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Startat av affa, 2009-09-27, 12:36
CiteraAmitriptyline5-10 mg qhs to start; gradually increase by 10 mg qhs until optimal effect (20-50 mg)Tricyclic antidepressant. Often effective for sleep in the short term. Warn about possible weight gain. Side effects can be severe even at low dose–especially early morning grogginess and confusion, dry mouth, increased appetite, constipation, urinary retention, blurred vision, palpitations, hypotension. Reassess patient periodically. Side-effects are often dose related andif tolerated, tend to decrease with time. Benefits are usually seen 2-4 weeks after initiation. Do not use in the presence of MAO inhibitors. Tricyclics may enhance the effects of alcohol and other CNS depressants.