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after seeing specialist Amitriptyline is to be precribed for 3 monthes, dr disagrees, i only found all this out after a call to dr yesterday and was told the specialist had sent his assessment over via email, they phoned me (reception) to ask did i want the prescription, i got the precription and after seeing my barium meal video and our discussion i understand why he wants this course of treatment, when i was took off my omeprazole in january 2016 i decided at same time to come of the cilitropram i was taking for menopause symptons, makes me wonder if being on both hid what was going on or helped me without being aware. as i said to receptionist they transferred my care to him so in a way if i dont do as requested how will i know if it helps. thoughts please
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Which dose and for which reason.
My teenaged daughter taking currently 37.5mg, but were up to 75mg daily as this helped with abdo pain. Will go down to 25mg due to brain fog/concentration problems, but doesn't help abdo pain much in this dose. Catch 22. Had never racing heart due to it. Had racing heart before due to POTS and connective tissue issue. But brain fog is a big issue when higher dose with Amitriptyline for us. For abdo pain usually 10-20mg is only prescribed. We are also on it already for a year......3 months would have done nothing as we had to trial dosage over weeks each time.
Hi. I have been on amitryptilline at 20mg since november last year (started on 5mg then gradually increased over 1st couple of weeks to 20 to minimise side effects). my gastro consultant suggested i try this alongside buscopan which was started at the same time. His reason for putting me on it was for chronic abdo pain, chronic diarrea. i have ibs-d, quiescent colitis, bile acid malabsorption & fructose malabsorption. i take other prescription meds for the bile acid malabsorption & colitis, but on top of these conditions being under control clinically i was still having dire problems with chronic pain & diarrea. the ami & buscopan are both "anti cholinergic" medicines. they both slow down the side of the brain that is responsible for digestive functions eg bowels in my case. they have worked since november in slowing down my bowels & thus reduced abdo pain, as it used to be the more bowel movements i had in a day, the worse the abdo pain got. i have had countless tests, & in the absence of any additional diagnosis's these 2 meds do work for me & i have been back at work since december without problems of urgency, frequency & associated pain. i also give myself a least 3hrs in the morning for my bowels to settle & take all my meds as my bowels are still liveliest in the morning, & then i am usually good to go for the rest of the day. i still have on average about 3 bowel movements a day mostly in the first few hours after waking & usually 1 looser bowel movement, but this is so much improved from what i went through last year being virtually housebound by my symptoms. i know it is only "band aid" meds ( a great phrase used by Sanya on this group some time ago!), but it does control my symptoms much better & i am able to get on with life. as your specialist has prescribed it & the nature of the med amitryptilline does slow the part of the brain that controls digestive function, i would think it would be worth a try for you in the absence of any other answers on offer for you. if 10mg helps "a bit" you could talk to your specialist in due course about increasing dose slightly (as i said i am on 20mg at night near bedtime). it took about 3 to 4wks before i noticed a difference, & they did make me a little foggy at first, but it wore off. i do get more tired on them, but i just accept when i need rest i need rest. the small con of tiredness with ami is far outweighed by the positives for me. hope this helps. x
Oh look! Hello Looloo!
How are you?
We are still hanging in there and finally, finally after 14months of waiting time seen by a ped gastro at a public hospital in the city in April....I put a lot of hope into it. abdo pain is so much pain and such a huge field.
The good old Amitriptyline.
Mind you, our doc put us on 25mg straight away getting up to 50mg,
always just big 25mg steps,
the 50mg tablet doesn't even have a break line,
but the 25mg has, so when pain was too high still, tried 75mg as suggested by pain specialist, worked bit better for sleep,
but as he had to admit, it was not meant to make one that drowsy, that one could sleep with pain a bit easier.
It should have tackled the pain more.
When I took her back to lower dose, we went in 12.5mg steps (breaking the 25mg tablet, that has a break line) and not 25mg as he suggested.
And here I read, other docs go in 5mg steps?
That's awesome. My poor girl was ping pong put on off Amitriptyline doses. haha.
Only same: always in the evening.
Speaking of evening, time for bed, we also dissolve some Melatonin 1 hour before bed time, doesn't help pain either, but another sleepy maker. If she is nauseas and gagging, it's actually counterproductive as she needs to get up. Currently better again, so can make everything possible to get sleepy and fall asleep despite ongoing pain.
All the best!
All the best to you & your daughter too. x
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