Amitriptyline Online



How and where to order Amitriptyline Hydrochloride (Elavil, Endep) 10 mg, 25 mg, 50 mg, 75 mg tablets or capsules online on Eating Disorder Therapy by Barbara J. Rossen, ACSW, LMFT website:

Shop:DFH PHARMACY
Stores:PHARMA DOCTOR
Prices:from $0.30 per pill
Discount:10% coupon: DFHDCC
Forms:
  • Amitriptyline HCl 25 mg, 50 mg tablets
  • Elavil 10 mg, 25 mg, 50 mg, 75 mg tablets
  • Endep 10 mg, 25 mg, 50 mg, 75 mg tablets
  • Quantity:30-360 pills
    Type:Amitriptyline brand, Elavil generic, Endep generic
    Payment:Visa, Mastercard, AmEx, E-Check (ACH), Bitcoin
    Delivery:Regular and express mail service
    Shipping:Worldwide, including USA, UK, Europe, Canada, Australia


    Amitriptyline (trade names include Elavil, Endep, Amineurin, Amytril, Amitriptyline Actavis, Sarotena, Sandoz Amitriptyline, Elatrolet, Apo-Amitriptyline, Eliwel, Laroxyl, Saroten, Tryptanol, Tryptizol) is a tricyclic antidepressant (TCA) and anti-anxiety medication from non-selective monoamine reuptake inhibitors pharmacological group. This medicine is used to treat depression, major depressive disorder, depression in Parkinson's disease, anxiety, eating disorders, children with ADHD, irritable bowel syndrome, cyclic vomiting syndrome, nocturnal enuresis, insomnia, sleep disturbances, neuropathic pain, bladder pain syndrome, painful diabetic neuropathy, fibromyalgia, fatigue, cancer pain, atypical facial pain, migraine, tension headaches, other pain syndromes. It works by affecting chemicals in human brain that may become unbalanced and cause depression. Generic Elavil or Endep is a safe, reliable medication, and one of the best anti-depression treatments available.


    Elavil, Endep (Amitriptyline Hydrochloride)


    Related medications:

  • Amineptine (Survector)
  • Amoxapine (Asendin)
  • Bupropion (Wellbutrin-SR)
  • Buspirone (Buspar)
  • Butriptyline (Evadyne)
  • Citalopram (Celexa)
  • Clomipramine (Anafranil)
  • Desipramine (Pertofrane)
  • Desvenlafaxine (Pristiq)
  • Dibenzepin (Noveril)
  • Dimetacrine (Istonil)
  • Dosulepin (Prothiaden)
  • Doxepin (Sinequan)
  • Duloxetine (Cymbalta)
  • Escitalopram (Lexapro)
  • Fluvoxamine (Luvox)
  • Hydroxyzine (Atarax)
  • Imipramine (Tofranil)
  • Iprindole (Prondol)
  • Lofepramine (Gamanil)
  • Maprotiline (Ludiomil)
  • Melitracen (Dixeran)
  • Milnacipran (Savella)
  • Norethisterone (Aygestin)
  • Nortriptyline (Aventyl)
  • Olanzapine (Zyprexa)
  • Opipramol (Insidon)
  • Paroxetine (Paxil)
  • Protriptyline (Vivactil)
  • Quetiapine (Seroquel)
  • Quinupramine (Kinupril)
  • Selegiline (Eldepryl)
  • Sertraline (Zoloft)
  • Trazodone (Desyrel)
  • Venlafaxine (Effexor)


    Pharmacological and medical categories:

  • Analgesics
  • Anti insomnia medicines
  • Antidepressants
  • Anti-anxiety medications
  • Pain relief drugs
  • Sleep aid pills
  • Tricyclic antidepressants
  • Tricyclics and other norepinephrine-reuptake inhibitors


    ATC codes:

  • N - Nervous system
  • N06 - Psychoanaleptics
  • N06A - Antidepressants
  • N06AA - Non-selective monoamine reuptake inhibitors
  • N06AA09 - Amitriptyline


    ICD-10 codes:

