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Last Updated: 12/23/2024

Amitriptyline hydrochloride

Drug Name(s): generic only

Class: Antidepressants

Type: Tricyclic

Used off-label in the treatment of fibromyalgia.

Dosage

Form(s): tablet 

10 to 50 mg once a day before bedtime

 

Special Instructions

Do not drive or perform other potentially dangerous activities until you know whether the medication will impair your ability to do them safely.

Take 2 to 3 hours before bed to reduce morning grogginess.

Talk to your doctor before stopping the drug. Your dose may need to be slowly reduced

Potential Side Effects

Constipation, dry mouth, groggy or drugged feeling, weight gain

Be Aware

Older adults and those with cardiovascular disease should use this drug with caution.

Combining this drug with alcohol or other depressants (including antihistamines, narcotics and some dental anesthetics) can make side effects more severe. Also, many of the medicines used to treat fibromyalgia work by boosting the amount of serotonin in your body. Taking two or more of them together could lead to a potentially life-threatening condition called serotonin syndrome. Symptoms usually begin within hours of combining the drugs and include confusion, agitation, irregular heartbeat, unstable blood pressure, tremors, muscle rigidity, nausea and vomiting. If you have these symptoms, stop taking your medication and seek immediate medical help.

Call your doctor if you experience dizziness, hallucinations, mania, muscle spasms, difficult speech, suicidal thoughts, unusual bleeding or bruising, arm or leg weakness or numbness or yellow skin or eyes

The Arthritis Foundation’s Drug Guide is meant for education — not self-medicating. The Arthritis Foundation does not endorse any products mentioned in this guide. While we endeavor to keep the information up to date, we make no representations or warranties about the completeness of the information provided.