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Precautions

Do NOT use Amitriptyline if:

• you are allergic to the ingredient in Amitriptyline
• you are currently taking or have got a monoamine oxidase inhibitor (MAOI) (eg, phenelzine, selegiline) within the past 14 days
• you consider antihistamines (eg, diphenhydramine), cisapride, droperidol, a ketolide (eg, telithromycin) , a macrolide (eg, erythromycin), mibefradil, or pimozide
• you are recovering from cardiac arrest.

Contact a medical expert or health care provider without delay if some of these sign up for you.

Some health concerns may interact with Amitriptyline. Tell a medical expert or pharmacist for those who have any medical conditions, particularly if any with the following apply to you:

• if you're pregnant, planning to conceive, or are breast-feeding
• if you take any prescription or nonprescription medicine, herbal preparation, or dietary supplement
• in case you have allergies to medicines, foods, or any other substances
• when you have a good reputation for mental illness (eg, bipolar disorder, mania, manic-depression), or consider or attempted suicide
• for those who have glaucoma, an irregular heartbeat, coronary disease, chest pain, liver disease, prostate problems, thyroid disease, or can't urinate (urinary retention)
• when you have a good reputation for seizures, epilepsy, or porphyria.

Some medicines may talk with Amitriptyline. Tell your health care provider if you consider some other medicines, especially any in the following:

• MAOIs (eg, phenelzine, selegiline) given that they can cause serious, sometimes life-threatening, reactions. Do NOT take MAO inhibitors with, or within 14 days of taking Amitriptyline
• Anticholinergics (eg, scopolamine), bupropion, cimetidine, fluconazole, phenothiazines (eg, chlorpromazine), SSRIs (eg, fluoxetine), terbinafine, or valproic acid because side effects such as blurred vision, difficult urination, drowsiness or sedation, dry mouth, or lightheadedness may occur
• Antihistamines (eg, diphenhydramine), cisapride, droperidol, ketolides (eg, telithromycin), macrolides (eg, erythromycin), mibefradil, pimozide, or streptogramins (eg, quinupristin/dalfopristin) because serious unwanted effects around the heart (eg, racing heartbeat, dizziness, fainting, life-threatening abnormal heartbeat resulting in unconsciousness, and not enough heartbeat, might be increased by Amitriptyline
• Carbamazepine, thyroid medicines (eg, levothyroxine), or stimulants (eg, albuterol, pseudoephedrine) his or her negative effects could be increased by Amitriptyline
• Warfarin because side effects like serious bleeding may be increased by Amitriptyline
• Clonidine, guanethidine, or guanfacine for the reason that effectiveness of these medicines might be decreased.

This will not be a whole listing of all interactions which could occur. Ask your health care provider if Amitriptyline may communicate with other medicines that you just take. Check with your health care provider before you begin, stop, or affect the dose associated with a medicine.

Important safety information:

• Amitriptyline might cause dizziness, drowsiness, or blurred vision. Do not drive, operate machinery, or do anything whatsoever else that may be dangerous before you recognize how you react to Amitriptyline. Using Amitriptyline alone, with other medicines, or with alcohol may lessen your ability they are driving or perform other very dangerous tasks.
• Avoid alcohol consumption or taking other medicines that cause drowsiness (eg, sedatives, tranquilizers) while taking Amitriptyline. Amitriptyline will add on the connection between alcohol and other depressants. Ask your pharmacist if you have questions regarding which medicines are depressants.
• Amitriptyline might cause dizziness, lightheadedness, or fainting; alcohol, hot weather, exercise, or fever may increase these effects. To prevent them, sit up or stand slowly, especially in the morning. Sit or take a nap with the first manifestation of these effects.
• Involuntary and uncontrollable movements may develop in patients taking Amitriptyline. Occurrence is highest one of the elderly, especially women. The risk of developing these involuntary movements and the likelihood they'll become permanent are increased with long-term use and with high doses. However, you'll be able to develop these symptoms after short-term use at low doses. Contact your health care provider immediately if any from the following occur: involuntary movements in the tongue, face, mouth, or jaw (eg, protrusion of tongue, puffing of cheeks, puckering of mouth, chewing movements), sometimes combined with involuntary movements of the legs and arms.
• Amitriptyline could cause sensitivity to sunlight. Avoid prolonged exposure on the sun and other ultraviolet light (eg, tanning beds). Use sunscreens and wear protective clothing until tolerance is set.
• Do not become overheated in summer or during exercise or another activities since heatstroke may occur.
• Diabetes patients - Amitriptyline may affect your blood sugar levels. Check blood sugar levels levels closely. Ask your medical professional prior to deciding to change the dose of one's diabetes medicine.
• Before you might have any medical or dental treatment, emergency care, or surgery, tell your physician or dentist that you might be using Amitriptyline.
• Use caution inside the elderly; they might be more responsive to its effects, especially lightheadedness upon standing; rapid heartbeat; breathing problems; difficult urination; and constipation.
• Pregnancy and breast-feeding:If you plan on pregnancy, discuss together with your doctor the rewards and perils of using Amitriptyline in pregnancy. Amitriptyline is excreted inside breast milk. Do not breastfeed while taking Amitriptyline.