  • Type 2 diabetes mellitus - E11
  • Type 2 diabetes mellitus with diabetic neuropathy, unspecified - E11.40
  • Bipolar affective disorder - F31
  • Mood [affective] disorders - F30-F39
  • Major depressive disorder, single episode - F32
  • Major depressive disorder, recurrent - F33
  • Persistent mood [affective] disorders - F34
  • Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders - F40-F48
  • Phobic anxiety disorders - F40
  • Other anxiety disorders - F41
  • Eating disorders - F50
  • Attention-deficit hyperactivity disorders - F90
  • Parkinson's disease - G20
  • Migraine - G43
  • Other headache syndromes - G44
  • Tension-type headache - G44.2
  • Sleep disorders - G47
  • Insomnia - G47.0
  • Disorders of trigeminal nerve - G50
  • Atypical facial pain - G50.1
  • Pain, not elsewhere classified - G89
  • Neoplasm related pain (acute) (chronic) - G89.3
  • Irritable bowel syndrome - K58
  • Other and unspecified soft tissue disorders, not elsewhere classified - M79
  • Neuralgia and neuritis, unspecified - M79.2
  • Fibromyalgia - M79.7
  • Other disorders of urinary system - N39
  • Nocturnal enuresis - N39.44
  • Nausea and vomiting - R11
  • Cyclical vomiting syndrome unrelated to migraine - R11.15
  • Other and unspecified symptoms and signs involving the genitourinary system - R39
  • Other symptoms and signs involving the genitourinary system - R39.89
  • Pain, not elsewhere classified - R52
  • Malaise and fatigue - R53


    Indications and usage:

    Amitriptyline Hydrochloride (Elavil, Endep) is indicated for the management of depressive illness.

    It may be used in depressive illness of psychotic or endogenous nature and in selected patients with neurotic depression. Endogenous depression is more likely to be alleviated than are other depressive states. Amitriptyline, because of its sedative action, is also of value in alleviating the anxiety component of depression.

    As with other tricyclic antidepressants, Elavil and Endep may precipitate hypomanic episodes in patients with bipolar depression. These drugs are not indicated in mild depressive states and depressive reactions.


    Dosage and administration:

    Dosage of amitriptyline tablets should be initiated at a low level and increased gradually, noting carefully the clinical response and any evidence of intolerance.


    Dosage forms and strengt:

    Elavil, Endep (Amitriptyline Hydrochloride) film-coated tablets 10 mg, 25 mg, 50 mg, 75 mg, 100 mg, 150 mg.


    Overdosage:

    Symptoms

    High doses of amitriptyline may cause temporary confusion, disturbed concentration, or transient visual hallucinations. Overdosage may cause drowsiness, hypothermia, tachycardia and other arrhythmic abnormalities, such as bundle branch block, ECG evidence of impaired conduction, congestive heart failure, disorders of ocular motility, convulsions, severe hypotension, stupor, coma, polyradiculoneuropathy and constipation. Other symptoms may be agitation, hyperactive reflexes, muscle rigidity, vomiting, hyperpyrexia. In patients with glaucoma, even average doses may precipitate an attack.

    Treatment

    All patients suspected of having taken an amitriptyline overdosage should be admitted to a hospital as soon as possible. Treatment is symptomatic and supportive. Activated charcoal may reduce absorption of the medicine if given within one or two hours after ingestion. In patients who are not fully conscious or have impaired gag reflex, consideration should be given to administering activated charcoal via a nasogastric tube, one the airway is protected. An ECG should be taken and close monitoring of cardiac function instituted if there is any sign of abnormality. Maintain an open airway and adequate fluid intake; regulate body temperature.

    Standard measures should be used to manage circulatory shock and metabolic acidosis. Cardiac arrhythmias have been treated with propranolol. Should cardiac failure occur, the use of digitalis should be considered. Close monitoring of cardiac function for not less than five days is advisable.

    Anticonvulsants may be given to control convulsions. Amitriptyline increases the CNS depressant action but not the anticonvulsant action of barbiturates; therefore, an inhalation anaesthetic or diazepam is recommended for control of convulsions.

    Dialysis is of no value because of low plasma concentrations of the medicine.

