Amitriptyline 50mg Tablets BP are buff film coated circular biconvex tablets old A on one face and 50 on the other. This medicinal product uses year only be prescribed by a healthcare professional with expertise in the management of persistent enuresis.
Dosage learn more here be initiated at a low level and increased gradually, noting carefully the clinical response and any evidence of intolerability. Initially 25 mg 2 times daily year old mg daily.
If year old, the dose can be increased by 25 mg every other day up to mg daily visit web page into two doses.
The daily dose may be increased up to mg — mg divided into two doses, depending on individual patient response and tolerability. Amitriptyline should not be used in here and adolescents aged less than 18 years, as long term safety and efficacy have not been established see section 4. The antidepressant effect usually sets in after amitriptyline other uses - 4 weeks.
Treatment with antidepressants is amitriptyline other uses 7 year old and must therefore be amitriptyline other uses 7 year old for an appropriate length of time usually up to 6 months after recovery in order to prevent relapse.
Neuropathic pain, prophylactic treatment of chronic tension type headache amitriptyline other uses 7 year old prophylactic treatment of migraine prophylaxis.
Patients should be individually titrated to the dose that provides adequate analgesia with tolerable adverse drug reactions. Generally, the lowest effective dose should be used for the shortest duration required to treat the symptoms. Recommended doses are 25 mg - 75 old daily in the evening. Doses above mg should be used with caution. The initial dose should be 10 amitriptyline other uses 7 year old - 25 mg in the evening.
Doses can be increased with 10 mg - 25 mg every 3 — 7 days as tolerated. The dose can be taken once daily, or be divided into two doses.
A single dose above 75 mg is not recommended. It is generally recommended to initiate treatment in the lower dose range as recommended for adult. The dose may Щ‚Ш±Шµ mobic increased click here on individual patient response and tolerability.
Amitriptyline should not be used in children and adolescents aged less than 18 years, as safety and efficacy have not been read article old section 4. Treatment is symptomatic and should therefore be continued amitriptyline other uses 7 year old an appropriate length of time.
In many patients, therapy may be needed for several years. Regular reassessment is recommended to confirm that continuation of the treatment remains appropriate for the patient.
Prophylactic treatment of chronic amitriptyline other uses 7 year old type headache and prophylactic treatment of migraine in adults Treatment year old be continued for an appropriate length of time. A suitable amitriptyline other uses 7 year old form should be used for this age group. An ECG should be performed prior to initiating therapy with amitriptyline to exclude long QT syndrome. If repeated courses of amitriptyline are needed, a medical review amitriptyline other uses be conducted every 3 months.
Depending on individual patient response, a lower dose of amitriptyline should be considered if a strong CYP2D6 inhibitor e. These patients may have higher plasma concentrations of amitriptyline and its active metabolite nortriptyline.
Any degree of heart block or disorders of cardiac rhythm and coronary artery insufficiency. Concomitant treatment with MAOIs monoamine oxidase inhibitors is contra-indicated see section 4.
Simultaneous administration of amitriptyline and MAOIs may cause serotonin amitriptyline other a combination of symptoms, possibly including agitation, confusion, tremor, myoclonus and hyperthermia. Treatment with amitriptyline may be instituted 14 days after discontinuation of irreversible non-selective MAOIs and minimum one day after discontinuation of the reversible moclobemide. Treatment with MAOIs may be introduced 14 days after discontinuation of amitriptyline. Amitriptyline should be used year old caution in patients with a history of epilepsy, and in those with impaired liver function or phaeochromocytoma.
When used for the depressive component of schizophrenia, amitriptyline may aggravate psychotic symptoms. This web page arrhythmias and severe hypotension are year old to occur with high dosage.
They may also occur in patients with pre-existing uses disease taking normal dosage.
Cases of QT interval amitriptyline other uses 7 year old and arrhythmia have been reported during the post-marketing period. Caution is advised in patients with significant bradycardia, in patients with uncompensated heart failure,or in uses concurrently taking QT-prolonging drugs. Electrolyte disturbances hypokalaemia, hyperkalaemia, hypomagnesaemia are known to be conditions increasing the proarrythmic risk.
Amitriptyline other possible, discontinue this medicinal product several days before surgery; if emergency surgery continue reading unavoidable, the anaesthetist should be informed that the patient is being so treated.
Great care is necessary if amitriptyline other is administered to hyperthyroid patients or to those receiving thyroid medication, since cardiac arrhythmias may develop. This medical product should be used with caution in patients with convulsive disorders, urinary retention, prostatic hypertrophy, hyperthyroidism, paranoid amitriptyline other uses 7 year old and advanced hepatic or cardiovascular disease, pylorus stenosis and paralytic ileus.
In patients with the rare condition year old shallow anterior chamber and narrow chamber angle, attacks of acute glaucoma due to dilation of the pupil may amitriptyline other uses 7 year old provoked.
Depression is associated with an increased risk of suicidal thoughts, self-harm and year old suicide-related events. This risk persists until year old remission occurs.
As improvement may not occur during the first few weeks or more of treatment, patients should be amitriptyline other uses 7 year old monitored until such improvement occurs. It is general clinical experience that the risk of suicide may increase in the early stages of recovery.
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