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Yikes, ran out of my trazdone. Any idea how much amitryptiline to substitute?

Discussion in 'General Treatment' started by November Girl, May 16, 2013.

  1. November Girl

    November Girl Senior Member

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    My usual dose of trazadone is 200mg nightly. I didn't realize I was out until just now. I do have 30mg tablets of amitryptiline that I planned to trial again next month when life calms down a bit. Any idea how the doses compare?
     
  2. Little Bluestem

    Little Bluestem Senescent on the Illinois prairie, USA

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    When I lived in a larger city, one of the hospitals has a 24-hour "Ask a Nurse" line. Is anything like that available to you.
     
  3. Lotus97

    Lotus97 Senior Member

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    There's no way of knowing how much you'll need of each medication. Even if you were switching from one SSRI to a different SSRI you still wouldn't know how much you'd need. 30 mg of amityptiline/Elazvil is a moderate dose. I'm taking 75 mg now. I'd recommend starting out at the lowest dose possible because you'll experience more side effects (and more work for your liver) at the higher dose.
     
  4. November Girl

    November Girl Senior Member

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    Well, I couldn't find the amitryptiline last night, but did find the Lunesta I'd taken for awhile 2 years ago. I slept well. I'm groggy this morning, but then I've had pretty of brain fog and mental exhaustion for the past two days. I don't intend to stay on the Lunesta, but am glad to have it around in case I ever run out of trazadone again. My new trazadone prescription gets picked up today. :)

    Btw, trazadone and amitryptiline are not SSRIs. They are from a far older family of anti-depressants. The doses for depression were a lot higher than what we take for sleep.
     
  5. LaurelW

    LaurelW Senior Member

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    From what I've heard, the doses don't translate straight across, and Lotus is right that it takes experimentation to find the right dose.
     
  6. Lotus97

    Lotus97 Senior Member

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    LaurelW pretty much said what I was going to say. Trazodone is a tetracyclic antidepressant while amitryptiline/Elavil is a tricyclic antidepressant so they're not in the same class, but even if you were switching between something of the same class such as Prozac to Zoloft (two SSRIs) it would be impossible to know what dosage you would need. I've tried several different SSRIs. I respond well to SSRIs compared to other types of antidepressants, but they all have different effects (and side effects) despite being in the same class.
     
  7. November Girl

    November Girl Senior Member

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    Thanks, all.

    Lotus97, what is the source of that beautiful quote at the bottom of your page. I like it a lot.
     

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