. Pamela Pappas Dr. Pappas
Psychiatry
38 years in practice
Wake Forest University School of Medicine
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Is rhodiola safe to take with amitriptyline?

Is rhodiola safe to take with amitriptyline?

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.

Dr. Alan Ali Dr. Ali
Psychiatry
28 years in practice
University of Arkansas for Medical Sciences/UAMS College of Medicine
20

20
What are the effects of elavil (amitriptyline)?

What are the effects of elavil (amitriptyline)?

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.

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Dr. Heidi Fowler
323 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