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Amitriptyline (Elavil) explained

Amitriptyline (Elavil) is a tricyclic antidepressant used for depression and off‑label for neuropathic pain and migraine prophylaxis; anticholinergic and sedative effects are prominent.

FDA Approved

Amitriptyline (Elavil) helps treat

• Major depressive disorder
• Neuropathic pain (off‑label)
• Migraine prophylaxis (off‑label)
• Insomnia (off‑label)


additional medications

• SNRIs for pain (duloxetine)
• SSRIs/SNRIs for depression
• Gabapentin/pregabalin for neuropathic pain

medication risks

• Suicidality warning in young people
• Cardiac conduction abnormalities
• Anticholinergic burden
• Orthostatic hypotension

side effects

• Drowsiness
• Dry mouth
• Constipation
• Weight gain
• Blurred vision

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FAQs

Q: What is amitriptyline used for?
A: Depression; off‑label for pain and migraine prevention.

Q: Why sedating?
A: Strong antihistamine and anticholinergic activity.

Q: Cardiac risk?
A: TCAs can affect heart rhythm—use caution in cardiac disease.

Q: Weight gain?
A: Possible; monitor lifestyle and diet.

Q: Overdose?
A: Potentially dangerous—store securely.

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