Patient/caregiver was educated on precautions to be exercised while taking amitriptyline as follows:

  1. Amitriptyline use can result in common general constitutional symptoms such as, nausea and vomiting. Taking dose of amitriptyline with a glass of water, after having some food or a snack can help avoid having unpleasant gastrointestinal symptoms with the medication.
  2. Amitriptyline intake can induce extreme dry mouth and constipation. Sucking on a sugar free hard candy can help with symptomatic relief of dry mouth. Proper hydration measures and compliance with daily fluid intake recommendations can help with relief from constipation. If you experience any further bothersome constipation, report it to your physician for a recommendation on laxative/stool softener use. Observing compliance with fiber intake recommendations in the diet can also help with preventing episodes of constipation with the medication.
  3. Amitriptyline intake carries the risk of lowering the blood pressure. Hypotension, secondary to amitriptyline intake, can lead to episodes of confusion and dizziness. Avoid sudden changes in position, until you are used to the side-effects of amitriptyline intake. Sudden change of positions can make the confusion and dizzy episodes even worse and precipitate accidents and falls. Report any episodes of increased dizziness, syncope, and loss of consciousness while taking amitriptyline. Discuss with your physician regarding all your medications and their risk of causing hypotensive episodes.