Always inform your doctor about all medications, supplements, and herbal remedies you are taking, including over-the-counter drugs. Elavil, or amitriptyline, interacts significantly with several classes of drugs. Combining Elavil with MAO inhibitors can cause a dangerous increase in blood pressure. Avoid concurrent use.
Central Nervous System Depressants
Using Elavil with other central nervous system depressants, such as alcohol, benzodiazepines (like Xanax or Valium), opioids, or barbiturates, increases the risk of sedation, respiratory depression, and potentially dangerous interactions. Reduce alcohol intake significantly and avoid combining with other sedatives.
Anticholinergic Medications
Elavil possesses anticholinergic properties. Combining it with other drugs having similar effects (e. g., antihistamines, some antipsychotics) can worsen side effects like dry mouth, constipation, blurred vision, and urinary retention. Your doctor may need to adjust dosages.
Serotonin Syndrome Risk
Combining Elavil with other serotonergic drugs, including selective serotonin reuptake inhibitors (SSRIs) or serotonin-norepinephrine reuptake inhibitors (SNRIs), increases the risk of serotonin syndrome, a potentially life-threatening condition. Avoid this combination unless specifically directed by a physician.
Discuss all potential drug interactions with your doctor before starting or changing any medication. They can help you safely manage your medications and minimize the risk of adverse effects.


