Doctor insights on:
Methadone And Amitriptyline
I'm on amitriptyline, pregabalin and methadone. I have severe mood swings, which is the cause if any?
I've Familial Chronic Pancreatitis. Medication - Methadone, Oramorph, Pregablin, Amitriptaline, Paracetamol for pain. Now hands are itchy & Swollen?
Of your medications can produce allergic reactions! You need a "hands on" face to face evaluation...
Hope this is helpful
Dr Z ...Read more
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. ...Read more
Odds are: You'll likely be gone as overall this isn't a particularly high dose. You may notice some sedation, nausea, itching or constipation. But the bigger issue is changing how you take a medication, particularly opioids, without reviewing this with your doctor. It's incredibly important to discuss medication changes with your doc. Not doing so could lead to your doc no longer prescribing for you. ...Read more
Methadone: The best and safest way is to do a gradual dose reduction every 2 weeks (although you will read and see shorter times like 3-4 days). This can continue until the dose is so low that it can be discontinued. ...Read more
Probably: But if you have a high tolerance, you may not be satisfied and you may have precipitated withdrawal. ...Read more
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
It is contraindicated to attempt to come off it during pregnancy because lowering the dose or withdrawal can lead to a spontaneous loss of the baby. Pregnant women have been treated with Methadone for more than 25 years and neither Methadone or other opiates have not been shown to directly cause birth defects.
Methadoneandpregnancy. Com. ...Read more
Call your doctor at once if you have any of these serious side effects:
•hallucinations or confusion;
•chest pain, dizziness, fainting, fast or pounding heartbeat; or
•trouble breathing, feeling light-headed, or fainting.
Less serious side effects of Methadone may include:
•feeling anxious, nervous, or restless;
•sleep problems (insomnia)
•feeling weak or drowsy;. ...Read more