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Amitryptiline (Elavil) Nursing Pharmacology Considerations

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What is the Generic Name for Elavil?

Amitryptiline

What is the Trade Name for Amitryptiline?

Elavil

What are the Indications of Amitryptiline (Elavil) Nursing Pharmacology Considerations?

depression, anxiety, insomnia, parkinsons

What are the Actions of Amitryptiline (Elavil) Nursing Pharmacology Considerations?

increases effect of serotonin and norepinephrine in the CNS, exhibits anticholinergic effects

What is the Therapeutic Class of Amitryptiline (Elavil) Nursing Pharmacology Considerations?

antidepressant

What is the Pharmacologic Class of Amitryptiline (Elavil) Nursing Pharmacology Considerations?

tricyclic antidepressant

What are the Nursing Considerations of Amitryptiline (Elavil) Nursing Pharmacology Considerations?

  • contraindicated in MI, heart failure, QT prolongation, glaucoma
  • may increase risk for suicidal ideation
  • may cause arrhythmias, hypotension, EKG changes
  • may cause alterations in blood glucose levels
  • may lead to general sedation and lethargy
  • do not use within 2 weeks of MAOIs
  • Instruct pt to take medication exactly as instructed
  • monitor for orthostatic hypotension
  • may lead to photosensitivity, instruct patient to use sunscreen
  • may turn urine blue/green color.

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