Amitriptyline Hydrochloride
Generic name: amitriptyline, amitriptyline hydrochloride.
Brand names: Elavil, Endep and many others.
Amitriptyline is one of the most common first generation antidepressants. Despite the fact that many decades have passed since its first use, new antidepressants have appeared and continue to appear, it still remains the drug with the most powerful antidepressant effect. All newly developed antidepressant drugs are compared with amitriptyline as the benchmark for antidepressants.
Amitriptyline is a drug from the group of tricyclic antidepressants with sedative and anxiolytic effects. It is used, on the one hand, to treat depression and, on the other hand, to treat chronic pain (e.g. nerve pain, headache prevention, irritable bowel). Numerous precautions and possible interactions are considered when using amitriptyline. The most common side effects include dry mouth, nausea, constipation, weight gain, tremor, drowsiness, headache, dizziness, increased sweating, and impaired accommodation.
Amitriptyline is a kind of drug. Although these are useful for stress as well as depression, lower doses may also be popular to block the long term (chronic) pain of some rheumatic ailments. A few other antidepressants can be useful for long-term pain. The compounds rebalances in the central nervous system, which relax the muscles can alleviate pain and enhance sleep. Additionally, it may help at depression and any stress caused by the pain, though low doses aren’t enough on their very own to treat depression that is serious. The impact on sleep is generally prompt, if amitriptyline works for you, as well as disposition and your pain will likely improve within two to six weeks.
Why am I being prescribed amitriptyline?
A consultant rheumatologist can prescribes amitriptyline for long-term pain due to:
- arthritis
- fibromyalgia
- long-term (tension) head aches
Are there any reasons I will not be prescribed amitriptyline?
Amitriptyline will not be prescribed if you are recuperating from a recent heart attack (myocardial infarction) or if you’ve:
- Acute porphyria (an enzyme disorder causing serious nerve or skin symptoms)
- Specific types of glaucoma (increased pressure inside the eyeball).
Cautions
- Don’t use if you’ve been taking an MAO inhibitor such as phenelzine, tranylcypromine, or isocarboxazid over the previous 14 days. When used with MAO-I’s, fever, high blood pressure, increased heart rate, confusion, seizures, and deaths have been reported.
- Don’t use this medication immediately following a heart attack.
- This medication can cause sedation, which might impair performance of tasks requiring alertness. Sedative effects may be additive with other medications that cause results that are similar.
- If you are planning to get amitriptyline online, please remember that this medication may worsen psychosis or mania in patients with bipolar disorder.
- Cease therapy with physician permission and according to directions (gradual taper) before elective surgery.
- Don’t suddenly stop taking this medicine; rather, taper gradually.
- Before purchasing amitriptyline, inform your doctor if you have low blood pressure, as this medication can cause low blood pressure episodes.
- Use with caution if you have urinary retention, history of cardiac disease, seizure disorders, diabetes, benign prostatic hyperplasia, narrow angle glaucoma, dry mouth, visual difficulties, constipation, or a history of bowel obstruction.
- The potential for suicide attempt may persist until remission occurs.
- Use with caution if you’ve got hyperthyroid disorder or if you’re receiving thyroid supplementation.
- Use with caution if you have kidney or liver malfunction, or if you’re elderly.
Where to buy amitriptyline over the counter
Amitriptyline antidepressant is a prescription medication that comes in 10 mg, 25 mg, 50 mg and 75 mg tablets. It’s available on prescription as tablets for oral use, but the pharmacy, will sell amitriptyline in the UK. You may have the ability save the pharmacy markup and to purchase amitriptyline from them online.
Can I buy amitriptyline over the counter in the UK?
No, you cannot purchase amitriptyline over the counter in the UK. It is a prescription-only medication, so you will need a valid prescription from a registered healthcare professional to obtain it.
Where can I get amitriptyline in the UK?
You can obtain amitriptyline in the UK from a pharmacy with a valid prescription from your doctor. You may also be able to acquire it from hospitals or other healthcare facilities.
Can I purchase amitriptyline online in the UK without a prescription?
No, it is illegal to buy amitriptyline online in the UK without a valid prescription. Websites offering to sell prescription medications without a prescription should be avoided, as they may be operating unlawfully and selling counterfeit or unsafe products.
How can I obtain a prescription for amitriptyline in the UK?
To get a prescription for amitriptyline in the UK, you need to consult a healthcare professional, such as your general practitioner (GP) or a psychiatrist. They will assess your medical history and condition to determine if amitriptyline is an appropriate treatment for you.
How can you buy amitriptyline over the counter online in the UK?
When seeking to acquire amitriptyline without a prescription through online channels in the UK, it’s advisable to explore reputable online pharmacies. Options like Boots, LloydsPharmacy, and Chemist Direct are among the well-established platforms known for their reliability.
