Amitriptyline
Amitriptyline
10/25/50/75mg
Amitriptyline tablets in 10mg, 25mg, 50mg and 75mg, a tricyclic antidepressant used for depression and for nerve pain, with treatment started low and built up in steps.
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Amitriptyline is a tricyclic antidepressant also used for nerve pain and migraine prevention; the shop lists Amitriptyline tablets in 10mg to 75mg and Elavil tablets in 10mg to 50mg.
Amitriptyline
10/25/50/75mg
Amitriptyline tablets in 10mg, 25mg, 50mg and 75mg, a tricyclic antidepressant used for depression and for nerve pain, with treatment started low and built up in steps.
Amitriptyline was among the first antidepressants, and it belongs to the tricyclic group, named for the three-ring shape of the molecule. The same action that lifts mood, holding on to serotonin and noradrenaline, also turns down pain signals travelling along damaged nerves. That is why one tablet treats depression, burning nerve pain such as post-shingles pain and diabetic neuropathy, and is used to prevent migraine.
It does more than that. It also blocks receptors for acetylcholine and histamine, which accounts for the sleepiness, the dry, slowed-down feeling and the pull on the bladder and gut that older tricyclics are known for.
The shop carries amitriptyline twice, both as tablets:
Strength follows purpose: nerve pain and migraine prevention typically begin at the low end, 10mg to 25mg, while depression is usually treated further up the range. Either name suits a gradual build-up, since the same dose is increased week by week; if you need 75mg, only the Amitriptyline listing goes that high.
Unlike newer antidepressants, amitriptyline is dangerous in an overdose, so tablets should be stored where children cannot reach them and never taken above the amount on the pack. Heart rhythm is the main concern: a recent heart attack or a conduction problem rules it out, and it can cause a fast or uneven pulse. People with glaucoma, an enlarged prostate or difficulty passing urine, seizures or an overactive thyroid should be careful, and older adults are more prone to confusion, dizziness and falls on standing.
Alcohol and sedatives add to the drowsiness, antihistamines and cimetidine can raise its effects, and MAOI antidepressants clash with it badly. Stopping after long use should be gradual.
The first weeks often bring side effects before any benefit, and a full response can take a month or longer. Judge it by how mood or pain looks after that point, not by the first few days, and expect the dose to be raised in stages along the way. Taking it at the same hour each day, usually in the evening, keeps the drowsiness out of your working hours.
Amitriptyline can be ordered online from PockDose with delivery to Hong Kong. The range covers Amitriptyline tablets in 10mg, 25mg, 50mg and 75mg, and generic Elavil in 10mg, 25mg and 50mg tablets. An order can be cancelled within 24 hours if it has not been dispatched, and support answers 24/7 in English and Cantonese.
Each of the two amitriptyline products has its own price per pack, shown on its page in HKD or your selected currency; larger packs usually cost less per unit.
PockDose does not ask you to upload a prescription when you order amitriptyline. See the ordering FAQ for details.
Elavil and Endep are brand names of amitriptyline, which is also sold as Laroxyl, Tryptizol and Tryptomer. Here, amitriptyline can be bought online as generic Elavil and amitriptyline tablets. These are generics, not the original brand.
It is an antidepressant, a tricyclic, that is also widely used for nerve pain and migraine prevention. In pain the benefit does not depend on depression being present, and the doses are usually lower than for mood.
Elavil is amitriptyline under another name. Both listings are tablets of the same ingredient, with Elavil sold in 10mg, 25mg and 50mg and plain Amitriptyline in 10mg, 25mg, 50mg and 75mg.
It is not habit-forming in the way sedatives and opioids are. It can still cause withdrawal symptoms such as nausea, headache and low energy if stopped suddenly after regular use, which is why it is tapered.
It blocks acetylcholine, the chemical that drives saliva, gut movement and bladder emptying. With that signal dampened, saliva dries up, bowels slow and passing urine can become harder. These effects tend to settle in time.