Brand names: Elavil, Tryptanol, Endep, Elatrol, Tryptizol, Trepiline, Laroxyl, Saroten, Triptyl, Redomex
Amitriptyline (brand names Elavil, Tryptanol, Endep, Elatrol, Tryptizol, Trepiline, Laroxyl, Saroten, Triptyl, Redomex) is a tricyclic antidepressant drug. Amitriptyline is used to treat symptoms of depression. Amitriptyline may be used also for other conditions such as insomnia, PTSD, migraine, rebound headache, chronic pain, tinnitus, chronic cough, postherpetic neuralgia, carpal tunnel syndrome, fibromyalgia, vulvodynia, interstitial cystitis and some others.
Generic Elavil 10mg / Generic Endep 50 mg / Generic Elavil 25mg
What are amitriptyline tablets?
AMITRIPTYLINE (Elavil®, Endep®) is an antidepressant. Amitriptyline can lift your spirits by treating your depression, especially if it is associated with sleep disturbance. Improvement of sleep patterns can be the first benefit of treatment. Your prescriber or health care professional may prescribe amitriptyline for other conditions, such as relief from nerve pain. Generic amitriptyline tablets are available.
What should I tell my health care provider before I take this medicine?
They need to know if you have any of these conditions:
an alcohol problem
asthma, difficulty breathing
bipolar disorder or a family history of bipolar disorder
blood disorders or disease
difficulty passing urine, prostate trouble
having intramuscular injections
heart disease or previous heart attack
over active thyroid
thoughts or plans of suicide; a previous suicide attempt or family history of suicide attempt
an unusual or allergic reaction to amitriptyline, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
How should I take this medicine?
Take amitriptyline tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. You can take the tablets with or without food. Take your doses at regular intervals. Do not take your medicine more often than directed. Do not stop taking except on your prescriber's advice.
Do not use this medication in children unless you have been specifically instructed to do so by your health care provider.
Adolescents, 12 to 18 years old, and elderly patients over 65 years old may have a stronger reaction to this medicine and need smaller doses.
What if I miss a dose?
If you miss a dose normally taken at bedtime to avoid daytime drowsiness, it may be better to miss that dose. If you take more than one dose a day and miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Follow your prescriber's advice on missed doses. Do not take double or extra doses.
What drug(s) may interact with amitriptyline?
Amitriptyline can interact with many other medicines. Some interactions can be very important. Make sure your prescriber or health care professional knows about all other medicines you are taking. Many important interactions are listed below:
Do not take amitriptyline with any of the following medications:
medicines called MAO inhibitors-phenelzine (Nardil®), tranylcypromine (Parnate®), isocarboxazid (Marplan®), selegiline (Eldepryl®)
other medicines for mental depression (may be duplicate therapies or cause additive side effects)
Amitriptyline may also interact with any of the following medications:
atropine and related drugs like hyoscyamine, scopolamine, tolterodine and others
barbiturate medicines for inducing sleep or treating seizures (convulsions), such as phenobarbital
blood thinners, such as warfarin
drugs for treating HIV infection
female hormones, including contraceptive or birth control pills and estrogen
herbs and dietary supplements like ephedra (Ma huang), kava kava, SAM-e, St. John's wort, valerian, or others
levodopa and other medicines for movement problems like Parkinson's disease
medicines for anxiety or sleeping problems
medicines for colds, flu and breathing difficulties, like pseudoephedrine
medicines for hay fever or allergies (antihistamines)
medicines for weight loss or appetite control
medicines used to regulate abnormal heartbeat or to treat other heart conditions (examples: amiodarone, bepridil, disopyramide, dofetilide, encainide, flecainide, ibutilide, mibefradil, procainamide, propafenone, quinidine, and others)
muscle relaxants, like cyclobenzaprine
other medicines for mental or mood problems and psychotic disturbances
prescription pain medications like morphine, codeine, tramadol and others
seizure (convulsion) or epilepsy medicine such as carbamazepine or phenytoin
stimulants like dexmethylphenidate or methylphenidate
some antibiotics (examples: erythromycin, gatifloxacin, levofloxacin, linezolid, moxifloxacin, sotalol, sparfloxacin)
thyroid hormones such as levothyroxine
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines, nutritional supplements, or herbal products. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
What side effects may I notice from taking amitriptyline?
