ELAVIL (amitriptyline hydrochloride) is an antidepressant drug of the tricyclic type. ELAVIL is an antidepressant with sedative effects. Its mechanism of action in man is not known. It is not a monoamine oxidase inhibitor and it does not act primarily by stimulation of the central nervous system.
For the relief of symptoms of depression. Endogenous depression is more likely to be alleviated than are other depressive states.
Media Articles Related to Elavil (Amitriptyline)
Previous depression can lead to brain networks becoming 'hyper-connected' in young adults
Source: Depression News From Medical News Today [2014.08.30]
Depression may be better predicted and understood now that University of Illinois at Chicago researchers have discovered that young adults who previously experienced the mental illness have...
Serotonin may not be a major factor in depression, study suggests
Source: Depression News From Medical News Today [2014.08.29]
New evidence has put into doubt the long-standing belief that a deficiency in serotonin - a chemical messenger in the brain - plays a central role in depression.
Depression in Cancer Common But Untreated (CME/CE)
Source: MedPageToday.com - medical news plus CME for physicians [2014.08.29]
(MedPage Today) -- The vast majority of clinically depressed cancer patients receive no treatment for the depression, a retrospective study of 21,000 cancer patients showed.
Do Beta-Blockers Cause Depression?
Source: Medscape Family Medicine Headlines [2014.08.28]
Why, after decades of widespread use of these drugs, has it been difficult to determine whether beta-blockers indeed cause depression?
'Strikingly Effective' Approach for Depression in Cancer Pts
Source: Medscape Hematology-Oncology Headlines [2014.08.28]
A new integrated program for treating depression in cancer patients was 'strikingly more effective' than current standard of care.
Medscape Medical News
Published Studies Related to Elavil (Amitriptyline)
A comparative efficacy of amitriptyline, gabapentin, and pregabalin in
neuropathic cancer pain: a prospective randomized double-blind placebo-controlled
Neuropathic pain is difficult to diagnose and difficult to treat with certainty. So the aim of the study was to evaluate comparative clinical efficacy of
pregabaline with amitriptyline and gabapentin in neuropathic cancer pain... There was statistically and clinically significant morphine sparing effect of
pregabaline in relieving neuropathic cancer pain and neuropathic symptoms as
compared to other antineuropathic drugs.
Randomised clinical trial: the effects of amitriptyline on drinking capacity and symptoms in patients with functional dyspepsia, a double-blind placebo-controlled study. [2011.09]
BACKGROUND: Functional dyspepsia is one of the most prevalent (15-40%) functional gastrointestinal disorders. Antidepressants such as amitriptyline are often used in these patients, but clinical studies are currently lacking. AIM: To evaluate the effect of 8 weeks of treatment with amitriptyline on drinking capacity, symptoms evoked by a standardised drink test (primary endpoint) and clinical symptoms (secondary endpoint)... CONCLUSIONS: Amitriptyline did not affect drinking capacity and postprandial symptoms evoked by the drink test in FD patients. However, total clinical symptom score and nausea were reduced during 8 weeks of treatment. Our data suggest that amitriptyline particularly improves nausea in functional dyspepsia, but larger clinical trials are needed to further confirm our findings. (c) 2011 Blackwell Publishing Ltd.
Development of amitriptyline buccoadhesive tablets for management of pain in dental procedures. [2011.07]
Administration of lidocaine and nonsteroidal anti-inflammatory drugs (NSAIDs) as a routine procedure for relief of dental pains by and large is restricted due to some side effects. Amitriptyline (AM) has long been known to exert analgesic activity as a result of blocking the Na channels... It is suggested that applying the topical AM mucoadhesive tablet containing the low amount of drug is a safe and promising alternative to relief the pain in the buccal region.