    Since overdosage is often deliberate, patients may attempt suicide by other means during the recovery phase.


    Contraindications:

    Amitriptyline HCl is contraindicated in patients who have shown prior hypersensitivity to it. It should not be given concomitantly with a MAO inhibiting compound. Hyperpyretic crises, severe convulsions, and deaths have occurred in patients receiving tricyclic antidepressant and MAO inhibiting drugs simultaneously. When it is desired to substitute this medicine for a MAO inhibitor, a minimum of 14 days should be allowed to elapse after the latter is discontinued. Endep and Elavil should then be initiated cautiously with gradual increase in dosage until optimum response is achieved.

    This drug is not recommended for use during the acute recovery phase following myocardial infarction and in the presence of acute congestive heart failure.


    Warnings and precautions:

  • Talk to your doctor or pharmacist before taking amitriptyline pills.
  • Heart rhythm disorders and hypotension may occur if you receive a high dosage of Elavil or Endep. This might also occur in usual doses if you have pre-existing heart disease.
  • The use of buprenorphine together with amitriptyline tablets can lead to serotonin syndrome, a potentially life threatening condition.


    Adverse reactions, side effects:

    The most commonly reported adverse reactions of amitriptyline are:

  • signs of a severe allergic reaction (anaphylaxis), such as difficulty breathing or swelling of your face, lips, throat or tongue
  • attacks of intermittent blurring of vision, rainbow vision, and eye pain
  • a heart problem called "prolonged QT interval" (which is shown on your electrocardiogram, ECG)
  • bad constipation, a swollen stomach, fever and vomiting
  • any yellowing of the skin and the white in the eyes (jaundice)
  • bruising, bleeding, pallor or persistent sore throat and fever
  • suicidal thoughts or behaviour

    To report suspected side effects of Elavil and Endep (Amitriptyline Hydrochloride) tablets contact pharmaceutical companies manufactured and/or distributed these medications or your local FDA.


    Drug interactions:

  • monoamine oxidase inhibitors (MAOIs) e.g. phenelzine, iproniazid, isocarboxazid, nialamide or tranylcypromine (used to treat depression) or selegiline (used to treat Parkinson's disease)
  • adrenaline, ephedrine, isoprenaline, noradrenaline, phenylephrine and phenylpropanolamine
  • medicine to treat high blood pressure, for example calcium-channel blockers (e.g. diltiazem and verapamil), guanethidine, betanidine, clonidine, reserpine and methyldopa
  • anticholinergic drugs such as certain medicines to treat Parkinson's disease and gastrointestinal disorders (e.g. atropine, hyoscyamine)
  • thioridazine (used to treat schizophrenia)
  • nefopam, tramadol and morphine (painkillers)
  • buprenorphine (a drug used for severe pain or opioid drug addiction)
  • medicines to treat fungal infections (e.g. fluconazole, terbinafine, ketoconazole, and itraconazole)
  • sedatives (e.g. barbiturates)
  • antidepressants (e.g. SSRIs (fluoxetine, paroxetine, fluvoxamine), and bupropion)
  • medicines for certain heart conditions (e.g. beta blockers and antiarrhythmics)
  • cimetidine (used to treat stomach ulcers)
  • methylphenidate (used to treat ADHD)
  • ritonavir (used to treat HIV)
  • oral contraceptives


    Use in specific populations:

    Pregnancy

    Withdrawal symptoms in newborn infants have been reported with prolonged maternal use of this class of medicines.

    Tricyclic antidepressants have not been shown to be associated with an increased incidence of birth defects. However, there is evidence of interference with central monoamine neurotransmission in rats. Care should be taken that there are sound indications for the use of these antidepressants in pregnancy.

    There are no well controlled studies in pregnant women; therefore, in administering amitriptyline to pregnant women, the potential benefits must be weighed against the possible hazards to mother and child.

    Lactation

    Amitriptyline is detectable in breast milk. Because of the potential for serious adverse effects in infants from Endep and Elavil, a decision should be made whether to discontinue nursing or discontinue the medicine.

    Fertility

    No data available.