Side effects that you should report to your prescriber or health care professional as soon as possible:
abnormal production of milk in females
anxiety, agitation, panic attacks, inability to sleep, irritability, hostility or extreme anger, aggressiveness, engaging in unusual or dangerous activities, restlessness or inability to sit still, extreme elation or feeling of happiness that may switch back and forth with a depressed or sad mood
blurred vision or eye pain
breast enlargement in both males and females
confusion, hallucinations (seeing or hearing things that are not really there)
fever with increased sweating
irregular or fast, pounding heartbeat, palpitations
muscle stiffness, or spasms
pain or difficulty passing urine, loss of bladder control
sexual difficulties (decreased sexual ability or desire, difficulty ejaculating)
swelling of the testicles
tingling, pain, or numbness in the feet or hands
unusual weakness or tiredness
yellowing of the eyes or skin
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
constipation, or diarrhea
drowsiness or dizziness
increased sensitivity of the skin to sun or ultraviolet light
loss of appetite
skin rash or itching
weight gain or loss
What should I watch for while taking amitriptyline?
Visit your prescriber or health care professional for regular checks on your progress. It can take several days before you feel the full effect of amitriptyline. A Medication Guide About Using Antidepressants in Children and Teenagers is available from your health care professional and should be read by the patients and their family or caregivers. Discuss this Medication Guide with the health care provider if this drug is being used in a child or adolescent.
If you have been taking amitriptyline regularly for some time, do not suddenly stop taking it. You must gradually reduce the dose or you may get severe side effects. Ask your prescriber or health care professional for advice. Even after you stop taking amitriptyline it can still affect your body for several days.
If you notice any unusual effects, such as restlessness, worsening of depression, agitation, difficulty sleeping, irritability, anger, acting on dangerous impulses, or suicide thoughts or attempts, you should call your health care provider immediately.
You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how amitriptyline affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol may increase dizziness and drowsiness. Avoid alcoholic drinks.
Do not treat yourself for coughs, colds, or allergies without asking your prescriber or health care professional for advice. Some ingredients can increase possible side effects.
Your mouth may get dry. Chewing sugarless gum or sucking hard candy, and drinking plenty of water will help.
Amitriptyline may cause dry eyes and blurred vision. If you wear contact lenses you may feel some discomfort. Lubricating drops may help. See your ophthalmologist if the problem does not go away or is severe.
Amitriptyline may make your skin more sensitive to the sun. Keep out of the sun, or wear protective clothing outdoors and use a sunscreen. Do not use sun lamps or sun tanning beds or booths.
If you are diabetic, check your blood sugar more often than usual, especially during the first few weeks of treatment with amitriptyline. Amitriptyline can affect blood glucose (sugar) levels. Call your prescriber or health care professional for advice if you notice a change in the results of blood or urine glucose tests.
If you are going to have surgery or will need an x-ray procedure that uses contrast agents, tell your prescriber or health care professional that you are taking this medicine.
Where can I keep my medicine?
Keep out of the reach of children in a container that small children cannot open.
Store at room temperature between 15 and 30 degrees C (59 and 86 degrees F). Throw away any unused medicine after the expiration date.
Frequently asked questions:
What is a generic medication?
