rs asked:


Jane Doe, 28 year old, healthy. has parkinson white syndrome, Physical Exam- normal BP122/78, HR -71, Lab- normal, has reoccurant head aches, and is going thru anti migrant therapy, not effective. new HMO, put her on amitriptyline week 1-10mg/day@bedtime, week 2 -20 mg/day@bedtime, week -3 50mg/day@ bedtime and week 4 increased his dosage to 100mg/day @ bedtime. and Nortriptyline 0.05mg/L. Jane doe followed the dosage regiment but no follow up with her HMO, two days later, playing soft ball, Jane Doe rushes to catch the ball, jumps up, pops up ,throws the ball and collapses.CPR given. with in 5 mintues the paramatics arrive, unable to revive. No stroke, No MI, No injury, caffine in the system, urine screen negative.Autopsy no apparent cause of death? comment on the drug amitriptyline and reasonable dosage? Toxicity?
whats the cause of death? do you think amitriptyline contributed to his death? if yes why? Is the HMO at fault? if no explain how an healthy, 28 year old , drop dead?

Stupified asked:


I am a male taking amitriptylin for bladder pain. I started on 20mg and pain releif was quite good. At times I actually found myself forgetting about my pain for hours at a time and seemed to need toilet slightly less often. However the side effects were quite bad, extreme tiredness, some dizziness etc. so reduced the dose to 10mg and the symptoms are much more manageable but the pain is almost as bad as when I wasn’t taking anything. Someone suggested nortriptyline as an alternative, has anyone tried this for bladder pain, or failing that chronic pain in general? Is it as effective as amitriptyline?

conradscustomcomputers asked:


My psych wants to put me on amitriptyline but i’ve been reading up on the two and it seems that nortriptyline is more effective and has less side effects. What say you? Anyone been on either?

Not looking for the same old web md…drugs.com fda sites…read all those..looking for people who have either seen one or the other work or personally taken them.

zodia asked:


a. Amitriptyline
b. Doxepen
c. Imipramine
d. Nortriptyline

t asked:


1. A client is ordered 50 milligrams of Amitriptyline. 25 milligram tablets are available. How many tablets will you give?
Answer=2

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2. A client is ordered 37.5 milligrams of Dothiepin. 75 milligram tablets are available. How many tablets will you give?

Answer=0.5 tab

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3. A client is ordered 37.5 milligrams of Nortriptyline. 25 milligram tablets are available. How many tablets will you give?

Answer=1.5 tab

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4. A client is ordered 300 milligrams of Thioridazine. 100 milligram tablets are available. How many tablets will you give?

Answer=3

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5. A client is ordered 0.5 milligrams of Digoxin. 250 microgram tablets are available. How many tablets will you give?

Answer=2

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6. A client is ordered 1 milligram of Diazepam. 2 milligram tablets are available. How many tablets will you give?

Answer=0.5

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7. A client is ordered 300 milligrams of Carbamazepine. 200 milligram tablets are available. How many tablets will you give?
Answer=1.5

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8. A client is ordered 200 milligrams of Sodium Valproate. 100 milligram tablets are available. How many tablets will you give?
Answer=2

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9. A client is ordered 100 milligrams of Thioridazine. 25 milligram tablets are available. How many tablets will you give?
Answer=4

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10. A client is ordered 7.5 milligrams of Bendrofluazide. 2.5 milligram tablets are available.How many tablets will you give?
Answer=3

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11. A client is ordered 100 milligrams of Pehthidine HCL. 50 milligram tablets are available. How many tablets will you give?
Answer=2

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12. A client is ordered 30 milligrams of Codeine phosphate. 60 milligram tablets are available. How many tablets will you give?
Answer=0.5

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13. A client is ordered 2.5 grams of Neomycin sulphate. 500 milligram tablets are available. How many tablets will you give?
Answer=5
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14. A client is ordered 30 milligrams of Diltiazem hydrochloride. 60 milligram tablets are available. How many tablets will you give?
Answer=0.5

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15. A client is ordered 62.5 micrograms of Benztropine Mesylate. 0.25 mg tablets are available. How many tablets will you give?
Answer=4

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16. A client is ordered 60 milligrams of Phenelzine. 15 milligram tablets are available. How many tablets will you give?
Answer=4

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17. A client is ordered 37.5 milligrams of Clomipramine. 25 milligram tablets are available. How many tablets will you give?
Answer=1.5

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18. A client is ordered 1.25 milligrams of Clonazepam. 0.5 milligram tablets are available. How many tablets will you give?
Answer=2.5

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19. A client is ordered 2.5 milligrams of Haloperidol. 5 milligram tablets are available. How many tablets will you give?
Answer=0.5

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20. A client is ordered 40 milligrams of Imipramine. 10 milligram tablets are available. How many tablets will you give?

Answer=4

yodachick asked:


I was given nortriptyline to take for treating dizziness and vertigo. After the third time of taking it (5mg at night) I got bad chest pain and aching down my arm, much like you would when having a heart attack. The only other side effect I had was shaking legs. I went back to my doctor and he said he didnt think it could effect your heart but to try amitriptyline instead. I am concerned that this will effect me in the same way as the two medicines have a similar make up. Has anyone else taken these and how did they effect you?

Kynysca asked:


From what I understand, it is typically indicated for pain, occassionally as a sleep aid. Also, that it isn’t even used for more than a couple weeks at a time. It is structurally similar to amitriptyline and imipramine, but never (from what I can see) prescribed for mood disorders. Why not? Perhaps I am missing something?
Thanx, Troy. Makes sense. I haven’t read anything reliable.

Wikipedia, at least, lists it as a tricyclic antidepressant:

http://en.wikipedia.org/wiki/Cyclobenzaprine

This research seems to list it as a TCA:

http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1540431

I can’t find anything “official”….
Troy, I have read “effects” of Cyclobenzaprine are comparable to a benzo. Could this drug be used as an anxiolytic? Is it, ever prescribed for this purpose?
Thanx, again, Troy. To be honest, I read the first paragraph of that research.

And, yeah, wiki is “off” a lot of the time.

I appreciate the edit, man :-).
I guess what I kinda got hooked up on is how cyclobenzaprine could be so structually similar to other TCA’s (even, despite it’s disparate class), yet not work similarly…