    Effects on ability to drive and use machines

    Amitriptyline HCl pills may cause drowsiness, impair alertness in some patients and increase the effects of alcohol. Patients should be instructed not to drive a motor vehicle, operate machinery and/or undertake activities that may be hazardous in the context of diminished alertness if they are affected by Elavil or Endep.


    Pregnancy categories:

  • C - Australia
  • C - United States (Risk cannot be ruled out)


    Salts and other forms:

  • Amitriptyline Base
  • Amitriptyline Hydrochloride
  • Amitriptyline Oxide
  • Amitriptyline Pamoate


    Synonyms, international and chemical names:

  • Amitriprolidine
  • Amitriptilin
  • Amitriptilina
  • Amitriptuliin
  • Amitriptyliini
  • Amitriptylin
  • Amitriptylina
  • Amitriptyline HCl
  • Amitriptylinum
  • Amitryptiline
  • Amitryptyline
  • Amytriptiline
  • Amytriptylin
  • Proheptadien
  • Proheptadiene
  • Amitriptylinoxide


    Brands, generics, trade names:

  • Amineurin - Hexal
  • Amioxid - Neuraxpharm Arzneimittel
  • Amitril - Warner Chilcott
  • Amitrip - East West Pharma, Sanofi-Aventis, Pacific Pharmaceuticals
  • Amit - Orchid Chemicals & Pharmaceuticals
  • Amitriptylin - Betapharm Arzneimittel, Desitin Arzneimittel, Neuraxpharm Arzneimittel, Teva, Zentiva
  • Amitriptyline - Actavis, Apotex, Mylan, Nycomed, Sandoz, Teva, Watson Pharmaceuticals
  • Amytril - Cristalia Produtos Quimicos Farmaceuticos
  • Amyzol - Lek
  • Anapsique - Psicofarma Laboratorio
  • Apo-Amitriptyline - Apotex
  • Deprelio - Estedi
  • Elatrolet - Teva
  • Elavil - Merck
  • Eliwel - Sun Pharmaceutical Industries
  • Endep - Alphapharm
  • Laroxyl - Roche
  • Novoprotect Retard - Merck
  • PMS-Amitriptyline - Pharmascience
  • Redomex - Lundbeck
  • Saroten - Bayer
  • Sarotena - Lundbeck
  • Sarotex - Lundbeck
  • Stelminal - Coup
  • Syneudon - Krewel Meuselbach
  • Teperin - Extractum Pharma
  • Trepiline - Aspen Pharmacare
  • Trilin - Triton Health Care
  • Triptizol - Specialita Igienico Terapeutiche
  • Triptyl - Orion Pharma
  • Triptyline - Medifive Pharma
  • Tryptanol - Merck, M & H Manufacturing
  • Tryptil - Cristalia Produtos Quimicos Farmaceuticos
  • Tryptizol - Merck
  • Tryptomer - Wockhardt


    APIs used in medicine in combinations with amitriptyline:

  • Chlordiazepoxide
  • Chlorpropamide
  • Diazepam
  • Glutamic Acid
  • Glutamine
  • Medazepam
  • Perphenazine
  • Pridinol
  • Vitamin B6 (Pyridoxine)


    Here is a list of popular medications containing amitriptyline as a main active pharmaceutical ingredient; their trade names, forms, doses, companies - manufacturers, distributors, suppliers, researchers and developers:

