Amitriptyline, sold under the brand name Elavil among others, is a medicine primarily used to treat a number of mental illnesses. These include major depressive disorder and anxiety disorders, and less commonly attention deficit hyperactivity disorder (ADHD) and bipolar disorder. Buy Amitriptyline Online. Buy Elavil Online. Amitriptyline Without Prescription. Amitriptyline For Sale.
Other uses include prevention of migraines, treatment of neuropathic pain such as fibromyalgia and postherpetic neuralgia, and less commonly insomnia. It is in the tricyclic antidepressant (TCA) class and its exact mechanism of action is unclear. Amitriptyline is taken by mouth.
How to use Amitriptyline
Read the Medication Guide provided by your pharmacist before you start taking amitriptyline and each time you get a refill. If you have any questions, contact us for more information. Buy Amitriptyline Online.
Firstly, take this medication by mouth, usually 1 to 4 times daily or as directed. If you take it only once a day, take it at bedtime to help reduce daytime sleepiness. The dosage is based on your medical condition and response to treatment. Buy Amitriptyline Online.
To reduce your risk of side effects (such as drowsiness, dry mouth, dizziness), you may be direct to start this medication at a low dose and gradually increase your dose. Follow instructions carefully. Buy Amitriptyline Online.
Further, take this medication regularly in order to get the most benefit from it. To help you remember, take it at the same time(s) each day. Do not increase your dose or use this drug more often or for longer than prescribed. Your condition will not improve any faster, and your risk of reactions will increase. Buy Amitriptyline Online.
Also, keep taking this medication even if you feel well. Do not stop taking this medication without asking. Some conditions may become worse when this drug is suddenly stopped. Also, you may experience symptoms such as mood swings, headache, tiredness, and sleep change. To prevent these symptoms while you are stopping treatment with this drug, you can be instructed to reduce your dose gradually. Report any new or worsening symptoms right away. Buy Elavil Online.
This medication may not work right away. You may see some benefit within a week. However, it may take up to 4 weeks before you feel the full effect. Buy Elavil Online.
What may interact with Amitriptyline?
Firstly, drug interactions may change how your medications work or increase your risk for serious side effects. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with us. Do not start, stop, or change the dosage of any medicines without an approval. Buy Elavil Online.
Some products that may interact with this drug include:
- Thyroid supplements
- Other drugs that can cause bleeding/bruising (including antiplatelet drugs such as clopidogrel, NSAIDs such as ibuprofen, “blood thinners” such as warfarin)
- Anticholinergic drugs (such as belladonna alkaloids)
- Certain drugs for high blood pressure (drugs that work in the brain such as clonidine, guanabenz).
Taking MAO inhibitors with this medication may cause a serious (possibly fatal) drug interaction. Avoid taking MAO inhibitors (isocarboxazid, linezolid, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) during treatment with this medication. Most MAO inhibitors should also not be taken for two weeks before and after treatment with this medication. Ask us when to start or stop taking this medication. Buy Elavil Online.
Furthermore, other medications can affect the removal of amitriptyline from your body, thereby affecting how amitriptyline works. These drugs include cimetidine, terbinafine, drugs to treat irregular heart rate (such as quinidine/propafenone/flecainide), antidepressants (such as SSRIs including paroxetine/fluoxetine/fluvoxamine). This is not a complete list. Buy Elavil Online.
More About Drug Interaction
Many drugs besides amitriptyline may affect the heart rhythm (QT prolongation in the EKG), including amiodarone, cisapride, dofetilide, pimozide, procainamide, quinidine, sotalol, macrolide antibiotics (such as erythromycin), among others. Therefore, before using amitriptyline, report all medications you are currently using to a doctor or pharmacist. Buy Amitriptyline Online.
Also, inform us if you are taking other products that cause drowsiness, including alcohol, marijuana (cannabis), antihistamines (such as cetirizine, diphenhydramine), drugs for sleep or anxiety (such as alprazolam, diazepam, zolpidem), muscle relaxants, and opioid pain relievers (such as codeine).
Check the labels on all your medicines (such as allergy or cough-and-cold products) because they may contain decongestants or ingredients that cause drowsiness. Ask us about using those products safely.
Aspirin can increase the risk of bleeding when used with this medication. However, if your doctor has directed you to take low-dose aspirin for heart attack or stroke prevention (usually at dosages of 81-325 milligrams a day), you should continue taking it unless your doctor instructs you otherwise. Ask for more details.
