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Precautions

Do NOT use Amitriptyline if:

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• you're allergic to any ingredient in Amitriptyline

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• you are presently taking or took a monoamine oxidase inhibitor (MAOI) (eg, phenelzine, selegiline) within the last 14 days

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• you take antihistamines (eg, diphenhydramine), cisapride, droperidol, a ketolide (eg, telithromycin) , a macrolide (eg, erythromycin), mibefradil, or pimozide

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• you're coping with a heart attack.

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Contact your doctor or physician immediately if some of these affect you.

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Some medical ailments may communicate with Amitriptyline. Tell your medical professional or pharmacist when you have any medical conditions, particularly if any of the following affect you:

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

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• if you have allergies to medicines, foods, or another substances

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• when you have a reputation 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 cannot urinate (urinary retention)

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• in case you have a history of seizures, epilepsy, or porphyria.

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Some medicines may communicate with Amitriptyline. Tell your medical provider if you consider another medicines, especially any from the following:

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• MAOIs (eg, phenelzine, selegiline) simply because they could cause serious, sometimes life-threatening, reactions. Do NOT take MAO inhibitors with, or within two weeks of taking Amitriptyline

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• Anticholinergics (eg, scopolamine), bupropion, cimetidine, fluconazole, phenothiazines (eg, chlorpromazine), SSRIs (eg, fluoxetine), terbinafine, or valproic acid because negative effects including 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 about the heart (eg, racing heartbeat, dizziness, fainting, life-threatening abnormal heartbeat bringing about unconsciousness, and not enough heartbeat, may be increased by Amitriptyline

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

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This might not be a total listing of all interactions that could occur. Ask your medical provider if Amitriptyline may communicate with other medicines which you take. Check with your health care provider before you begin, stop, or alter the dose of any medicine.

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Important safety information:

• Amitriptyline may cause dizziness, drowsiness, or blurred vision. Do not drive, operate machinery, or a single thing else that could be dangerous and soon you recognize how you answer Amitriptyline. Using Amitriptyline alone, with other medicines, or with alcohol may lessen you skill they are driving or perform other potentially dangerous tasks.

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• Avoid alcohol consumption or taking other medicines that can cause drowsiness (eg, sedatives, tranquilizers) while taking Amitriptyline. Amitriptyline will add to the results of alcohol along with other depressants. Ask your pharmacist when you have questions on which medicines are depressants.

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• Amitriptyline could potentially 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 sleep the night in the first manifestation of all of these effects.

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• Involuntary and uncontrollable movements may develop in patients taking Amitriptyline. Occurrence is highest among the elderly, especially women. The risk of developing these involuntary movements along with the likelihood they're going to become permanent are increased with long-term use sufficient reason for high doses. However, you are able to develop these symptoms after short-term use at low doses. Contact your health care provider at the same time if any with 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 in the arms or legs.

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

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• Before you have any medical or dental treatment, emergency care, or surgery, tell the doctor or dentist that you're using Amitriptyline.

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• Use caution within the elderly; they may be more sensitive to 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 pregnancy, discuss along with your doctor the advantages and perils associated with using Amitriptyline when pregnant. Amitriptyline is excreted in the breast milk. Do not breastfeed while taking Amitriptyline.

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