    Trade name of the drug Pharmaceutical forms and doses Companies
    Amitriptyline
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 10 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 25 mg
  • Actavis
  • Amitriptyline
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 10 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 25 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 50 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 75 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 100 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 150 mg
  • Sandoz
  • Apo-Amitriptyline
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 10 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 25 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 50 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 75 mg
  • Apotex
  • Hind Wing
  • Nhan Tam
  • Pharmaforte
  • Elatrolet
  • Tablets; Oral; Amitriptyline Hydrochloride 10 mg
  • Teva
  • Elavil
  • Injectable; Injection; Amitriptyline Hydrochloride 10 mg / ml
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 10 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 25 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 50 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 75 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 100 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 150 mg
  • Merck
  • AA Pharma
  • AstraZeneca
  • Cyril Pharmaceuticals
  • DDSA Pharmaceuticals
  • Gerda Laboratoires
  • Ontario
  • Substipharm Laboratoire
  • Endep
  • Concentrate; Oral; Amitriptyline Hydrochloride 40 mg / ml
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 10 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 25 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 50 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 75 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 100 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 150 mg
  • Alphapharm
  • Merck
  • Roche
  • Sandoz
  • Summit
  • Zuellig Pharma
  • Saroten
  • Injectable; Injection; Amitriptyline Hydrochloride 10 mg / ml
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 50 mg
  • Bayer
  • Gerolymatos
  • Lundbeck
  • Roche
  • Sarotena
  • Injectable; Injection; Amitriptyline Hydrochloride 10 mg / ml
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 10 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 25 mg
  • Tablets, Film-Coated; Oral; Amitriptyline Hydrochloride 50 mg
  • Lundbeck
  • CFL Pharmaceuticals
  • Tryptizol
  • Tablets; Oral; Amitriptyline Hydrochloride 10 mg
  • Tablets; Oral; Amitriptyline Hydrochloride 25 mg
  • Tablets; Oral; Amitriptyline Hydrochloride 75 mg
  • Merck
  • Fulcrum Medical Marketing



  • References:

  • Amitriptyline main article on Wikipedia: https://en.wikipedia.org/wiki/Amitriptyline
  • Amitriptyline compound on PubChem: https://pubchem.ncbi.nlm.nih.gov/compound/Amitriptyline
  • Amitriptyline Hydrochloride compound on PubChem: https://pubchem.ncbi.nlm.nih.gov/compound/Amitriptyline-hydrochloride
  • Amitriptyline medicine on DrugBank: https://go.drugbank.com/drugs/DB00321
  • Amitriptyline Hydrochloride on DrugBank: https://go.drugbank.com/salts/DBSALT000009
  • Amitriptyline FAQ on MedlinePlus (revised 07/15/2017): https://medlineplus.gov/druginfo/meds/a682388.html
  • Amitriptyline Hydrochloride overdose information on MedlinePlus: https://medlineplus.gov/ency/article/002631.htm
  • Amitriptyline Hydrochloride tablets film-coated drug label info on DailyMed (revised October 12, 2020): https://dailymed.nlm.nih.gov/dailymed/lookup...
  • Elavil (Amitriptyline Hydrochloride) tablets drug label info on DailyMed (revised April 13, 2016): https://dailymed.nlm.nih.gov/dailymed/drugInfo...
  • Amitriptyline containing drugs on Drugs-About.com: https://drugs-about.com/ing/amitriptyline.html
  • Amitriptyline for sale on Pharma Doctor: https://pharma-doctor.com/amitriptyline.html
  • Sandoz Amitriptyline Hydrochloride 10 mg, 25 mg, 50 mg, 75 mg, 100 mg, 150 mg tablets official prescribing information and medication guide from the U.S. FDA (revised 05/2014): https://www.accessdata.fda.gov/drugsatfda_docs/label...
  • Elavil (Amitriptyline Hydrochloride) tablets USP 10 mg, 25 mg, 50 mg, 75 mg product monograph from AA Pharma company (revised July 23, 2010): https://www.aapharma.ca/downloads/en/PIL/ELAVIL_PM.pdf
  • Endep (Amitriptyline Hydrochloride) 10 mg, 25 mg, 50 mg tablets product nformation from The Therapeutic Goods Administration (revised 03/02/2020): https://www.ebs.tga.gov.au/ebs/picmi/...
  • Endep (Amitriptyline Hydrochloride) tablets consumer medicine information from NPS MedicineWise (revised April 2020): https://www.nps.org.au/assets/medicines/...
  • Apo-Amitriptyline 10 mg, 25 mg, 50 mg tablets consumer medicine information from NPS MedicineWise (revised June 2018): https://www.nps.org.au/assets/medicines/...
  • Accord Amitriptyline 10 mg, 25 mg, 50 mg tablets package information leaflet on Medicines.org.uk (revised March 2021): https://www.medicines.org.uk/emc/files/pil.5698.pdf

    Revised: August 2021



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