Amitriptyline

Introduction To Amitriptyline

Amitriptyline contains amitriptyline, an antidepressant used to treat moderate to severe depression, panic disorders and chronic pain syndromes like migraines and nerve damage. This medication works by altering the levels of neurotransmitters in our brain and blocking specific receptors in our body. It treats symptoms like low mood, fatigue, anxiety, hopelessness, headaches, neuropathic pain, etc.

Amitriptyline should be taken as advised by your doctor; the dose may be adjusted depending on the severity of your clinical symptoms. You may take this medicine before or after food, ideally at the same time each day. Follow your doctor's orders, and don't stop taking the medicine until they tell you to; stopping it suddenly can lead to withdrawal symptoms.

Side effects of Amitriptyline include nausea, vomiting, dry mouth, blurred vision, excessive sweating, changes in appetite and sex drive, drowsiness and nightmares. These adverse effects usually go away on their own - talk to your doctor if they persist or become severe.

Amitriptyline is contraindicated (unsafe) for people with a history of heart attacks, bipolar illness and hypersensitivity to amitriptyline. Do not take this medicine if you’re already taking cisapride (gastroprokinetic agent) or antidepressants called monoamine oxidase inhibitors. Always let your doctor know of any health conditions you might have.

Uses of Amitriptyline

Amitriptyline is used to reduce symptoms related to depression and chronic pain conditions. It alters the levels of neurotransmitters and blocks specific receptors in the body, which helps alleviate symptoms like low mood, fatigue, trembling, racing heartbeat, feeling of hopelessness, headaches and nerve pain.

Amitriptyline contains amitriptyline, a tricyclic antidepressant. It is used in the treatment of the following conditions:

How Amitriptyline works

Amitriptyline contains amitriptyline, which works by altering the levels of neurotransmitters in our brain and blocking certain receptors in our body. It treats symptoms like low mood, fatigue, anxiety, feeling of hopelessness, headaches, neuropathic pain conditions, etc.

This tricyclic antidepressant (TCA) medicine blocks or inhibits the neuronal absorption/reuptake of neurotransmitters like norepinephrine and serotonin into the end of the nerve cell called presynaptic nerve terminals. This, in turn, blocks the removal of the neurotransmitters, thereby increasing the concentrations of monoamines in the space between two nerve cells called the synaptic cleft. This process results in the antidepressant effect that the medicine provides.

Amitriptyline also blocks serotonergic, adrenergic, histaminic, and muscarinic receptors, which leads to common side effects such as blurred vision, dry mouth and constipation.

Dosage

Always take Amitriptyline as advised by your doctor. Never consume more than the prescribed daily dose. Swallow it whole with plenty of water. You can take this medicine before or after food since this medicine doesn’t cause stomach upset.

If you forget to take this medication, take it as soon as you remember. If it is time for your next dose, ignore the one you missed and continue with the next. To compensate for a missed dose, avoid taking twice the amount.

Cases of overdosing are rare but possible. Signs like rigid muscles, a sharp drop in the body temperature, hallucinations, seizures, and coma indicate the intoxication or overdose of this medicine; seek medical attention immediately. A well-known antidote for amitriptyline overdose is physostigmine which may be administered to relieve atropine-like symptoms.

Safety Advice

Amitriptyline is unsafe for manic-depressive patients (bipolar disorder) as it may cause a switch to manic behaviour. This medicine is also contraindicated for people with heart diseases, seizure disorders and allergies to tricyclic antidepressants like amitriptyline. Always let your doctor know of any health conditions you might have.

sdsPregnancyCaution

Can I take Amitriptyline if I’m pregnant?

sdsBreastfeedingConsult doctor

Can I take Amitriptyline if I’m breastfeeding?

sdsAlcoholCaution

Is drinking alcohol while taking Amitriptyline safe?

sdsDrivingUnsafe

Can I drive after taking Amitriptyline ?

Drug interactions

Drug-Food interaction

Consumption of alcohol while taking Amitriptyline is not recommended because it may worsen symptoms like drowsiness. Intake of large amounts of alcohol increases the chances of suicidal thoughts due to potentiation.

Drug-Disease interaction

Amitriptyline is unsafe for manic-depressive patients (bipolar disorder) as it may cause a switch to manic behaviour. This medicine may cause negative interactions in people with heart diseases, diabetes, thyroid problems, seizures disorders and allergies to tricyclic antidepressants like amitriptyline.

Drug-Drug interaction

Consult your doctor if you are currently taking the following medicines: pain relievers (tramadol, hydrocodone, oxycodone, paracetamol), antidepressants (sertraline, bupropion, duloxetine, fluoxetine), antiallergics (diphenhydramine, cetirizine), sedatives (zolpidem), muscle relaxers (cyclobenzaprine), anticonvulsants (pregabalin, gabapentin, lamotrigine, escitalopram), thyroid hormones (levothyroxine), and sedatives (alprazolam).

Drug-Drug Interactions Checker List:

Alprazolam Levothyroxine Escitalopram Lamotrigine Gabapentin Pregabalin Cyclobenzaprine Zolpidem Cetirizine Diphenhydramine Fluoxetine Duloxetine Bupropion Sertraline Paracetamol Oxycodone Hydrocodone Tramadol

Frequently Asked Questions

Q. What is Amitriptyline ’s content?

Amitriptyline contains amitriptyline, an antidepressant. It is prescribed as the treatment for moderate to severe depression, panic disorders, migraines and nerve damage.

Q. What are the side effects of Amitriptyline ?

Side effects of Amitriptyline include nausea, vomiting, dry mouth, blurred vision, excessive sweating, changes in appetite and sex drive, drowsiness and nightmares.

Q. Is Amitriptyline a sleeping pill?

Although the main ingredient of Amitriptyline , amitriptyline, is an antidepressant, it can help you sleep better if you’re suffering from sleep disorders like insomnia.

Q. What is the use of Amitriptyline ?

Amitriptyline is used to treat moderate to severe depression, panic disorders, migraines and nerve damage. It contains an antidepressant called amitriptyline.

Q. Is Amitriptyline and amitriptyline the same?

Yes, Amitriptyline is the brand name of amitriptyline. It is an antidepressant that is prescribed for severe depression, panic disorders, migraines and nerve damage.

References

Written By:

Dr Advikka Ridhy

Dr Advikka Ridhy

MBBS

RMO, Aster MIMS

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