How Should I Take Amitriptyline
Take amitriptyline exactly as prescribed by your doctor. Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose.
It may take up to 4 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve.
If you need surgery, tell your surgeon you currently use amitriptyline. You may need to stop for a short time.
Do not stop using amitriptyline suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using amitriptyline.
Store at room temperature away from moisture and heat. Keep the bottle tightly closed when not in use.
What Is The Usual Dose Of Amitriptyline For Migraine
The recommended starting dose of amitriptyline for migraine is 10 milligrams per day. If you arent getting adequate migraine prevention and arent having intolerable side effects, your doctor might increase your dose by up to 25 mg per week.
The maximum dose of amitriptyline is 300 mg per day, and higher doses are more likely to cause side effects.
Amitriptyline is available in tablet and liquid form. Since amitriptyline can make you feel drowsy, its best to take it at night before you go to sleep.
Response From The Community: How Would You Rate The Side Effects You Experienced With Elavil For Migraine
Most of our community members surveyed experienced no or only slight discomfort from side effects while taking Elavil. In 22%, the side effects were noticeable, and a small percentage said they will not use Elavil due to the side effects they experienced.
How would you rate the side effects you experienced with Elavil for migraine?
- No side effects
- Slight discomfort from side effects
- Noticeable side effects
- Side effects will limit my use
- Will not use due to side effects
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Amitriptyline For Migraines Weight Gain
Does Amitriptyline cause weight gain?Yes, according to numerous scholars across the globe, amitriptyline does increase your weight after using it.
However, that can only be facilitated if you are eating unhealthily and not actively participating in doing physical exercise, especially during the period you are taking this medication.
Further Readings on Amitriptyline doses for migraines
- 1: Amitriptyline in the prophylactic treatment of migraine and chronic daily headache PubMed-NCBI
- 2: Amitriptyline Side effects, dosage, interactions Everyday Health
- 3: Tricyclic antidepressants for preventing migraine in adults PMC-NBI
- 4: Medications for Migraine Prophylaxis AAFP
How Does It Work
Amitriptyline affects the way the body uses serotonin and norepinephrine. These hormones affect both your mood and how you feel pain. By changing the way the body uses these chemicals, it can reduce sensations of pain.
The medicine does not begin to work immediately. It can take up to six weeks to feel the effects if you are taking Amitriptyline for headaches.
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Effects On Other Treatments
Amitriptyline is safe to take with most other drugs prescribed for your condition, but some may interact with it. Always check with the doctor or healthcare professional youre seeing to make sure any new medication is safe to take with amitriptyline.
- Painkillers, such as codeine or tramadol, could react with it to make you sleepy and less alert.
- Antidepressants some antidepressant treatments, such as serotonin re-uptake inhibitors or MAOI drugs, can interfere with it, causing high blood pressure or heart problems.
Herbal remedies and supplements, especially St Johns wort, can increase your risk of side effects. Dont take herbal remedies or supplements without first talking to your healthcare team.
Its important you tell your doctor about any medications, vitamins, supplements, over-the-counter drugs or herbal treatments youre using before you start or while youre taking amitriptyline.
You should also tell them if any existing treatment is being stopped while youre taking amitriptyline.
How Much Does Amitriptyline Cost
The cost of amitriptyline varies according to where you live and how much you buy.
According to ClinCalc.com, the average cost of amitriptyline in 2018 was $24.65 per prescription fill. In addition, the average prescription lasted approximately 44 days.
Like any medication, amitriptyline can cause side effects. The most common side effects are mild, and include:
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Benefits Of Amitriptyline For Migraines
Below is a list of possible benefits to be attained from using Amitriptyline as an intervention for migraine prophylaxis. Perhaps the most notable benefit associated with using Amitriptyline for migraines is that it is supported by a multitude of well-designed studies. Other miscellaneous benefits include: low cost, mood enhancement, unique mechanism of action, and effectiveness in treating other headaches.
Possible Side Effects Of Amitriptyline
- Feeling dizzy, drowsy, or unsteady
- Feeling more tired than usual
- Nausea, vomiting
- Fainting, especially when you stand up or sit up quickly
- Visual problems, including blurred or double vision, dry eyes, or eye pain
- Dry mouth
- Skin more sensitive to the sun
- Weight gain or loss
- Pain or trouble passing urine, loss of bladder control, or the need to urinate more often than usual
- Fever with increased sweating
- Changes in blood sugar levels
- Confused or seeing things that are not there
- Irregular or fast heartbeat
- More asthma symptoms for those who have asthma
These are the most common side effects, but there may be others. Please report all side effects to the doctor or nurse.
In case of a severe side effect or reaction, call the doctor, nurse, or pharmacist at 901-595-3300. If you are outside the Memphis area, dial toll-free 1-866-2STJUDE , and press 0 once the call is connected.
