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Re: I don't hate amitriptyline (Elavil) anymore....... » Tom Twilight

Posted by ed_uk on July 26, 2005, at 16:26:19

In reply to Re: I don't hate amitriptyline (Elavil) anymore......., posted by Tom Twilight on July 26, 2005, at 16:07:02

Hi Tom!

>Funnily enough I'm going to try Amitriptyline tonight for Marplan Insomnia.......

I'd try taking a quarter of a 10mg tablet to start with. Don't want to risk the serotonin syndrome! You'll need to increase the dose very gradually ....while looking for symptoms of the serotonin syndrome. In fact, Surmontil would be a safer TCA to combine with Marplan for sleep. I'd rather take zolpidem (Stilnoct) though.

It's funny, amitriptyline is a local anesthetic. If the powder from the tablet gets into contact with your mouth, it might feel a bit numb!

>Dosage is very important with the Tricyclics....

I agree. Most people take 10-50mg for insomnia, usually 10-25mg initially. 50mg is too high for a starting dose..... yet the UK manufacturer recommends starting at 75mg for depression!

Up to about 200mg amitriptyline can be used to treat depression. I can't imagine taking that much. Cliffstone took 300mg.

Kind regards

~Ed


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