Effect of intravenous lidocaine associated with amitriptyline on pain relief and plasma serotonin, norepinephrine, and dopamine concentrations in fibromyalgia. [2011.05]
OBJECTIVE: The objective of this study was to evaluate the effect of intravenous lidocaine combined with amitriptyline on pain relief and plasma serotonin, norepinephrine, and dopamine levels... CONCLUSIONS: Combined administration of 240 mg intravenous lidocaine (once a week) and 25 mg amitriptyline for 4 weeks did not modify pain intensity or plasma serotonin, norepinephrine, or dopamine concentrations in fibromyalgia patients.
A comparative evaluation of amitriptyline and duloxetine in painful diabetic neuropathy: a randomized, double-blind, cross-over clinical trial. [2011.04]
CONCLUSIONS: Both duloxetine and amitriptyline demonstrated similar efficacy in PDN. A large, multicentric clinical trial in other populations could possibly demonstrate the superiority of either drug.
Clinical Trials Related to Elavil (Amitriptyline)
Low Doses Amitriptyline & Chronic Neck Pain [Recruiting]
The objective of this prospective randomized and controlled study is to evaluate the
efficacy and safety of low dose of amitriptyline (5 mg) in the management of chronic neck
Combining N-of-1 Trials to Assess Fibromyalgia Treatments [Completed]
This study will compare the effectiveness of combination therapy with the drugs amitriptyline
and fluoxetine (AM+FL) and amitriptyline (AM) alone in the treatment of people with
fibromyalgia. Doctors will treat each study participant with both AM + FL and AM alone for 6
weeks at a time. The study uses a method that combines results from treatment of individual
patients to assess overall treatment effectiveness and help individual patients and their
physicians with their treatment decisions. This study will also help compare the results of
community-based studies (studies involving private doctors) and studies based at clinical
Efficacy of Gabapentin or Amitriptyline to Reduce Postoperative Pain After Lumbar Laminectomy and Diskectomy [Recruiting]
Amitriptyline or Pregabalin to Treat Neuropathic Pain in Incurable Cancer [Recruiting]
Rationale: Often, incurable cancer patients suffer from severe symptoms as (neuropathic)
pain and fatigue with polypharmaceutic interventions as a consequence. Regarding neuropathic
pain in incurable cancer patients, pregabalin has been registered for neuropathic non-cancer
pain, and amitriptyline is not registered for neuropathic pain, but is recommended as the
drug of first choice in the Dutch handbooks of palliative care. As a consequence of an
adaptation of a Dutch law (July 2007) about off-label medication prescription, off-label
medication is not allowed anymore unless a standard or protocol exists. No clinical trials
for this patient group have been published before.
Objective: To compare efficacy, side effects and costs of a strategy with amitriptyline as
drug of first choice versus a strategy with pregabalin as drug of first choice.
Study design: An open label, randomised non-inferiority trial Study population: Incurable
cancer patients with neuropathic pain Intervention: When a patient decides to take part in
the study, he will be allocated randomly to one of the two study groups. A minimisation
algorithm will be used, that balances for the cause of neuropathic pain (tumour related
versus treatment related), type of treatment (ongoing chemo- or radiotherapy versus not
ongoing chemo- or radiotherapy) and institution. Each drug will be prescribed in a step up
procedure. Patients will be followed during 8 weeks.
Main study parameters/endpoints: Neuropathic pain, as measured with the mean VAS and McGill
questionnaire, strategy success, costs per strategy, side effects, quality of life and
concomitant analgesic drugs.
Nature and extent of the burden and risks associated with participation, benefit and group
relatedness: There are hardly any risks for the patients. The drugs in both arms already are
usual care for the target population. If there is no or a too small effect, the drug of the
other arm will be added, which strategy also is already usual care. All other medication,
except for Tricyclic Antidepressants Drugs (TADs) and Anti Epileptic Drugs (AEDs), as well
as radiotherapy and chemotherapy are allowed. The patient has to visit the hospital 2 times
during the study period. The patient had to fill in a pain diary daily (5 min), cost diary
and EQ-5D every other week (10 min), related questionnaires as HADS, McGill and
EORTC-QLQ-C30 monthly (20 min).
