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Amitriptyline is used for treating depression. Amitriptyline is a tricyclic antidepressant. How tricyclic anti-depressants are believed to raise the action of specific chemicals in the brain (norepinephrine, serotonin), which help improve mood.
Use Amitriptyline as directed by your physician.
Elavil may be taken with food or on an empty stomach.
Prevent eating grapefruit or drinking grapefruit juice while taking Elavil.
Elavil may take up to 30-days to manage symptoms of depression. Carry on using Elavil also though you feel great. Don't miss any dose.
Should you skip a dose of Elavil, go as soon as you can. When it is almost time for your next dose, skip the missed dosage and go back to your regular dosing schedule. Do not take 2 doses at the same time.
Ask your health care provider any questions that may have about the way to use Elavil.
Do NOT use Amitriptyline if:
You're hypersensitive to any ingredient in Amitriptyline
You're presently taking or have taken a monoamine oxidase inhibitor (MAOI) (eg, phenelzine, selegiline) within the last 14 days
you are using antihistamines (eg, diphenhydramine), cisapride, droperidol, a ketolide (eg, telithromycin), a macrolide (eg, erythromycin), mibefradil, or pimozide
you are coping with a heart attack.
Contact your doctor or doctor right away if these apply to you.
Some health conditions may interact with Elavil. If you hold any medical conditions, particularly if any of the following apply to you tell your doctor or druggist:
if you are pregnant, intending to become pregnant, or are breastfeeding
If you're using any prescription or non-prescription medicine, herbal preparation, or dietary supplement
For those who have allergies to medicines, foods, or other substances
When you have a background of psychological illness (eg, bipolar disorder, mania, manic depression), or have considered or attempted suicide
In case you have glaucoma, an irregular pulse, heart disease, chest pain, liver disease, prostate problems, thyroid disorder, or cannot urinate (urinary retention)
When you have a history of convulsions, epilepsy, or porphyria.
Some medications may interact with Elavil. Tell your doctor in case you are using any other medications, particularly any of the following:
MAOIs (eg, phenelzine, selegiline) because they can cause serious, occasionally life-threatening, responses. Don't take MAO-INHIBITORS with, or within 14 days of taking Amitriptyline
Anticholinergics (eg, scopolamine), bupropion, cimetidine, fluconazole, phenothiazines (eg, chlorpromazine), SSRIs (eg, fluoxetine), terbinafine, or valproic acid because side effects like blurred vision, difficult urination, drowsiness or sedation, dry mouth, or lightheadedness may occur
Antihistamines (eg, diphenhydramine), cisapride, droperidol, ketolides (eg, telithromycin), macrolides (eg, erythromycin), mibefradil, pimozide, or streptogramins (eg, quinupristin/dalfopristin) because significant side effects in the heart (eg, racing heartbeat, lightheadedness, fainting, life-threatening strange heartbeat leading to unconsciousness, and lack of heartbeat, may be increased by Amitriptyline
Carbamazepine, thyroid medicines (eg, synthroid), or stimuli (eg, albuterol, pse) because their side effects may be increased by Amitriptyline
Warfarin because side effects like severe bleeding may be increased by Amitriptyline
Clonidine, guanethidine, or guanfacine because the potency of these medicines may be reduced.
This may not be a whole list of all interactions that might occur. Ask your health care provider if Amitriptyline may interact with other medicines that you take. Check with your own doctor before you start, stop, or change the dose of any medicine.
Essential security advice:
Elavil can cause lightheadedness, drowsiness, or blurred vision. Do not drive, use machinery, or do other things which could be dangerous until you know how you respond to Elavil. Using Amitriptyline solely, with other medicines, or with alcohol may lessen your capability to drive or perform other potentially hazardous tasks.
Prevent consuming alcohol or taking additional medications that cause drowsiness (eg, sedatives, tranquilizers) while taking Amitriptyline. Amitriptyline will add to the effects of alcohol and other depressants. Request your druggist if you've got questions about which medicines are depressants.
Amitriptyline can cause dizziness, light-headedness, or fainting; booze, hot weather, exercise, or fever may raise these effects. To prevent them, sit up or stand slowly, particularly in the morning. Sit or lie down at the very first indication of any of these effects.
Uncontrollable and involuntary movements may develop in patients using Elavil. Occurrence is greatest among the elderly, particularly women. The chance of developing these involuntary actions and the likelihood they will become permanent are raised with high dosages and with long term use. Yet, it's feasible to create these symptoms after use at low amounts. Contact your doctor right away whether any of the following happen: involuntary movements of the tongue, face, mouth, or jaw (eg, protrusion of tongue, smoking of cheeks, puckering of mouth, chewing movements), occasionally accompanied by involuntary movements of the arms and legs.
Elavil might cause susceptibility to sun. Prevent prolonged exposure to sunlight and other ultra-violet light (eg, tanning beds). Use sunscreens and wear protective clothing until tolerance is determined.
Don't become overheated in hot climate or during exercise or other activities because heatstroke may occur.
Diabetes sufferers - Elavil might impact your blood sugar. Check blood sugar closely. Ask your doctor before changing the dosage of your diabetes medicine.
Before you have any health or dental cure, emergency treatment, or surgery, tell the doctor or dentist that you're using Amitriptyline.
Use caution in the elderly; they might become more sensitive to its effects, especially light-headedness upon standing; swift pulse; respiration problems; troublesome urination; and constipation.
Maternity and breast - feeding: If you plan on becoming pregnant, consult with your doctor the benefits and hazards of using Amitriptyline when pregnant. Amitriptyline is excreted in the breast milk. Don't breast-feed while taking Amitriptyline.

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