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Viewing Page 1 of 1 (Total Posts: 7)


Author Comment    
Susan



Mar 27, 08 - 3:28 PM
Amitriptyline

So our new Reg tells me that there is no place for this in long term pain management (which is a shame, as I often suggest it)

Are others still using it?
Teresa B



Mar 28th, 2008 - 2:36 PM
Re: Amitriptyline

Susan
We use Amitriptyline a lot and with good effect. In the Acute Pain Management Scientific Evidence book 2005, there is quoted research to say that they are effective in chronic neuropathic pain states and in the management of acute neuropathic pain. Hope this helps.
Teresa
Glenn



Mar 28th, 2008 - 2:40 PM
Re: Amitriptyline

There have been some rumblings about it disrupting natural sleep etc.

But we still like it, still use it, and get good results from it.

Glenn
Nick Churchill



Mar 31st, 2008 - 2:51 PM
Re: Amitriptyline

I still find it suits many patients, and routinely use it as my 'first-line' choice in neuropathic pain.
Simon Higgs



Apr 2nd, 2008 - 5:01 PM
Re: Amitriptyline

Our trust ask for it to be used as first line for sciatic pain
Jacqui



Apr 3rd, 2008 - 8:58 AM
Re: Amitriptyline

Hi Susan,

We use amitriptyline as a first-line drug in neuropatic pain. If this has no effect, we move on to Gabapentin and then to Pregabalin as a final option before considering Ketamine etc. We usually start Amitriptyline as a 10mg dose at 10pm and increase as needed. To be truthful, I find that amitriptyline works well with those who have had no previous neuropathic intervention but it is not suitable for everyone and we would not use it on those who have cardiac conditions at all. In all, I would always give it a try!

Jacqui
Carol Banks



Apr 3rd, 2008 - 9:15 AM
Re: Amitriptyline

Ami has been around for a long time, and has been used for neuropathic pain for its dampening effect on neuropathic pain and for its sedating effect which aid sleep. We always advice to take 3 hrs before going to bed. Generally these days in our chronic pain clinic we tend to use Dosulepin as first line, it is better tolerated.


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