Amitriptyline is very similar to nortriptyline. Do not use medications containing nortriptyline while using amitriptyline.
Possible Side Effects
Drowsiness, dizziness, dry mouth, blurred vision, constipation, weight gain, or trouble urinating may occur. If any of these effects persist or worsen, notify a doctor or pharmacist promptly. Amitriptyline Without Prescription.
To reduce the risk of dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. Also, to relieve dry mouth, suck on (sugarless) hard candy or ice chips, chew (sugarless) gum, drink water, or use a saliva substitute. Again, to prevent constipation, eat dietary fiber, drink enough water, and exercise. You may also need to take a laxative. Amitriptyline Without Prescription.
Inform a your doctor at once if any of these rare but serious side effects occur:
- Easy bruising/bleeding
- Persistent heartburn
- Mask-like facial expressions
- Muscle spasms
- Severe stomach/abdominal pain
- Decreased sexual ability/desire
- Enlarged/painful breasts.
Get medical help if you have any very serious side effects, including:
- Black stools
- Vomit that looks like coffee grounds
- Severe dizziness
- Eye pain/swelling/redness
- Widened pupils
- Vision changes (such as seeing rainbows around lights at night).
This medication may rarely cause a very serious condition called neuroleptic malignant syndrome (NMS). Get medical help immediately if you have any of the following symptoms: fever, muscle stiffness, severe confusion, sweating, fast/irregular heartbeat. Amitriptyline Without Prescription.
A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any symptoms of a serious allergic reaction, including: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. Amitriptyline Without Prescription.
This is not a complete list of possible side effects. If you notice other effects not listed above, contact a doctor or pharmacist. Amitriptyline Without Prescription.
Before buying amitriptyline from us, inform us if you are allergic to it, or to other tricyclic antidepressants (such as nortriptyline), or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Contact us for more details. Amitriptyline Without Prescription.
Also, before using this medication, tell us your medical history, especially of: bleeding problems, breathing problems, liver problems, recent heart attack, problems urinating (such as due to enlarged prostate), overactive thyroid (hyperthyroidism), personal or family history of glaucoma (angle-closure type), personal or family history of mental/mood conditions (such as bipolar disorder, psychosis), family history of suicide, seizures, conditions that may increase your risk of seizures (such as other brain disease, alcohol withdrawal).
Amitriptyline may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can rarely cause serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that need medical attention right away.
The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may cause QT prolongation. Before using amitriptyline, inform a doctor or pharmacist of all the drugs you take and if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death).
Furthermore, low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/”water pills”) or if you have conditions such as severe sweating, diarrhea, or vomiting.
Other Precautions of Amitriptyline
This drug may make you dizzy or drowsy or blur your vision. Do not drive, use machinery, or do anything that needs alertness or clear vision until you can do it safely. Avoid alcoholic beverages.
Also, before having surgery, tell your doctor or dentist about all the products you use (including prescription drugs, nonprescription drugs, and herbal products).
This medication may make you more sensitive to the sun. Limit your time in the sun. Avoid tanning booths and sunlamps. Use sunscreen and wear protective clothing when outdoors.
In addition, if you have diabetes, this drug may make it harder to control your blood sugar levels. Monitor your blood sugar levels regularly and tell your doctor of the results. Your doctor may need to adjust your diabetes medication, exercise program, or diet.
Older adults may be more sensitive to the side effects of this drug, especially dry mouth, dizziness, drowsiness, confusion, constipation, difficulty urinating, and QT prolongation (see above). Dizziness, drowsiness, and confusion can increase the risk of falling. Amitriptyline For Sale.
Moreso, during pregnancy, this medication should be used only when clearly needed.
Since untreated mental/mood problems (such as depression, anxiety, panic disorder) can be a serious condition, do not stop using this medication unless directed to do so. If you are planning pregnancy, become pregnant, or think you may be pregnant, immediately discuss with a doctor the benefits and risks of using this medication during pregnancy.
This medication passes into breast milk and the effect on a nursing infant is unknown. Consult your doctor before breast-feeding. Amitriptyline For Sale.
Store at room temperature between 68-77 degrees F (20-25 degrees C) away from light and moisture. Do not store in the bathroom. Keep all medicines away from children and pets. Amitriptyline For Sale.
Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product. Amitriptyline For Sale.
If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up. Amitriptyline For Sale.
Notes: Do not share this medication with others. Amitriptyline For Sale.
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