ELAVIL

Do not use Elavil if you are allergic to amitriptyline, or if you have recently had a heart attack. Do not use Elavil if you have taken cisapride (Propulsid) or used an MAO inhibitor such as isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam), or tranylcypromine (Parnate) within the past 14 days. p>You may have thoughts about suicide when you first start taking an antidepressant, especially if you are younger than 24 years old. Your doctor will need to check you at regular visits for at least the first 12 weeks of treatment. p>Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Avoid drinking alcohol. It can cause dangerous side effects when taken together with amitriptyline.

Grapefruit and grapefruit juice may interact with amitriptyline. Discuss the use of grapefruit products with your doctor before increasing or decreasing the amount of grapefruit products in your diet.

Amitriptyline can cause side effects that may impair your thinking or reactions. Be careful if you drive or do anything that requires you to be awake and alert.

Avoid exposure to sunlight or artificial UV rays (sunlamps or tanning beds). Amitriptyline can make your skin more sensitive to sunlight and sunburn may result. Use a sunscreen (minimum SPF 15) and wear protective clothing if you must be out in the sun.

Possible side effects of Elavil (Amitriptyline)?
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have any new or worsening symptoms such as: mood or behavior changes, anxiety, panic attacks, trouble sleeping, or if you feel impulsive, irritable, agitated, hostile, aggressive, restless, hyperactive (mentally or physically), more depressed, or have thoughts about suicide or hurting yourself.

Call your doctor at once if you have any of these serious side effects:

fast, pounding, or uneven heart rate, chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling sudden numbness or weakness, especially on one side of the body sudden headache, confusion, problems with vision, speech, or balance hallucinations, or seizures (convulsions), feeling light-headed, fainting restless muscle movements in your eyes, tongue, jaw, or neck, uncontrollable shaking or tremor skin rash, severe tingling, numbness, pain, muscle weakness easy bruising or bleeding extreme thirst with headache, nausea, vomiting, and weakness; or urinating less than usual or not at all

Less serious side effects may include:

nausea, vomiting, constipation, diarrhea, loss of appetite dry mouth, unpleasant taste feeling dizzy, drowsy, or tired trouble concentrating nightmares blurred vision, headache, ringing in your ears breast swelling (in men or women); or decreased sex drive, impotence, or difficulty having an orgasm

This is not a complete list of side effects and others may occur. Tell your doctor about any unusual or bothersome side effect. You may report side effects to FDA at 1-800-FDA-1088.