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So Where Does Amitriptyline Fall
Amitriptyline is one of the 100 most commonly prescribed medications in the United States, prescribed to nearly 2 million people in the US in 2018 alone . Low doses of some types of antidepressantsparticularly tricyclic ones like amitryptilinehave been shown to alleviate pain associated with certain conditions in some patients. While the antidepressant effects of TCAs can take two to four weeks, the pain-relieving effects tend to appear even fastersometimes within one week of starting treatment, and at a much lower dose than is typically used to treat depression .
Who Should Consider Amitriptyline
If you and your doctor decide to try amitriptyline, the U.S. Headache Consortium considers it to be a Group 1 preventive therapy, meaning it has medium to high efficacy, good strength of evidence, and mild-to-moderate side effects. In head-to-head comparisons, amitriptyline sometimes performed better thanalthough sometimes not as well aspropranolol. In terms of patient satisfaction, 70 percent of the patients in a study reported that they found acceptable relief from amitriptyline.
Indeed, amitriptyline may work better than other drugs for people with mixed migraine and tension-type headaches rather migraines alone.
People who have trouble falling asleep or staying asleep may also find amitriptyline particularly helpful. It has not been adequately studied to make a recommendation about its use by children or adolescents.
Amitriptyline has been found to cause frequent side effects. Two commonly used drugs, propranolol and timolol, seem to have less-frequent side effects. Other drugs in this class, called beta-blockers , such as metoprolol , nadolol and atenolol , are also commonly used. Two other drugs, topiramate and valproic acid, which are used to treat epileptic seizures, can be effective at preventing migraines.
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Medicines For Treatment Of Migraine Attacks
There are four types of medicines that are commonly used to treat migraine attacks:
- Ordinary painkillers – eg, paracetamol.
- Anti-inflammatory painkillers – eg, aspirin, ibuprofen
- Anti-sickness medicines – eg, domperidone, prochlorperazine
- Triptans – eg, almotriptan, naratriptan, sumatriptan, zolmitriptan
Precautions When Taking Amitriptyline
- Have you recently had a heart attack?
- Do you have problems with your heart rhythm?
- Do you have diabetes?
- Do you have problems with your liver?
- Do you have problems with your thyroid?
- Do you have bipolar disorder?
- Do you have epilepsy?
- Do you have problems passing urine or problems with your prostate?
- Do you have problems with constipation?
- Are you pregnant or breastfeeding?
- Are you taking any other medicines, including medicines you can buy without a prescription, such as herbal and complementary medicines?
If so, its important that you tell your doctor or pharmacist before you start amitriptyline. Sometimes a medicine isnt suitable for a person with certain conditions, or it can only be used with extra care.
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Some Points About Medicines To Prevent Migraine Attacks
- You need to take the medicine every day.
- It is unlikely to stop migraine attacks completely. However, the number and severity of attacks are often much reduced by a preventative medicine. It is useful for you to keep a migraine diary to monitor how well a medicine is working.
- It may take 1-3 months for maximum benefit. Therefore, if it does not seem to work at first, do persevere for a while before giving up.
- It is common practice to take one of these medicines for 4-6 months. After this, it is common to stop it to see if it is still needed. It can be restarted again if necessary.
- If a migraine attack occurs, you can still take painkillers or a triptan in addition to the preventative medicine.
- It is worth trying a different medicine if the first one you try does not help.
- Read the leaflet in the medicine packet for a list of cautions and possible side-effects.
What Is Amitriptyline Used For
Amitriptyline used to treat the symptoms of depression. Endogenous depression is more likely to be alleviated than are other depressive states.
Amitriptyline for neuropathic pain
Neuropathic pain is defined as pain that arises as a direct consequence of a lesion or diseases affecting the somatosensory system. Peripheral neuropathic pain can be caused by nerve injury or disease 1). Important causes include lumbar radiculopathy , postherpetic neuralgia , diabetic neuropathy, HIV-related neuropathy, and chronic postsurgical pain. Central neuropathic pain can arise after a stroke or spinal cord injury, in multiple sclerosis, or in other neurological and metabolic conditions.
Results from over a dozen randomized controlled trials of tricyclic antidepressants support their efficacy for neuropathic pain conditions including diabetic neuropathy 2), postherpetic neuralgia 3), and central post stroke pain 4), with recently estimated number needed-to-treat to obtain a clinically meaningful response in one patient is betwen 2.54.2 for amitriptyline . However, it is important to note that high quality randomized controlled trials failed to demonstrate efficacy of tricyclic antidepressants in HIV-related neuropathy 5) or in lumbar radiculopathy 6).
The most important message is that amitriptyline probably does give really good pain relief to some people with neuropathic pain, but only a minority of them amitriptyline will not work for most people.
Amitriptyline for migraine
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Common Questions About Amitriptyline
Amitriptyline is from a group of medicines called tricyclic antidepressants.
They are thought to work by increasing a chemical called serotonin in your brain. This can improve your mood.
This can also change the way that your nerves receive pain signals so pain goes away. This helps your symptoms if you are taking amitriptyline for pain relief or migraine.
You may find you are sleeping better straight away. But it usually takes 1 or 2 weeks for pain to begin to wear off.
It can take between 4 and 6 weeks before you feel the full benefits of amitriptyline as a painkiller.
