What is Amitriptyline?

Category: Prescription Drugs

Most popular types: Elavil Endep Trepiline Show all

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See also: Amantadine-amitriptyline-baclofen-clonidine-lidocaine-nifedipine-prilocaine

Amitriptyline is a tricyclic antidepressant used for the treatment of depression. It may also be used for certain chronic and neuropathic (nerve) pain and for prevention of migraine headaches.

Reported purpose & perceived effectiveness
Purpose Patients Evaluations Perceived Effectiveness
Insomnia 1,054 698
Fibromyalgia 976 591
Pain 916 588
Depressed mood 207 122
Migraine headaches 170 113

Show all 313 reasons taken


  • Major
  • Moderate
  • Slight
  • None
  • Can't tell

Side effects

Side effects as an overall problem

Side effects as an overall problem
Severity Evaluations
Severe
280
Moderate
406
Mild
536
None
683

Commonly reported side effects and conditions associated with Amitriptyline

Side effect Patients
Dry mouth 179
Weight gain 122
Drowsiness 83
Sleepiness 58
Excessive daytime sleepiness (somnolence) 51
Grogginess 46

Show all 326 reported side effects

Dosages

Based on patients currently taking Amitriptyline

Dosage Patients
25 mg daily 83
10 mg daily 71
50 mg daily 63
20 mg daily 34
100 mg daily 33
75 mg daily 31
30 mg daily 23
150 mg daily 13
25 mg twice daily 6
200 mg daily 5

See all 36 dosages

Why patients stopped taking Amitriptyline

Multiple reasons could be selected

Reason Patients
Did not seem to work 485
Side effects too severe 472
Doctor's advice 265
Other 175
Course of treatment ended 57
Personal research 54
Expense 15
Change in health plan coverage 11
See all 1128 patients who've stopped taking Amitriptyline

Duration

Currently taking Amitriptyline

Duration Patients
Less than 1 month 1
1 - 6 months 22
6 months - 1 year 26
1 - 2 years 53
2 - 5 years 128
5 - 10 years 105
10 years or more 69

Stopped taking Amitriptyline

Duration Patients
Less than 1 month 214
1 - 6 months 309
6 months - 1 year 178
1 - 2 years 146
2 - 5 years 184
5 - 10 years 62
10 years or more 40
Adherence
Adherence Evaluations
Always 1520
Usually 232
Sometimes 73
Never taken as prescribed 80
Burden
Burden Evaluations
Very hard to take 89
Somewhat hard to take 121
A little hard to take 241
Not at all hard to take 1454
Cost per month
Cost per month Evaluations
$200+ 7
$100-199 3
$50-99 10
$25-49 41
< $25 993
Not specified 851

What people switch to and from

Patients started taking Amitriptyline after stopping:

Treatment Patients
Gabapentin (Neurontin) 15
Duloxetine (Cymbalta) 14
Trazodone (Desyrel) 11
Zolpidem (Ambien) 10
Pregabalin (Lyrica) 9

Show all 68 treatments patients report switching from

Patients stopped taking Amitriptyline and switched to:

Treatment Patients
Nortriptyline (Pamelor) 27
Gabapentin (Neurontin) 23
Duloxetine (Cymbalta) 15
Pregabalin (Lyrica) 14
Trazodone (Desyrel) 10

Show all 58 treatments patients report switching to

Last updated:

155 patient evaluations for Amitriptyline

Jan 27, 2018 (Started Jan 22, 2018)

  • Effectiveness
    Moderate (for pain)
  • Effectiveness
    Major (for insomnia)
  • Effectiveness
    Slight (for fibromyalgia)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 20 mg Daily
Cost: < $25 monthly

  • 0 helpful marks

Dec 15, 2017 (Started Apr 19, 2012)

  • Effectiveness
    Major (for major depressive disorder)
  • Side effects
    Moderate (weight gain, fluid retention weight gain)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 200 mg Daily
Cost: < $25 monthly

Nov 10, 2017 (Started Apr 19, 2012)

  • Effectiveness
    Major (for major depressive disorder)
  • Side effects
    Mild (weight gain, fluid retention weight gain)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 200 mg Daily
Cost: < $25 monthly

Aug 2, 2016 (Started Apr 19, 2012)

  • Effectiveness
    Moderate (for major depressive disorder)
  • Side effects
    Mild (weight gain, fluid retention weight gain)
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 200 mg Daily
Advice & Tips: Elavil is becoming unfamiliar with psychiatrists these days; they seem to feel that the old tricylics don't work as well as all the SSRI's that are out there now. Personally, over the vast amount of years with my psychiatrist, we tried everything from A-Z......always came back to Elavil. The SSRI's had terrible side effects & did not work as well. I think it's been quite effective! The weight gain used to be bad until I was dxed w/ Type 2 Diabetes (not on medication/just diet & exercise & glucose monitoring daily) Now I've been losing weight.
Cost: < $25 monthly

  • 0 helpful marks

Jul 22, 2017 (Started Jul 01, 2002)

  • Effectiveness
    Slight (for fibromyalgia)
  • Effectiveness
    Slight (for pain)
  • Effectiveness
    Moderate (for insomnia)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 25 mg Daily
Cost: < $25 monthly

Dec 31, 2011 (Started Jul 01, 2002)

  • Effectiveness
    Slight (for insomnia)
  • Effectiveness
    Slight (for fibromyalgia)
  • Effectiveness
    Slight (for pain)
  • Side effects
    None
  • Adherence
    Always
  • Burden
    Not at all hard to take
Dosage: 25 mg Daily
Advice & Tips: This definitely helps with the problems I have sleeping, getting to sleep, staying asleep, getting restorative sleep, depression, and pain. I can tell more when I miss 2 or more nights, usually caused by a refill problem. I try to never run out and have to go without a dose. Missing doses causes all my problems like with sleeping, pain, and depression to become worse and my other medications don't seem as effective. I really take a nose dive if more than 2 doses are missed. Missing only 1 is tolerable, missing anymore becomes a big problem. I get anxious, teary, sleepless, and I feel hopeless. It is a horrible feeling.
Cost: < $25 monthly

  • 0 helpful marks
Last updated:
Showing 3 of 155 patient evaluations for Amitriptyline