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Author Topic: Elavil  (Read 254 times)

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Offline chris1234

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Elavil
« on: March 27, 2014, 09:11:32 PM »
Just started elavil last night 25mg .... Does anyone know where therapeutic dosing starts? I'm gonna have to take my time getting on this because I'm already really tired from 25 mg
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Offline MobileChucko

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Re: Elavil
« Reply #1 on: March 27, 2014, 09:53:58 PM »
Hi Chris...

Elavil (Amitriptyline) has a recommended adult dose of 40-150 mg daily, in divided doses.  This anti-depressant can be taken with or without food.

Elavil is a tricyclic antidepressant.  Once you reach a therapeutic dose, you should see degrees of improvement over a 3-12 week period of time.

Good luck on the Elavil, Chris!  The very best to you!...  Chuck :grinning-smiley-003:
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Offline chris1234

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Re: Elavil
« Reply #2 on: March 27, 2014, 11:42:16 PM »
Thanks for the reply, my psych said it could be taken all at night before bed time? Is this true?
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Offline MobileChucko

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Re: Elavil
« Reply #3 on: March 27, 2014, 11:53:29 PM »
Hi Chris...

No problem with taking your entire dose at bedtime.  Elavil can have a somewhat short half life, and that is why some people elect to take it in divided doses.

As always, the very best to you, Chris!...  Chuck :grinning-smiley-003:
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Offline stevo1111

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Re: Elavil
« Reply #4 on: March 28, 2014, 09:00:28 AM »
I split my TCA (clomipramine) dose up to morning, noon, and right before bed. The sedating effects wore off after about 2 weeks. I dose morning and noon to keep the levels steady throughout my waking hours, plus, a small amount of sedation keeps my anxiety from kicking in at all. I have had nothing but good results from TCAs once reaching a therapeutic dose. The worst of the start up side effects for me is the sedation/ fatigue of getting used to it, which usually hits quick, levels, and then turns quickly leaving you feeling better once the med kicks in.
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Offline chris1234

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Re: Elavil
« Reply #5 on: March 28, 2014, 08:10:18 PM »
Thanks for the replies.... Is it normal for me to be feeling a little more depressed when starting elavil I feel a little more depressed
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Offline insights

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Re: Elavil
« Reply #6 on: March 28, 2014, 08:29:00 PM »
Is it normal for me to be feeling a little more depressed when starting elavil I feel a little more depressed

Depressed, or sedated? The latter can sometimes feel a lot like the first.

Ian
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NOTE: I'm not a doctor, and particularly not yours, so there may be factors I'm unaware of. Therefore all advice is of a general nature and you should consult your doctor before following any of it, especially before changing med doses.

Offline chris1234

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Re: Elavil
« Reply #7 on: March 28, 2014, 08:39:03 PM »
Maybe sedated but, I do feel a bit more anxious but I can tell of that's due to the medicine or the thought having a mind altering substance in my body
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Offline MobileChucko

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Re: Elavil
« Reply #8 on: March 28, 2014, 09:10:29 PM »
Hey Chris...

It is actually a normal side effect of anti-depressants to cause a temporary increase in anxiety.  My anxiety went through the roof when I started Celexa.  This is caused by the immediate increase in serotonin levels in the brain.  As the body adjusts to the medication, anxiety levels will drop back down to baseline.  Normally this occurs in about two weeks.

Good topic/post, Chris!

The very best to you!...  Chuck :grinning-smiley-003:
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Offline chris1234

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Re: Elavil
« Reply #9 on: March 29, 2014, 04:09:59 AM »
Thanks chuck but even with TCAS it's supposed to do that ?
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Offline MobileChucko

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Re: Elavil
« Reply #10 on: March 29, 2014, 08:32:02 AM »
Hi Chris...

Yes my friend...  Elavi (Amitriptyline) acts primarily as a serotonin-norepinephrine reuptake inhibitor, with strong actions on the serotonin transporter and moderate effects on the norepinephrine transporter.

So yes, the immediate increase in serotonin levels will often times cause a temporary increase in anxiety.

The very best to you, Chris!...  Chuck :grinning-smiley-003:
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Offline chris1234

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Re: Elavil
« Reply #11 on: March 29, 2014, 03:06:39 PM »
Thanks again chuck I am really hoping that one of these anti depressants can bring me relief so I can start feeling better and get back to normal
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