Do not stop taking amitriptyline after 1 to 2 weeks just because you feel it’s not helping your symptoms. Give it at least 6 weeks to work.
Many people sleep better while they’re taking amitriptyline.
Although amitriptyline is an antidepressant, the doses are lower to help pain. Taking amitriptyline as a painkiller will not change your personality or make you feel any different.
Once you’re feeling better you’ll probably continue to take amitriptyline for as long as it’s working for you as a painkiller or to help prevent migraines.
Some people take it for many months and even for years.
Amitriptyline is safe to take for a long time. There do not seem to be any lasting harmful effects from taking it for many months or years.
To help prevent this happening, your doctor will probably recommend reducing your dose gradually over several weeks or longer, if you have been taking amitriptyline for a long time.
How Do Antidepressants Help Treat Migraine
Antidepressants may be used to prevent migraines or lower their severity. In fact, certain types of antidepressants were some of the first drugs used to treat migraines. It is now less common to use antidepressants for treating migraines. This is because antidepressants may cause noticeable and unpleasant side effects.1,2
Antidepressants work by targeting certain chemicals in the brain. They may target serotonin, norepinephrine, or both. Serotonin and norepinephrine play a role in mood. They also have a role in pain. This may be the reason that antidepressants can reduce the frequency or severity of migraines.1,2
There are medicines that work better than antidepressants for migraine prevention. However, antidepressants could be a good option if you have migraine and depression,anxiety, or trouble sleeping.1,2
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Amitriptyline As A Treatment For Headaches
If you suffer from migraines or tension headaches, then you are probably looking for any possible treatments. Any amount of research will suggest Amitriptyline for headaches. There are side effects so it should be taken with care and only under the advice of a doctor.
How Is It Taken
Amitriptyline can be prescribed as a tablet or liquid. Youll need to take it every day an hour or two before your usual bedtime, as it can make you sleepy. If you find youre still feeling sleepy when you wake in the morning, try taking it earlier in the evening.
Amitriptyline is taken at lower doses for pain relief than when it’s used for depression. Your doctor will usually start you on the lowest dose possible and may increase it if you’re still experiencing pain after several weeks. Doses for children aged under 12 are worked out according to their weight and symptoms. It can take up to six weeks for you to see the benefits, so try to stick with it.
Youll probably take it for as long as it helps your condition. Some people take it for many months, even years, without having any negative effects.
It isnt an addictive medication, but you may get unpleasant side effects if you suddenly stop taking it. You should talk to your doctor before making any changes to your treatment. Theyll probably recommend that you reduce the dose slowly over several weeks or more, depending on how long youve been taking it.
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What Tricyclic Antidepressants Does Cove Offer
We know this can feel like a lot of information to process, and you may still have questions. But donât worry, youâre not in this alone. Cove works with licensed doctors to help each and every person find a treatment plan that helps them feel more in control of their condition. If youâd like to speak to a Cove physician about your headaches, simply .
The information provided in this article is not a substitute for professional medical advice, diagnosis, or treatment. You should not rely upon the content provided in this article for specific medical advice. If you have any questions or concerns, please talk to your doctor.
You can read more about nortriptylineâs side effects, warnings, and precautions here. Full prescribing information for nortriptyline is available here. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit MedWatch: or call 1-800-FDA-1088.
How Should Amitriptyline Medication Be Used
Amitriptyline comes as a tablet to take by mouth. It is usually taken one to four times a day. Take amitriptyline at around the same time every day. Follow the directions on your prescription label carefully, and ask your doctor or pharmacist to explain any part you do not understand. Take amitriptyline exactly as directed. Do not take more or less of it or take it more often than prescribed by your doctor.
Your doctor will probably start you on a low dose of amitriptyline and gradually increase your dose.
It may take a few weeks or longer before you feel the full benefit of amitriptyline. Continue to take amitriptyline even if you feel well. Do not stop taking amitriptyline without talking to your doctor. If you suddenly stop taking amitriptyline, you may experience withdrawal symptoms such as nausea, headache, and lack of energy. Your doctor will probably decrease your dose gradually.
Schizophrenic patients may develop increased symptoms of psychosis patients with paranoid symptomatology may have an exaggeration of such symptoms. Depressed patients, particularly those with known manic-depressive illness, may experience a shift to mania or hypomania. In these circumstances the dose of Amitriptyline may be reduced or a major tranquilizer such as perphenazine may be administered concurrently.
When possible, the drug should be discontinued several days before elective surgery.
Both elevation and lowering of blood sugar levels have been reported.
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Before Taking This Medicine
You should not use this medicine if you are allergic to amitriptyline, or:
if you have recently had a heart attack.
Do not use amitriptyline if you have used an MAO inhibitor in the past 14 days. A dangerous drug interaction could occur. MAO inhibitors include isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, tranylcypromine, and others.
To make sure amitriptyline is safe for you, tell your doctor if you have ever had:
problems with urination.
Some young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms.
Tell your doctor if you are pregnant or breastfeeding.
Amitriptyline is not approved for use by anyone younger than 12 years old.