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amitriptyline just starting tonight little nervous

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  • amitriptyline just starting tonight little nervous

    Just a question did anyone start off with 25mg. I don't know if that is the noramal starting point for pain and urinary frequency. Or is that a low dosage to start off with?
    Just wondering any thought

  • #2
    I think thats kinda high to start out with as you don't know if it will make you super tired. Some people find it super sedating at first but then get used to it over a couple of weeks. I think most people might start with 10mg and then after a week or two go to the 25mg. You can always increase it earlier if you have no side effects. Alot of people never have to even go to the 25 as even the 10mg helps with frequency at night etc. I believe it works right away but builds up and improves symptoms over 3 to 4 weeks.
    Last edited by cmclien; 03-16-2011, 01:22 PM.

    Gelnique for frequency/urgency - works great
    Macrobid after sex
    Prilosec, continuous birth control pills
    synthroid .088mg, mucinex-d, restasis

    Supplements: Desert Harvest Aloe vera, Cysta-q, prelief, magnesium and calcium, Vit D, flaxseed oil

    Diag Mild IC Jan 11 but have had symptoms for 25 years. Also have GERD, TMJ, IBS-C, chronic dry eye syndrome, hashimotos thyroiditis, non-allergic rhinitis.

    IC Diet Link:
    AUA 2011 Guidelines to diagnosing and treating IC overview-
    AUA 2011 Guidelines to diagnosing and treating IC PDF:
    Great treatment flowchart on page 19 of the pdf


    • #3
      Drs will start their patients at different doses so some may start lower than 25mg but it is not an unreasonable dose to start with. It can have some sedating side effects that do go away after a week or so for most. If you are concerned with your dose, I suggest you call your Dr tomorrow.

      Take care,
      Link to the patient information, everything from What is IC? to Disability

      American Urological Association Clinical Guideline
      Diagnosis and Treatment of Intersitial Cysitis/Painful Bladder Syndrom


      • #4
        I would start out lower I find that it just knocks me out. When I first started taking it I could not find my way to the bathroom much less back to the bed. I have been taking it for 2 years and I still take 12.5 mgs. I cut mine in half. Hope this helps.

        "Through God All Things Are Possible"

        Topamax for Migraines 50
        Elavil 12.5 mg
        Lidocaine 2% 10 cc
        Sodium Bicarb 8.4% 5 cc
        Heprain 20,000 Units
        Hydroxyzine 25 mgs
        Valium Sup. 10 mgs.
        Phenegran 25 mgs.
        Amerge 2.5 mgs.
        Lidocaine Gel 2%


        • #5
          very sleepy

          Thanks everyone for the replys. I will definatly start a lower dose, the 25mgs knocked me out. I will see if the pharmacist can split them for me. That is way to high for me!!


          • #6
            I started at 25 mg and was drowsy the fist 2-3 days but I slept better than I had in years. I cut my dose in 1/2 and still sleep well. I do not ever want to quit taking it. I had nerve pain in my face that disappeared with the Elavil and I have not had a cold sore since I started taking it over a year ago.