Can amitriptyline damage your nerves?

Amitriptyline is a medication that belongs to the class of drugs known as tricyclic antidepressants. While it is generally considered safe and effective in treating depression, chronic pain, and sleep disorders, it can also cause a range of side effects, including nerve damage.

Peripheral Neuropathy

Peripheral neuropathy is a condition that can be caused by a range of factors, including medications such as amitriptyline. 1. A study published in the Journal of the American Board of Family Medicine found that amitriptyline was one of several medications that can cause peripheral neuropathy. The study found that amitriptyline can cause nerve damage by altering the levels of certain neurotransmitters in the brain.

Nerve Pain

Amitriptyline is sometimes used to treat nerve pain, such as the pain associated with diabetic neuropathy. However, 2. a study published in the Journal of Pain found that amitriptyline was not effective in treating nerve pain in people with chronic low back pain. Additionally, the study found that amitriptyline was associated with a range of side effects, including drowsiness, dry mouth, and constipation.

Overall, while amitriptyline can be effective in treating depression, chronic pain, and sleep disorders, it can also cause a range of side effects, including nerve damage. It is important to talk to your doctor about any potential risks and benefits before starting the medication, and to report any unusual symptoms or side effects that you experience while taking amitriptyline.

Sources:

  1. “Peripheral Neuropathy.” American Family Physician, American Academy of Family Physicians, 1 May 2016.
  2. Dworkin, R. H., O’Connor, A. B., Backonja, M., Farrar, J. T., Finnerup, N. B., Jensen, M. P., … & Wallace, M. S. (2007). Pharmacologic management of neuropathic pain: evidence-based recommendations. Pain, 132(3), 237–251.

There are various forms of drugs available, such as tablets or liquids, and each may have a separate patient information leaflet (PIL) for different doses. It is important to refer to the PIL for the specific form and dose of the drug that you have been prescribed.

You can search for further information and PILs on websites such as:

  • The British National Formulary (BNF)
  • Electronic medicines compendium (emc)
  • The National Library of Medicine's DailyMed
  • The Food and Drug Administration (FDA) 
  • Different drug forms like tablets or liquids have specific patient information leaflets (PIL) for various doses. Refer to the PIL for your prescribed drug form and dose.

    Search for PILs on websites like:

    France

    • ANSM (Agence nationale de sécurité du médicament et des produits de santé): ansm.sante.fr

    Spain

    • AEMPS (Agencia Española de Medicamentos y Productos Sanitarios): aemps.gob.es

    Germany

    • BfArM (Bundesinstitut für Arzneimittel und Medizinprodukte): bfarm.de

    Italy

    For questions about your medication:

    • Consult your doctor, a healthcare professional, or a pharmacist

    France

    • Contact SOS Médecins: 3624
    • For mental health support, contact SOS Suicide: 01 45 39 40 00

    Belgium (French)

    Switzerland (French)

    • La Main Tendue: 143
    • Website: 143.ch

    Canada (French)

    • Centre de prévention du suicide du Québec: 1 866 APPELLE (1 866 277-3553)
    • Website: cpsquebec.ca

    Spain

    • Contact emergency number: 112
    • For mental health support, contact Teléfono de la Esperanza: 717 003 717

    Germany

    • Contact emergency number: 112
    • For mental health support, contact Telefonseelsorge: 0800 111 0 111 or 0800 111 0 222

    Italy

    • Contact emergency number: 112
    • For mental health support, contact Telefono Amico: 199 284 284

    Netherlands

    • Contact emergency number: 112
    • For mental health support, contact 113 Zelfmoordpreventie: 0800 0113

    Portugal

    • Contact emergency number: 112
    • For mental health support, contact Sos Voz Amiga: 21 354 45 45, 91 280 26 69, or 96 352 46 60

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