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EFFECTS ELAVIL MEDICATION SIDE
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. Symptoms of Elavil overdose may include agitation, confusion, hallucinations, fever, irregular movement of the eyes, seizures, change in amount of urine, dry mouth or effects elavil medication side nose, constipation, large pupils, drowsiness, slow or shallow breathing, dizziness, unconsciousness, unusually fast or slow heartbeat, or flushing..
NOTES: Do not allow anyone else to use this medication.
MISSED DOSE: If you miss a dose and are taking more than 1 daily: do not take it if it is almost time for the next dose, instead, skip the missed dose and resume your usual dosing schedule. If you take it once daily at bedtime, do not take it the following morning. Call your doctor. Do not double the dose to catch up.
Effects Elavil medication side
Precautions The potency of amitriptyline is such that addition of other antidepressant drugs generally does not result in any additional therapeutic benefit. Untoward reactions have been reported after the combined use of antidepressant agents having varying modes of activity. Accordingly, combined use of amitriptyline and other antidepressant drugs should be undertaken effects elavil medication side only with due recognition of the possibility of potentiation and with a thorough knowledge of the pharmacology of both drugs. There has been no reports of untoward events when patients receiving amitriptyline were changed immediately to protriptyline or vice versa.
When amitriptyline is used to treat the depressive component of schizophrenia, activation or aggravation of existing psychotic manifestation may occur. Likewise, manic depressive patients may experience hypomanic or manic episodes and hyperactive or agitated patients may become overstimulated. Paranoid delusions, with or without associated hostility, may be exaggerated. A reduction in dose or discontinuation of amitriptyline may be indicated and administration of effects elavil medication side a neuroleptic such as a phenothiazine, be considered under these circumstances.
Seriously depressed patients should be carefully supervised. The possibility of suicide in depressed patients remains during treatment. Patients should not have access to large quantities of this drug during treatment.
Discontinue the drug several days before elective surgery if possible.
Drug Interactions:
Amitriptyline may block the antihypertensive action of guanethidine or similarly acting compounds.
When amitriptyline is given with anticholinergic agents or sympathomimetic drugs, including epinephrine combined with local anesthetics, close supervision and careful adjustment of dosage are required. Paralytic ileus may occur in patients taking tricyclic antidepressants in combination with anticholinergic-type drugs.
Since amitriptyline, in combination with anticholinergic type drugs, may give rise to paralytic ileus, particularly in elderly or hospitalized effects elavil medication side patients, appropriate measures should be taken if constipation occurs in these patients.
Cimetidine is reported to reduce hepatic metabolism of certain tricyclic antidepressants.
Caution is advised if patients receive large doses of ethchlorvynol concurrently. Transient delirium has been reported in patients who were treated with 1 g of ethchlorvynol and 75 to 150 mg of amitriptyline.
Amitriptyline may enhance the response to alcohol and the effects of barbiturates and other CNS depressants. Delirium has been reported with concurrent administration effects elavil medication side of amitriptyline and disulfiram.
Effects Elavil medication side
Amitriptyline may block the antihypertensive action of guanethidine or similarly acting compounds.
When amitriptyline HCl is given with anticholinergic agents or sympathomimetic effects elavil medication side drugs, including epinephrine combined with local anesthetics, close supervision and careful adjustment of dosages are required. Hyperpyrexia has been reported when amitriptyline HCl is administered with anticholinergic agents or with neuroleptic drugs, particularly during hot weather. Paralytic ileus may occur in patients taking tricyclic antidepressants in combination with anticholinergic-type drugs.
Cimetidine is reported to reduce hepatic metabolism of certain tricyclic antidepressants, effects elavil medication side thereby delaying elimination and increasing steady-state concentrations of these drugs. Clinically significant effects have been reported with the tricyclic antidepressants when used concomitantly with cimetidine. Increases in plasma levels of tricyclic antidepressants, and in the frequency and severity of side effects, particularly anticholinergic, have been reported when cimetidine effects elavil medication side was added to the drug regimen. Discontinuation of cimetidine in well- controlled patients receiving tricyclic antidepressants and cimetidine may decrease the plasma levels and efficacy of the antidepressants.
Caution is advised if patients receive large doses of ethchlorvynol concurrently. Transient delirium has been reported in patients who were treated with one gram of ethchlorvynol and 75 - 150 mg of Amitriptyline.
Amitriptyline may enhance the effects elavil medication side response to alcohol and the effects of barbiturates and other CNS depressants. Delirium has been reported with concurrent administration of amitriptyline and disulfiram.
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