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Elavil             Elavil

Amitriptyline (Elavil) is an antidepressant with sedative effects. Its mechanism of action in man is not known. It is not a monoamine oxidase inhibitor and it does not act primarily by stimulation of the central nervous system. Amitriptyline inhibits the membrane pump mechanism responsible for uptake of norepinephrine and serotonin in adrenergic and serotonergic neurons. This interference with the reuptake of norepinephrine and/or serotonin is believed by some to underlie the antidepressant activity of amitriptyline.

Amitriptyline (Elavil) is a tricyclic antidepressant used to treat depression. It may also be used to treat chronic pain and other conditions as determined by your doctor.

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ELAVIL


ELAVIL INFORMATION

Elavil (Amitriptyline) is prescribed for the relief of symptoms associated with severe mental depression and is extremely sedating. Elavil may also be helpful in the treatment of agitation, anorexia, bulimia associated with depression, and insomnia. Elavil (Amitriptyline) is sometimes prescribed for the treatment of certain types of chronic pain; such as pain associated with cancer, painful bladder syndrome, ciguatera, postherpetic neuralgia, neuropathic pain, vulvodynia, and to prevent migraine headaches.

IMPORTANT NOTE: The following information is intended to supplement, not substitute for, the expertise and judgment of your physician, pharmacist or other healthcare professional. It should not be construed to indicate that use of the drug is safe, appropriate, or effective for you. Consult your healthcare professional before using this drug.

PRECAUTIONS: Before using this drug tell your doctor your medical history, especially of: glaucoma, prostate problems, decreased urine output, thyroid disease, breathing problems, seizure problems, alcohol use, heart disease, mental/emotional problems, liver or kidney disease, any drug allergies. Use caution when engaging in tasks requiring alertness such as driving or operating machinery. Limit alcohol consumption as it may increase the drowsiness and dizziness effects of Elavil. Limit exposure to hot weather as it may lead to heat stroke. Caution is advised when using this drug in the elderly, because they may be more sensitive to the effects of the drug (e.g., confusion may occur or worsen). This drug should be used during pregnancy only if clearly needed. Discuss the risks and benefits with your doctor. This drug may be excreted into breast milk. The Elavil side effects on the infant are not known at this time. Consult your doctor before breast-feeding.

ELAVIL

Use: Tricyclic antidepressant. Depressive illness of psychotic or endogenous nature and in selected patient with neurotic depression. May help alleviate anxiety component of depression. Outpatient adults: Initially, 25 mg 3 times/day. Depending on tolerance and response, increase to a total of Elavil 150 mg/day with increases made preferably in late afternoon and/or bedtime doses. Hospitalized patients may require Elavil 100 mg/day initially, increased gradually to 200 mg/day if necessary. A small number may need up to 300 mg/day. Adolescent and elderly patients: Lower dosages are recommended for these patients and 50 mg/day given in divided doses or in a single evening or bedtime dose may be satisfactory. For maintenance, reduce dosage to the lowest amount that maintains cheap elavil relief of symptoms- usually 50-100 mg/day in divided doses, or in suitable patients, in a single dose, preferably at bedtime.

Elavil warning

Amitriptyline should be used with caution in patients with a history of seizures, impaired liver function, a history of hepatic damage or blood dyscrasias and, because of its atropine-like action, in patients with a history of urinary retention, or with narrow-angle glaucoma or increased intraocular pressure. In patients with narrow-angle glaucoma, even average doses may precipitate an attack. There has been a report of fatal dysrhythmia occurring as late as 56 hours after amitriptyline Elavil overdose. Patients with cardiovascular disorders should be watched closely. Tricyclic antidepressant drugs, including amitriptyline, particularly when given in high doses, have been reported to produce arrhythmias, sinus tachycardia, and prolongation Elavil of the conduction time. A few instances of unexpected deaths have been reported in patients with cardiovascular disorders. Myocardial infarction and stroke have also been reported with drugs of this class. Therefore, these drugs should be used with caution in patients with a history of cardiovascular disease, such as myocardial infarction and congestive heart failure. Concurrent administration of amitriptyline and electroshock therapy may increase the hazards of therapy. Such Buy Elavil treatment should be limited to patients for whom it is essential. Close supervision is required when amitriptyline is given to hyperthyroid patients or those receiving thyroid medication.

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