Apo-amitriptyline tablets _ nps medicinewise

This leaflet answers some common questions about amitriptyline. Pain and tightness in chest It does not contain all the available information. Pain on right side of chest when breathing It does not take the place of talking to your doctor or pharmacist.

• Major depression – the 10mg and 25mg tablets can be used at any stage in treatment, however, the 50mg tablets are approved only for maintenance treatment (i.e. Chest pain breathing after symptoms have improved).

Amitriptyline belongs to a group of medicines called tricyclic antidepressants (TCAs). Middle chest pain TCAs work by correcting the imbalance of certain chemicals in the brain. Pain chest and back These chemicals, called amines, are involved in controlling mood. Pain in the center of my chest By correcting this imbalance, TCAs can help relieve the symptoms of depression.

Amitriptyline should not be used in children and adolescents aged less than 18 years for the treatment of depression. Constant chest pain The safety and efficacy have not been satisfactorily established.

Symptoms of an allergic reaction may include: cough, shortness of breath, wheezing or difficulty breathing; swelling of the face, lips, tongue, throat or other parts of the body; rash, itching or hives on the skin; fainting; or hay fever-like symptoms.

If you think you are having an allergic reaction, do not take any more of the medicine and contact your doctor immediately or go to the Accident and Emergency department at the nearest hospital.

Check with your doctor whether you are, or have been, taking an MAOI, as the combination of amitriptyline with an MAOI may cause serious side effects, such as extreme fever and severe convulsions.

• selective serotonin reuptake inhibitors (SSRIs), a group of medicines used to treat depression and other mental illnesses, such as fluoxetine, sertraline and paroxetine

For depression, it is recommended that the dose is started at a low level and increased gradually. Common causes of chest pain When satisfactory improvement has been reached, the dose should be reduced to the lowest amount that will maintain relief of symptoms.

Please note your doctor may ask you to continue taking amitriptyline even after your symptoms have improved. Chest pain left side It is important you continue taking your medicine for as long as your doctor tells you.

If you take more than one dose a day and it is almost time to take your next dose, skip the missed dose and take your next dose at the usual time. Stabbing chest pain Otherwise, take it as soon as you remember and then go back to taking your medicine as you would normally.

However, if you only take one dose a day at bedtime, ask your doctor for advice regarding missed doses, as taking it another time when you remember may mean you have difficulty waking up in the morning or experience drowsiness in the day.

If you think that you or anyone else may have taken too much of this medicine, immediately telephone your doctor or the Poisons Information Centre (Tel: 13 11 26 in Australia) for advice. What can cause chest pain besides heart Alternatively, go to the Accident and Emergency department at your nearest hospital.

Amitriptyline may cause dry mouth. Deep chest pain Tell your doctor or dentist if your mouth continues to feel dry for more than 2 weeks. Home remedies for chest pain Continuing dryness of the mouth may increase the chance of dental disease, including tooth decay and gum disease.

Tell your doctor immediately if you have any suicidal thoughts or other mental/mood changes. Neck and shoulder pain on left side Occasionally, the symptoms of depression may include thoughts of harming yourself or committing suicide. Chest pain when breathing in These symptoms may continue or get worse during the first one to two months of treatment until the full antidepressant effect of the medicine becomes apparent.

Contact your doctor or a mental health professional right away or go to the nearest hospital for treatment if you or someone you know is showing any of the following warning signs of suicide:

Be careful when driving or operating machinery until you know how this medicine affects you. Chest pain syndrome Amitriptyline may reduce your alertness, cause drowsiness or dizziness in some people. Anxiety chest pain left side If you experience any of these symptoms, do not drive, operate machinery or do anything else that could be dangerous. Sudden chest pain For the same reasons, children should not ride a bike, climb trees or do anything else that could be dangerous if they are drowsy. Stabbing chest pain left side Combining amitriptyline with alcohol can make you more drowsy or dizzy. Sharp chest pain under left breast Your doctor may suggest you avoid alcohol while being treated for depression. Tightness and pain in chest Be careful getting up from a sitting or lying position. Irregular heartbeat and chest pain Dizziness, light-headedness or fainting may occur, especially when you get up quickly. Pain in middle of chest and back Getting up slowly may help.

Do not be alarmed by the following lists of side effects. Left chest pain You may not experience any of them. Neck pain relief exercises All medicines can have side effects. Upper chest pain Sometimes they are serious but most of the time they are not.

• uncontrolled movements, including trembling and shaking of the hands and fingers, twisting movements of the body, shuffling walk and stiffness of the arms and legs

If you experience any of the following, stop taking your medicine and contact your doctor immediately or go to the Accident and Emergency department at your nearest hospital.

If you think you are having an allergic reaction to amitriptyline, do not take any more of this medicine and tell your doctor immediately or go to the Accident and Emergency department at your nearest hospital.

Do not store your medicine, or any other medicine, in the bathroom or near a sink. Gas pain in chest relief Do not leave it on a window sill or in the car. Chest and back pain with cough Heat and dampness can destroy some medicines.

Keep this medicine where children cannot reach it. Neck and shoulder pain on right side A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines. Sudden chest pain left side Disposal