Before making a purchase, it’s crucial to verify that the chosen pharmacy is registered with the General Pharmaceutical Council (GPhC). This ensures adherence to the required standards of practice and safety regulations set forth by the Medicines and Healthcare products Regulatory Agency (MHRA).
Despite the accessibility of purchasing medications online, it’s imperative to exercise caution and consult with a qualified healthcare professional before proceeding with any transaction. This step ensures that the medication is suitable for your individual needs and circumstances, promoting safe and effective usage.
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Structure and properties
Elavil (C20H23N, Mr = 277.4 g / mol) is as amitriptyline hydrochloride as a white or almost white powder before or as colorless crystals. The dibenzo-cycloheptadiene derivative is derived from imipramine and belongs to the tricyclic antidepressants. In the liver it is metabolized by N-demethylation by cytochrome also in the pharmacologically active metabolite nortriptyline.
Effects
Amitriptyline (N06AA09 ATC) is an antidepressant, anxiolytic, stress relieving, agitation absorbing, sedating and promotes sleep. It has anticholinergic, antihistamine and analgesic properties.
Mechanism of action
Amitriptyline affects the neurotransmitter system in the central nervous system. It inhibits the reuptake of serotonin and norepinephrine in the presynaptic neuron.
Amitriptyline also acts on muscarinic acetylcholine receptor antagonist, on histamine receptor of type 1, the 5-HT2 receptor and the alpha1-adrenoreceptor.
Indications
Amitriptyline is used for various depressive disorders, including the endogenous, reactive and neurotic depression and depression in geriatrics. It can be used in combination with the antipsychotic drug on depressive symptoms in schizophrenic psychoses from the group of response forms. Amitriptyline is also indicated for the treatment of mood disorders in somatic.
Amitriptyline is approved for patients with chronic pain who have not responded to conventional treatment. It is with irritable bowel used in fibromyalgia, nerve pain and prevent tension headaches.
Depression (especially with anxiety, agitation and sleep disorders, including in childhood, endogenous, involutional, reactive, neurotic, medicinal, with brain lesions).
As part of complex therapy for mixed emotional disorders, psychosis in schizophrenia, alcohol withdrawal, behavioral disorders (activity and attention), nocturnal enuresis (except for patients with bladder hypotension), bulimia nervosa, chronic pain syndrome. migraine, rheumatic diseases, atypical pain in the face, postherpetic neuralgia, post-traumatic neuropathy, diabetic or other peripheral neuropathy), headache, migraine (prevention), gastric ulcer and duodenal ulcer.
Dosage
According to the SPC. The dose is adjusted individually. The dosage is built up slowly and the taken are generally in the evening. Upon satisfying effect, the maintenance dose is adjusted to ensure the therapeutic effect. The antidepressant effect usually occurs only after 2 to 3 weeks. The completion of the therapy is tapering.
Adults
For adults with depression, the initial dose is 25-50 mg at night, then the dose can be gradually increased, taking into account the effectiveness and tolerability of the drug, up to a maximum of 300 mg / day. in 3 divided doses (most of the dose is taken at night). When a therapeutic effect is achieved, the dose can be gradually reduced to the minimum effective, depending on the patient’s condition. The duration of the course of treatment is determined by the patient’s condition, the effectiveness and tolerability of the therapy and can range from several months to 1 year, and, if necessary, even more. In old age, with mild disorders, as well as with bulimia nervosa, as part of complex therapy for mixed emotional disorders and behavioral disorders, psychosis with schizophrenia and alcohol withdrawal, it is prescribed at a dose of 25-100 mg / day. (at night), after reaching the therapeutic effect, they switch to the minimum effective dose – 10-50 mg/day.
For the prevention of migraine, with chronic pain syndrome of a neurogenic nature (including prolonged headaches), as well as in the complex therapy of gastric ulcer and duodenal ulcer – from 10-12.5-25 to 100 mg/day. (the maximum part of the dose is taken at night).
Children
Children as an antidepressant: from 6 to 12 years old – 10-30 mg/day. or 1-5 mg/kg/day. fractionally, in adolescence – up to 100 mg/day.
With nocturnal enuresis in children 6-10 years old – 10-20 mg/day. at night, 11-16 years old – up to 50 mg/day.
Contraindications
Hypersensitivity to amitriptyline, immediate recovery period after myocardial infarction, cardiac conduction disorders and acute poisoning with alcohol, barbiturates and opiates. Amitriptyline should not be combined with MAOIs (including moclobemide and selegiline), since serious and sometimes fatal reactions have been observed. The drug is contraindicated in pyloric stenosis, prostatic hyperplasia with urinary retention, and paralytic ileus. Because amitriptyline is also an anticholinergic agent, untreated narrow-angle glaucoma is also contraindicated. Amitriptyline should not be used during pregnancy and lactation and in children and adolescents under 18 years of age. Amitriptyline is contraindicated when taking cisapride because of possible cardiac side effects, including QT prolongation and arrhythmias.
