Without a Prescription

Elavil affects chemicals in the brain that may become unbalanced and cause depression.
Elavil belongs to the group of drugs known as Tricyclic antidepressants.
Elavil is a member of the group of drugs called tricyclic antidepressants.
Elavil is prescribed for the relief of symptoms of mental depression.

Elavil is prescribed to relieve symptoms of mental depression such as:
- Changes in appetite;
- Feelings of sadness worthlessness or guilt;
- Insomnia;
- Loss of interest in daily activities;
- Sleeping too much;
- Thoughts of death or suicide;
- Tiredness;

Elavil is indicated:
- To control chronic pain;
- To prevent migraine headaches;
- To treat a pathological weeping and laughing syndrome associated with multiple sclerosis;
- To treat bulimia (an eating disorder);
- To treat pathological weeping and laughing syndrome associated with multiple sclerosis;

Side Effects

Elavil side effects that you should report to your health care professional or doctor as soon as possible:
- a fast or irregular heartbeat;
- a heart attack;
- Abnormal movements;
- an allergic reaction which may include difficulty in breathing, swelling of lips, tongue, or face, closing of the throat and hives;
- Anxiety;
- Black tongue;
- Blurred vision;
- Breast development in males;
- Breast enlargement;
- Coma;
- Confusion;
- constipation;
- Delusions;
- Diarrhea;
- Difficult or frequent urination;
- Difficulty in speech;
- difficulty in urinating;
- Dilation of pupils;
- Disorientation;
- Disturbed concentration;
- Dizziness on getting up;
- Dizziness or light-headedness;
- dream and sleep disturbances;
- drowsiness or dizziness;
- Drowsiness;
- dry mouth and eyes;
- Dry mouth;
- Excessive or spontaneous flow of milk;
- Excitement;
- Fatigue;
- fever with increased sweating, muscle stiffness, or severe muscle weakness;
- Fluid retention;
- Fluttery heartbeat;
- 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;
- irritability;
- Lack or loss of coordination;
- Loss of appetite;
- loss of weight or appetite;
- Low blood pressure;
- mild agitation, weakness, or headache;
- mild tremor;
- Nausea;
- Nightmares;
- Numbness;
- Rapid and/or fast;
- Rash;
- Red or purple spots on skin;
- Restlessness;
- restlessness;
- Ringing in the ears;
- Seizures;
- Sensitivity to light;
- Stomach upset;
- Strange taste;
- Stroke;
- sweating;
- Swelling due to fluid retention in the face and tongue;
- Swelling of testicles;


Elavil is contraindicated if you have any of the following conditions:
- a heart or circulatory system disorder;
- an enlarge prostate or difficulty in urinating;
- asthma;
- diabetes;
- glaucoma or other chronic eye conditions;
- had a heart attack in the last 6 weeks;
- kidney problems;
- liver problems;
- stomach or intestinal problems;
- thyroid problems;
- if you are recovering from a heart attack;
- if you are sensitive to or have ever had an allergic reaction to Elavil or similar drugs such as norpramin and tofranil;
- if you have been taking large doses for a long time;
- if you have ever had seizures, urinary retention, glaucoma or other chronic eye conditions, a heart or circulatory system disorder, or liver problems;


Do not take Elavil with any of the following drugs:
- amoxapine;
- benadryl and tavist;
- bentyl and donnatal;
- catapres;
- cimetidine;
- cogentin and larodopa;
- demerol and percocet;
- disulfiram;
- ethchlorvynol;
- halcion and dalmane;
- librium and xanax;
- mellaril and thorazine;
- nardil and parnate;
- paxil, prozac, and zoloft;
- phenobarbital;
- premarin and oral contraceptives;
- quinidine;
- sudafed and proventil;
- tambocor and rythmol;
- tegretoland dilantin;
- thyroid hormones;
- warfarin;
- airway-opening drugs such as sudafed and proventil;
- antidepressants that raise serotonin levels, such as paxil, prozac, and zoloft;
- antihistamines such as benadryl and tavist;
- barbiturates such as phenobarbital;
- certain blood pressure medicines such as catapres;
- cimetidine (tagamet);
- disulfiram (antabuse);
- drugs that control spasms, such as bentyl and donnatal;
- estrogen drugs such as premarin and oral contraceptives;
- ethchlorvynol (placidyl);
- major tranquilizers such as mellaril and thorazine;
- mao inhibitors, such as nardil and parnate;
- medications for irregular heartbeat, such as tambocor and rythmol;
- other antidepressants, such as amoxapine;
- painkillers such as demerol and percocet;
- parkinsonism drugs such as cogentin and larodopa;
- quinidine (quinidex);
- seizure medications such as tegretol and dilantin;
- sleep medicines such as halcion and dalmane;
- thyroid hormones (synthroid);
- tranquilizers such as librium and xanax;
- warfarin (coumadin);



The usual starting dosage is 75 mg per day divided into 2 or more smaller doses. Your doctor may gradually increase this dose to 150 mg per day. The total daily dose is generally never higher than 200 mg.

Alternatively, your doctor may want you to start with 50 mg to 100 mg at bedtime. He or she may increase this bedtime dose by 25 or 50 mg up to a total of 150 mg a day.

For long-term use, the usual dose ranges from 40 to 100 mg taken once daily, usually at bedtime.


The usual dose is 10 mg taken 3 times a day, with 20 mg taken at bedtime.


Use of Elavil is not recommended for children under 12 years of age.

The usual dose for adolescents 12 years of age and over is 10 mg, 3 times a day, with 20 mg taken at bedtime.


Reported Elavil overdose symptoms are:
- Abnormally low blood pressure;
- Agitation;
- confusion;
- Convulsions;
- dilated pupils and other eye problems;
- Disturbed concentration;
- dizziness;
- Drowsiness;
- Extremely high body temperature;
- fainting;
- fatigue;
- hallucinations;
- Impaired heart function;
- low blood pressure;
- Overactive reflexes;
- Rapid or irregular heartbeat;
- Reduced body temperature;
- Rigid muscles;
- Stupor;
- unresponsive;
- Unresponsiveness or coma;
- vomiting;

Other Brand Names

- ADT;
- Amineurin;
- Amioxid;
- Amitriptyline;
- Domical;
- Endep;
- Equilibrin;
- Klotriptyl;
- Laroxyl;
- Novoprotect;
- Protanol;
- Qualitriptine;
- Redomex;
- Saroten;
- Stelminal;
- Syneudon;
- Tryptanol;
- Uxen;
Without Prescription (2017)