Wikipedia gives the following definition: “Generic drug (pl. generic drugs, short: generics) is a drug which is produced and distributed without a brand name. A generic must contain the same active ingredients as the original formulation. In most cases, it is considered bioequivalent to the brand name counterpart with respect to pharmacokinetic and pharmacodynamic properties. By extension, therefore, generics are assumed to be identical in dose, strength, route of administration, safety, efficacy, and intended use. Mind that the pills you will receive from us differ in appearance from the brand name ones. The looks of medications as well as brand names are the intellectual property of the brand manufacturer. Thus to avoid any accusation of copyright infringement we have to change the shape and the color of the generic pills as well as use the name of the active ingredient (generic name) instead of the brand name for printing on pills. Please be aware that the generic pills differ in appearance from the brand name medications. Our pills are round shaped and blister packed (10 pills per each blister). The name of the active ingredient as well as the weight are specified on the pill itself.
Why are generic pills cheaper than the brand name ones?
The principal reason for the reduced price of generic medicines is that the creation of the generic drug runs up less cost and therefore a lower price can be offered and still maintain profitability.
Manufacturers of generic drugs are mainly able to avoid the following three costs that brand name pharmaceutical companies incur: (1) costs associated with the research and development of the drug; (2) costs associated obtaining regulatory approval (i.e. proving safety and efficacy of a drug); and (3) marketing costs.
First, Generic manufacturers do not incur the cost of drug discovery and instead reverse-engineer existing brand name drugs to allow them to manufacture bioequivalent versions.
Second, generic manufacturers do not bear the burden of proving the safety and efficacy of the drugs through clinical trials - rather, generic manufacturers must prove the generic drug’s bioequivalancy to the existing drug.
Third, these companies receive the large benefit of the marketing and advertising that goes into pushing the innovator drug. The brand name drug has to prove itself in the eyes of the consumer, generic ones do not. The drugs that generic manufacturers are selling have been on the market for usually a decade or more and do not need additional advertising. For the same reason, generic manufacturers also do not give away sample doses to promote their products. The significant research, development and marketing costs incurred by the large pharmaceutical companies in introducing a new drug to the market is often cited as the reason for the high cost of new agents - they wish to recover these costs before the patent expires. Generic manufacturers do not incur these costs, with bioequivalence testing and manufacturing costing relatively little, and are able to charge significantly less than the brand. Buy discount Amitriptyline (Elavil) online. Order cheap generic Endep (Amitriptyline) . Purchase Amitriptyline (Elavil) - low cost and price, but high quality.
Do you require a prescription?
However we would strongly recommend you to consult your doctor before taking a medication. You may have some diseases contra-indicated for taking certain kinds of medicines and your doctor will advise you what you can or cannot take.
Do you guarantee the quality of pills?
High quality of the medications we offer is the subject of our primary concern. The logic is very simple: the better the quality of goods is, the more customers we have. Thus we are very attentive and selective in the choice of the supplier, the quality of goods is thoroughly tested and the documentation is closely checked.
How do you ship orders? Will I have to sign for the package?
If sent by the standard unregistered mail the order will come in a plain envelope without any reference to content. The envelope will be left in your mail box. There is no need to sign for it. If sent by a courier, the recipient needs to sign for the package. All orders are shipped in discreet packaging. There is no mention on the outside of the package as to what is contained inside. Furthermore, your name or any other personal information will never be given or sold to any other company. Your privacy is our utmost concern.
Will my order be delivered in one package or you will divide it in case the order is large?
If an order includes 90 pills (or more) or if there are different types of medications in one order we will have to send the pills separately. Thus the delivery will take longer than 3 weeks since the packages are sent with the interval of approximately 7 days one by one. This is done to secure the delivery.
All the information you provide is confidential and is not given to any third parties.
On our site, you fill in a form to order your medications. Your personal information inserted is used for the delivery of goods and for and orders confirmation message. This information is also used to contact the customer if needed. The information is not used for any spam or promotional messages etc.
Our stuff does not have any access to the customers’ credit card information. Customer support operators can see only the last four digits of your credit card in the database.
All the data from the “checkout page” is directly transferred to the secure server of the payment system.
Payments security is ensured by encrypting your personal information during its transfer from the customer to the bank for the processing. We use 128 bit Secure Sockets Layer (SSL) software to encrypt the information you input.