Elavil

Amitriptyline

Elavil is amitriptyline, a tricyclic antidepressant sold as 10mg, 25mg and 50mg tablets for depression, nerve pain and migraine prevention, taken once or more each day.

All strengths and pack prices
Elavil: price of every strength and pack size
Strength Pack Price
10mg 30 tablets $33.00
10mg 60 tablets $34.20
10mg 90 tablets $45.90
10mg 120 tablets $56.40
10mg 180 tablets $79.20
10mg 360 tablets $133.20
25mg 30 tablets $35.70
25mg 60 tablets $44.40
25mg 90 tablets $59.40
25mg 120 tablets $70.80
25mg 180 tablets $97.20
25mg 270 tablets $129.60
25mg 360 tablets $154.80
50mg 30 tablets $38.10
50mg 60 tablets $61.20
50mg 90 tablets $82.80
50mg 120 tablets $98.40
50mg 180 tablets $133.20
50mg 270 tablets $180.90
50mg 360 tablets $216.00
Active ingredient
Amitriptyline
Route
Oral
Form
Tablet
Strengths
10/25/50mg

You will receive a quality generic equivalent, depending on stock.

Shipped in a discreet, unmarked envelope.

Details

Therapeutic Class
Tricyclic Antidepressant
Pharmacological Class
TCA
Minor Side Effects
Drowsiness, Dizziness, Dry mouth
Moderate Side Effects
Blurred vision, Constipation, Weight gain
Dosage Forms
Tablet
Administration Route
Oral
Originator
AstraZeneca
Onset Time
2–4 weeks
Duration
24 hours
Storage Instructions
Store in a cool, dry place.
Drug Interactions
MAO inhibitors, Alcohol, Cimetidine

What you will receive

Elavil is the originator brand name, made by AstraZeneca. We use it to identify the medicine; the pack you receive is a generic equivalent, not the original Elavil.

  • The same active ingredient (Amitriptyline) at the same strength.
  • The exact brand supplied depends on what is in stock when your order ships.

FAQ

Which Elavil strengths and pack sizes can I order?

Elavil comes as 10mg, 25mg and 50mg tablets in packs of 30 to 360 tablets. This is generic amitriptyline, not the original Elavil. Larger packs cost less per tablet.

How is Elavil delivered to Hong Kong?

Elavil can be sent by tracked courier, which takes 5 to 9 business days and includes online tracking. Standard airmail takes 14 to 21 business days, or 30 at most, and is untracked. Every order arrives in plain, unbranded packaging with nothing on the outside about the contents.

What other names is amitriptyline sold under?

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 also as amitriptyline tablets. These are generics, not the original brand.

How long does Elavil take to work for depression?

Amitriptyline builds up slowly. The first changes in mood usually appear after a few weeks, and the full effect can take six to eight weeks of steady dosing. Nerve pain and migraine prevention often need several weeks as well, which is why the dose is raised in steps rather than judged after a few days.

Can I stop taking Elavil suddenly?

Coming off amitriptyline too quickly can cause nausea, headache and a drained, low-energy feeling. Reducing the dose in steps over a few weeks avoids most of this, and the last step is usually the smallest one.

Does Elavil make you sleepy?

Yes. Drowsiness is one of amitriptyline's main effects, which is why a once-daily dose is usually taken in the evening. It is strongest during the first week or two and often eases after that, though some people feel a little groggy in the mornings for as long as they take it.

Can I take Elavil with antihistamines or a sleeping tablet?

They add to each other. Antihistamines and night-time sleep aids have drying and sedating effects of their own, so combined with amitriptyline they can worsen dry mouth, constipation, blurred vision and next-day drowsiness.

About Elavil

What Elavil is for

Amitriptyline, sold here as Elavil, belongs to the tricyclic antidepressants, a group in use since the 1960s. It eases depression by raising the levels of chemical messengers in the brain that keep mood steady. The same medicine is used for nerve pain that lingers after shingles (post-herpetic neuralgia) and to cut down how often migraines come. It is sedating, so people taking it for pain often have their dose in the evening.

Taking your tablets

Elavil tablets are swallowed with water. Most people take one dose a day, though a larger daily amount can be split into two, three or four. A course begins with 10mg or 25mg tablets, and the 50mg strength is for higher maintenance amounts later on. Pain and migraine prevention usually need less than depression does. The benefit takes a few weeks to build, so the first tablets may seem to do very little.

Side effects

Dry mouth, constipation, blurred vision and sweating are the everyday ones, along with drowsiness and a light-headed feeling when you stand up quickly. They are usually worst in the first week or two and ease after that. Weight gain tends to creep in over months. A fast, pounding or irregular heartbeat, or fainting, needs urgent treatment. Confusion and clumsy, unsteady movement are rarer effects. Swelling of the face, lips or throat, or trouble breathing, is an allergic reaction and also needs urgent help.

Elavil and other amitriptyline tablets

Elavil is the older brand name; the tablets sold here are generic amitriptyline, with the same active ingredient. The Amitriptyline listing runs from 10mg up to 75mg, so a single 75mg tablet is available there, where Elavil stops at 50mg. Otherwise the difference between the two comes down to the strength range and the pack size you pick.

Alcohol, other medicines and storage

Drinking alcohol on amitriptyline deepens the drowsiness and dizziness, and a few drinks can leave you unsteady on your feet. Amitriptyline is not combined with an MAOI (monoamine oxidase inhibitor, another older antidepressant); the two together can cause a dangerous reaction. Sleeping tablets, opioid painkillers and antihistamines all add to its effects, and the drying, constipating and sedating side effects get worse when they are taken together. Keep the tablets in their packaging in a cool, dry spot away from direct light.

Sources

  1. Amitriptyline: MedlinePlus Drug Information — National Library of Medicine
  2. How can older adults (65+) recognize and get help for depression? - NAMI HelpLine — National Alliance on Mental Illness