Trial of Amitriptyline for Chronic Oral Food Refusal in Children 9 Months to 4 Years of Age [Recruiting]
Gastrojejunal (G-J) feeding tubes are placed in infants and children who refuse to eat or
are unable to eat enough to have normal growth. Although often intended as temporary
short-term solutions to medical complications, feeding tubes can become a permanent method
While tube feeding routinely saves the lives of children who have long term food refusal,
continuation of tube feeding can be hard for patients, caregivers, and families. At the
current time there are few treatments for helping children move from tube to oral feeding.
Some patients may be treated with the help of inpatient programs such as a combination of
medical and behavioral techniques to train children to eat orally. These programs typically
require hospital stays of 2-4 months.
By doing the current study the investigators hope to learn if the investigational drug
amitriptyline is helpful in moving children from tube to oral feeding, and to look at
whether or not the treatment of pain helps with this transition.
Reports of Suspected Elavil (Amitriptyline) Side Effects
Drug Ineffective (14),
Drug Hypersensitivity (14),
Weight Increased (13),
Disturbance in Attention (13),
Toxicity TO Various Agents (9), more >>
PATIENT REVIEWS / RATINGS / COMMENTS
Based on a total of 23 ratings/reviews, Elavil has an overall score of 7.52. The effectiveness score is 8.43 and the side effect score is 7.22. The scores are on ten point scale: 10 - best, 1 - worst. Below are selected reviews: the highest, the median and the lowest rated.
Elavil review by 56 year old female patient
|Overall rating:|| || |
|Effectiveness:|| || Considerably Effective|
|Side effects:|| || No Side Effects|
|Condition / reason:|| || Depression|
|Dosage & duration:|| || 25 mg. taken daily for the period of 12 years|
|Other conditions:|| || Sleep problems|
|Other drugs taken:|| || Erythrom.|
|Benefits:|| || Although this drug was originally prescribed for depression, it helped with sleeplessness. Therefore, I have continued to take it for that alone. While I still on occasion have problems falling asleep, I find I can combine it with Melatonin or Valerian. In 12 years, I haven't had to increase the elavil dosage.|
|Side effects:|| || None.|
|Comments:|| || One a day, taken about an hour before bedtime.|
Elavil review by 51 year old female patient
|Overall rating:|| || |
|Effectiveness:|| || Considerably Effective|
|Side effects:|| || Mild Side Effects|
|Condition / reason:|| || sleep|
|Dosage & duration:|| || 35mg taken once a day for the period of 22years|
|Other conditions:|| || anxiety, shy, but overal healthy|
|Other drugs taken:|| || larozepam took for 5-6 years, discontinued|
|Benefits:|| || helps me fall asleep and stay asleep|
|Side effects:|| || difficult to get up, tiredness in the morning, light sensitivity, constipation|
|Comments:|| || i have been take amitriptyline for the last 22 years, without too serious side effects. i never miss a dose- if by some reason i dont have it - i will never be able to fall asleep at all. I started on 10mg but now i am taking 35mg, it helps.|
Elavil review by 61 year old female patient
|Overall rating:|| || |
|Effectiveness:|| || Marginally Effective|
|Side effects:|| || Severe Side Effects|
|Condition / reason:|| || insomnia|
|Dosage & duration:|| || 150 mg taken once for the period of once|
|Other conditions:|| || sarcoidosis|
|Other drugs taken:|| || lisinopril, theophylline, cartia, premarin|
|Benefits:|| || Highly effective for sleeping. |
|Side effects:|| || Slept for 3 days. Very disoriented and groggy!|
|Comments:|| || not exactly what I had in mind. I wake up during the night at 2 or 3 or 4 am
and am unable to go back to sleep, I wanted the ability to sleep through the night. But I did not want to sleep for 3 days!
I think maybe the initial dose was too high. I only took one tablet and never took another one.|
Page last updated: 2014-08-30