Amitriptyline (Elavil)

visit https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Outline Generic Name Amitriptyline Trade Name Elavil Indication Depression, anxiety, insomnia, parkinson’s Action Increases effect of serotonin and norepinephrine in the CNS, exhibits anticholinergic effects Therapeutic Class Antidepressant Pharmacologic Class Tricyclic antidepressant Nursing Considerations • Contraindicated in MI, heart failure, QT prolongation, glaucoma • May increase risk for suicidal ideation • May cause arrhythmias, hypotension, EKG changes • May cause alterations in blood glucose levels • May lead to general sedation and lethargy • Do not use within 2 weeks of MAOIs • Instruct pt to take medication exactly as instructed • Monitor for orthostatic hypotension • May lead to photosensitivity, instruct patient to use sunscreen • May turn urine blue/green color.