Elavil
Elavil is a commonly prescribed antidepressant that is also used to treat pain stemming from conditions such as arthritis and fibromyalgia.
Author Jena Hilliard
Reviewer Kristen Fuller, MD
Understanding Elavil (Amitriptyline)
Elavil is the brand name for amitriptyline, a prescription antidepressant medication that belongs to a class of drugs called tricyclic antidepressants. It is also sometimes prescribed for pain management stemming from arthritis, fibromyalgia, damaged nerve endings, and some cases of unexplained chronic back and neck pain.
The brand name Elavil was discontinued in the US, but the generic version is still widely available.
The drug works by affecting the balance of certain neurotransmitter chemicals in the brain, such as serotonin and norepinephrine. Tricyclic antidepressants like Elavil have been mostly phased out in favor of selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine seuptake inhibitors (SNRIs), which tend to have fewer side effects. However, amitriptyline is still commonly prescribed because of its effects on chronic pain as well as any depression or anxiety stemming from that pain.
Elavil Uses And Side Effects
Taking Elavil can improve mood, motor skills, and energy levels in patients that are experiencing depression or chronic pain. In addition to these benefits, the medication can produce a variety of negative and potentially harmful effects as well. These side effects can range from mild to severe and include any of the following:
- Drowsiness
- Dizziness
- Blurred vision
- Headache
- Constipation
- Weight gain
- Dry mouth
- Problems urinating
- Nausea
- Rash or itching
- Increased hunger
- Unusual taste
Another potential side effect of Elavil is overdose if an individual takes too much of the drug. The drug produces euphoric and sedating effects in high doses, which makes it popular for abuse. People will abuse the drug and increase their dosages to amplify those effects. An Elavil overdose can cause severe health problems such as cardiac arrest, dangerously low blood pressure, and seizures. In extreme cases, central nervous system depression and even death can occur.
Signs of overdose include chest pain, extreme drowsiness, vomiting, muscle stiffness, rapid heartbeat, slurred speech, difficulty breathing, convulsions, and unconsciousness. The risk of overdose is significantly increased when Elavil is combined with other drugs, particularly alcohol. This combination can cause extreme sedation and respiratory depression, but many people that abuse Elavil will mix them anyway simply to increase the intoxication experienced.
Explore These Featured Centers
Is Elavil Addictive?
Elavil is not considered addictive because it doesn’t create a “high” or cravings like drugs of abuse. However, people can become physically dependent on it, meaning they may experience withdrawal-like symptoms if they stop suddenly. The key difference is that dependence is the body adjusting to the medication, while addiction involves compulsive use despite harm. To avoid discomfort, Elavil should always be tapered under medical supervision.
The tapering process usually involves slowly lowering the dose over several weeks, depending on:
- The current dose you’re taking
- How long you’ve been on it
- Your overall health and response to dose changes
For example, a doctor might reduce the daily dose by 10–25 mg at a time, adjusting every 1–2 weeks, but the exact schedule is personalized. Some people may need a slower taper if they’re sensitive to changes.
Elavil Withdrawal
Withdrawal-like symptoms from Elavil can occur if the medication is stopped suddenly or tapered too quickly. These symptoms are usually mild to moderate but can be uncomfortable. Common effects include:
- Anxiety
- Appetite changes
- Body aches
- Depression
- Nausea
- Diarrhea
- Vomiting
- Dizziness
- Fatigue
- Headache
- Hypersensitivity
- Insomnia
- Irritability
- Suicidal thoughts
Withdrawal symptoms are more likely to occur in individuals that were taking high doses of Elavil for a long time rather than a shorter course of treatment.
Care That's Covered by Insurance
Explore rehabs that accept your insurance today! Start your recovery journey with peace of mind, knowing your care is covered.
Addiction Center is not affiliated with any insurance.
Find Treatment Today
Elavil can be an effective way to help manage depression and chronic pain, but it’s important to remember that misuse of any prescription drug can be dangerous and lead to the development of dependence. If you think that a loved one may be abusing Elavil or other drugs, know that there are many treatment options available.
Contact a treatment provider for rehab-related help today.