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visit https://nursing.com/140meds to request your free copy of "140 Must Know Meds"
Outline Generic NameAmitriptyline
Trade NameElavil
IndicationDepression, anxiety, insomnia, parkinson’s
ActionIncreases effect of serotonin and norepinephrine in the CNS, exhibits anticholinergic effects
Therapeutic ClassAntidepressant
Pharmacologic ClassTricyclic 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.
By Jon Haws, RN CCRN Alumnus4.4
157157 ratings
visit https://nursing.com/140meds to request your free copy of "140 Must Know Meds"
Outline Generic NameAmitriptyline
Trade NameElavil
IndicationDepression, anxiety, insomnia, parkinson’s
ActionIncreases effect of serotonin and norepinephrine in the CNS, exhibits anticholinergic effects
Therapeutic ClassAntidepressant
Pharmacologic ClassTricyclic 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.

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