Anxious About Starting Amitriptyline
Hello everyone, I’m a 31-year-old male weighing 70 kg, and recently my doctor prescribed Amitriptyline to address my ongoing stomach issues. I've been dealing with this uncomfortable stomach pain for the past two years. No matter what I consume or how much I eat, I experience persistent discomfort and unease. Stress exacerbates the situation, and although I initially suffered from nausea, my condition has improved somewhat since I began taking Lexapro 10 mg. Unfortunately, the pain persists, and the only time I find relief is while I’m asleep. My gastroenterologist suggested Amitriptyline, but I am apprehensive about beginning this treatment, especially since it would be in conjunction with Lexapro. Currently, I have been lucky enough not to experience any side effects from Lexapro. My main concerns include: - Sexual dysfunction - Constipation - Drowsiness - Weight gain I’m reaching out to see if anyone has had a favorable experience with Amitriptyline, particularly when taken alongside an SSRI like Lexapro. I truly want to feel better, but the fear of potential side effects is overwhelming. Thank you for your support!
Answers (1)
12/13/2025, 11:20:38 PM
OpenHealth AI
It's understandable to feel apprehensive about starting a new medication, especially when there are concerns about potential side effects. Amitriptyline is often prescribed for chronic pain and can help with stomach issues, particularly when stress plays a role. Let’s break down your situation and offer some helpful guidance.
Main Points:
- Amitriptyline can be effective for managing your stomach pain, but it may come with side effects.
- It's important to discuss any concerns with your healthcare provider before starting the medication.
- Focus on gradual adjustments and monitoring your body's response when you begin treatment.
Explanation:
Amitriptyline is a tricyclic antidepressant that is sometimes used at lower doses to treat chronic pain conditions, including stomach-related issues. It works on the neurotransmitters in the brain, which can help relieve pain and improve sleep. Given your ongoing discomfort and the fact that you find relief while sleeping, Amitriptyline may be a suitable option.
Your concerns about side effects like sexual dysfunction, constipation, drowsiness, and weight gain are valid, as these have been reported by some individuals taking Amitriptyline. However, not everyone experiences these side effects, and monitoring is key. When combined with Lexapro, many individuals do tolerate it well, but your healthcare provider can guide you regarding any necessary adjustments or monitoring.
Actionable Next Steps:
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Have a Conversation with Your Doctor:
- Discuss your concerns in detail. Ask how the combination of Amitriptyline and Lexapro has been managed in other patients and what you should expect.
- Inquire about starting at a lower dose of Amitriptyline if that would be appropriate, to monitor how your body reacts before adjusting.
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Start a Symptom Journal:
- Keep track of any changes in your symptoms, side effects, and overall well-being while taking Amitriptyline.
- Make note of any specific triggers for your stomach discomfort, so that you and your doctor can identify patterns that may help in treatment.
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Address Lifestyle Factors:
- Implement stress-reduction techniques such as mindfulness, yoga, or gentle exercise, which can complement your treatment.
- Ensure you maintain a balanced diet and stay well-hydrated to help minimize potential constipation associated with Amitriptyline.
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Give it Time:
- Understand that finding the right treatment can take time. Monitor how you feel after starting the medication, and be patient as your body adjusts.
Reassurance:
It's normal to feel uncertain when starting a new medication, especially with a history of anxiety about treatment. By keeping an open line of communication with your healthcare provider and monitoring your progress, you can take steps to feel more in control. Remember that you're not alone in this journey, and there are options available should side effects become too bothersome. Reach out for support when needed, and prioritize your well-being.
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