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Precautions

Do NOT use Amitriptyline if:

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• you're allergic to the ingredient in Amitriptyline

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• you are still taking or have got a monoamine oxidase inhibitor (MAOI) (eg, phenelzine, selegiline) in the last 14 days

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• you are taking antihistamines (eg, diphenhydramine), cisapride, droperidol, a ketolide (eg, telithromycin) , a macrolide (eg, erythromycin), mibefradil, or pimozide
• you're recovering from heart disease.

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Contact your physician or health care provider without delay if these affect you.

Some health conditions may connect to Amitriptyline. Tell your medical professional or pharmacist in case you have any health concerns, especially if any from the following connect with you:

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• if you happen to be pregnant, planning to become pregnant, or are breast-feeding

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• if you consider any prescription or nonprescription medicine, herbal preparation, or dietary supplement

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• when you have allergies to medicines, foods, and other substances
• if you have a good reputation for mental illness (eg, bipolar disorder, mania, manic-depression), or have thought about or attempted suicide

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• for those who have glaucoma, an irregular heartbeat, heart problems, chest pain, liver disease, prostate problems, thyroid disease, or can't seem to urinate (urinary retention)

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Some medicines may connect to Amitriptyline. Tell your medical provider if you are taking some other medicines, especially any with the following:

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• MAOIs (eg, phenelzine, selegiline) since they can cause serious, sometimes life-threatening, reactions. Do NOT take MAO inhibitors with, or within 2 weeks of taking Amitriptyline
• Anticholinergics (eg, scopolamine), bupropion, cimetidine, fluconazole, phenothiazines (eg, chlorpromazine), SSRIs (eg, fluoxetine), terbinafine, or valproic acid because side effects like blurred vision, difficult urination, drowsiness or sedation, dry mouth, or lightheadedness may occur

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• Antihistamines (eg, diphenhydramine), cisapride, droperidol, ketolides (eg, telithromycin), macrolides (eg, erythromycin), mibefradil, pimozide, or streptogramins (eg, quinupristin/dalfopristin) because serious unwanted side effects on the heart (eg, racing heartbeat, dizziness, fainting, life-threatening abnormal heartbeat ultimately causing unconsciousness, and not enough heartbeat, might be increased by Amitriptyline

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• Carbamazepine, thyroid medicines (eg, levothyroxine), or stimulants (eg, albuterol, pseudoephedrine) because their side effects might be increased by Amitriptyline

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This might not be a whole listing of all interactions that could occur. Ask your doctor if Amitriptyline may talk with other medicines that you simply take. Check with your medical provider prior to starting, stop, or customize the dose of any medicine.

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Important safety information:

• Amitriptyline could potentially cause dizziness, drowsiness, or blurred vision. Do not drive, operate machinery, or a single thing else that could be dangerous unless you discover how you respond to Amitriptyline. Using Amitriptyline alone, with medicines, or with alcohol may lessen your ability they are driving or perform other very dangerous tasks.

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• Avoid alcohol consumption or taking other medicines that cause drowsiness (eg, sedatives, tranquilizers) while taking Amitriptyline. Amitriptyline will add towards the connection between alcohol as well as other depressants. Ask your pharmacist if you have questions regarding which medicines are depressants.

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• Amitriptyline may cause dizziness, lightheadedness, or fainting; alcohol, summer, exercise, or fever may increase these effects. To prevent them, crunch or stand slowly, especially in the morning. Sit or take a nap in the first symbol of these effects.

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• Involuntary and uncontrollable movements may develop in patients taking Amitriptyline. Occurrence is highest one of many elderly, especially women. The risk of developing these involuntary movements as well as the likelihood they will become permanent are increased with long-term use with high doses. However, you'll be able to develop these symptoms after short-term use at low doses. Contact your medical provider simultaneously if any from the following occur: involuntary movements with 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 arms or legs.

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• Amitriptyline might cause sensitivity to sunlight. Avoid prolonged exposure towards the sun and other ultraviolet light (eg, tanning beds). Use sunscreens and wear protective clothing until tolerance is decided.

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• Diabetes patients - Amitriptyline may affect your blood glucose levels. Check blood glucose levels closely. Ask a medical expert before you decide to change the dose of one's diabetes medicine.
• Before you have any medical or dental treatment, emergency care, or surgery, tell the doctor or dentist that you might be using Amitriptyline.
• Use caution in the elderly; they may be more understanding of its effects, especially lightheadedness upon standing; rapid heartbeat; breathing problems; difficult urination; and constipation.

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• Pregnancy and breast-feeding:If you plan on becoming pregnant, discuss using your doctor the huge benefits and perils of using Amitriptyline while pregnant. Amitriptyline is excreted inside breast milk. Do not breastfeed while taking Amitriptyline.

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