Amitriptyline Online

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

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Sellers:	AMITRIPTYLINE STORES
Prices:	from $0.33 per pill
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
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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

Related medications:

Ivermectin (Iverheal, Stromectol)

Quetiapine (Seroquel)

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.

Where to buy amitriptyline online:

To purchase Elavil, Endep (Amitriptyline HCl) tablets from reliable online pharmacies and drugstores at low prices please use resources described above on this webpage.

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