Amitriptyline is available in 10 mg, 25 mg, 50 mg, 75 mg, 100, and 150 mg oral tablets. The doctor may initially prescribe a low dosage and increase it gradually to reduce adverse reactions. Due to Elavil’s sleep effects, it usually is administered at bedtime.
The initial amitriptyline dose for depression is 25 mg per day which is increased to 50 to 100 mg maintenance dose per day given at bedtime. The dose is gradually reduced to the minimum required for symptom management.
It takes approximately four weeks to have the full effect from Elavil. A patient should only adjust Amitriptyline (Elavil) dosage or discontinue treatment with the doctor’s approval.
A Review of Side Effects
The side effects of Amitriptyline are common and usually mild. Severe reactions are rare.
Mild side effects may include the following:
- Weight gain
- Dizziness or fainting
- Dry mouth
- Excessive sweating
- Gastrointestinal upsets
- Weight or appetite changes
Amitriptyline has several conditions a patient should be cautious about before taking it. The medication affects heart rhythm and may cause an irregular heartbeat.
Patients with the conditions below should consult a doctor before using Amitriptyline:
- Schizophrenia since it may increase psychosis symptoms.
- Bipolar as it can cause hypomania or mania.
- Suicidal tendencies. Elavil may increase the risk of suicide.
- Diabetes since it can cause high or low sugar levels.
- If undergoing electroconvulsive therapy (ECT). It is essential to discontinue the Amitriptyline prescription several days before ECT.
- Urinary retention
- Alcohol addiction
- An overactive thyroid gland
- Enlarged prostate
- Heart problems
- Angle-closure glaucoma
Amitriptyline is a prescription tricyclic antidepressant used to treat psychiatric disorders such as depression. It has many benefits, but because of serious interactions and contraindications, it is considered a high-risk medication that should be used cautiously. To avoid adverse effects, a patient should follow the doctor’s instructions. One should also seek professional help for dosage review, discontinuation, or in case of serious side effects. To know more about the most suitable medication for you, contact Mango Clinic today.