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Elavil (generic)
Drug Uses
Elavil is indicated for the relief of symptoms of depression.
Endogenous depression is more likely to be alleviated than
are other depressive states.
Elavil comes as a tablet to take by mouth.
It is usually taken one to four times a day and may be taken
with or without food. Take Elavil exactly as directed. Do
not take more or less of it or take it more often than prescribed
by your doctor. Continue to take Elavil even if you feel well.
Do not stop taking Elavil without talking to your doctor,
especially if you have taken large doses for a long time.
Your doctor probably will want to decrease your dose gradually.
This drug must be taken regularly for a few weeks before its
full effect is felt.
Before taking Elavil, tell your doctor
if you have liver disease; kidney disease; asthma; thyroid
disease; diabetes; stomach or intestinal problems; high blood
pressure or heart disease; had a heart attack in the last
6 weeks; an enlarged prostate or difficulty urinating; or
glaucoma. You may not be able to take Elavil, or you may require
a dosage adjustment or special monitoring during treatment
if you have any of the conditions listed above. Elavil may
be harmful to an unborn baby. Do not take Elavil without first
talking to your doctor if you are pregnant or could become
pregnant during treatment. Elavil passes into breast milk
and may affect a nursing baby. Do not take Elavil without
first talking to your doctor if you are breast-feeding a baby.
If you are over 60 years of age, you may be more likely to
experience side effects such as drowsiness, dizziness, unsteadiness,
feeling uncoordinated and low blood pressure. Your doctor
may prescribe a lower dose of this medication.
Take the missed dose as soon as you remember.
If it is almost time for the next regularly scheduled dose,
skip the missed dose and take the next one as directed. Do
not take a double dose of this medication unless otherwise
directed by your doctor.
Side effects cannot be anticipated. If
any develop or change in intensity, inform your doctor as
soon as possible. Only your doctor can determine if it is
safe for you to continue taking Elavil. Older adults are especially
liable to certain side effects of Elavil, including rapid
heartbeat, constipation, dry mouth, blurred vision, sedation,
and confusion, and are in greater danger of sustaining a fall.
Side effects may include: Abnormal movements, anxiety, black
tongue, blurred vision, breast development in males, breast
enlargement, coma, confusion, constipation, delusions, diarrhea,
difficult or frequent urination, difficulty in speech, dilation
of pupils, disorientation, disturbed concentration, dizziness
on getting up, dizziness or light-headedness, drowsiness,
dry mouth, excessive or spontaneous flow of milk, excitement,
fatigue, fluid retention, hair loss, hallucinations, headache,
heart attack, hepatitis, high blood pressure, high fever,
high or low blood sugar, hives, impotence, inability to sleep,
increased or decreased sex drive, increased perspiration,
increased pressure within the eye, inflammation of the mouth,
intestinal obstruction, irregular heartbeat, lack or loss
of coordination, loss of appetite, low blood pressure, nausea,
nightmares, numbness, rapid and/or fast, fluttery heartbeat,
rash, red or purple spots on skin, restlessness, ringing in
the ears, seizures, sensitivity to light, stomach upset, strange
taste, stroke, swelling due to fluid retention in the face
and tongue, swelling of testicles, swollen glands, tingling
and pins and needles in the arms and legs, tremors, vomiting,
weakness, weight gain or loss, yellowed eyes and skin. Side
effects due to rapid decrease or abrupt withdrawal from Elavil
include: Headache, nausea, vague feeling of bodily discomfort
Side effects due to gradual dosage reduction may include:
Dream and sleep disturbances, irritability, and restlessness.
Store Elavil tablets in a well-closed container.
Avoid storage at temperatures above 30?C (86?F). In addition,
Elavil tablets 10 mg must be protected from light and stored
in a well-closed, light-resistant container.
Critical manifestations of overdose include:
cardiac dysrhythmias, severe hypotension, convulsions, and
CNS depression, including coma. Changes in the electrocardiogram,
particularly in QRS axis or width, are clinically significant
indictors of tricyclic antidepressant toxicity. Other signs
of overdose may include: impaired myocardial contractility,
confusion, disturbed concentration, transient visual hallucinations,
and dilated pupils, disorders of ocular motility, agitation,
hyperactive reflexes, stupor, drowsiness, muscle rigidity,
vomiting, hypothermia, and hyperpyrexia. Deaths may occur
from over dosage with this class of drugs.
Use caution when driving, operating machinery,
or performing other hazardous activities. Elavil may cause
drowsiness or dizziness. If you experience drowsiness or dizziness,
avoid these activities. Dizziness is likely to occur when
you rise from a sitting or lying position. Rise slowly to
prevent dizziness and a possible fall. Use alcohol cautiously.
Alcohol may increase drowsiness and dizziness while you are
taking Elavil. Do not stop taking Elavil suddenly. This could
cause symptoms such as nausea, headache, and malaise.
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