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AMITRIPTYLINE HYDROCHLORIDE


DIR Classification


Classification:Moderate-DIQT concern
Severity Score:3.0

Description in Drug Labeling: View Full Labeling: SPL in DailyMed | PDF

  • CONTRAINDICATIONS
  • Amitriptyline hydrochloride should not be given with cisapride due to the potential for increased QT interval and increased risk for arrhythmia.
  • OVERDOSAGE
  • Critical manifestations of overdose include: cardiac dysrhythmias, severe hypotension, convulsions, and CNS depression, including coma. Changes in the electrocardiogram particularly in QRS axis or width, are clinically significant indicators of tricyclic antidepressant toxicity. In addition, a rightward axis shift in the terminal QRS complex together with a prolonged QT interval and sinus tachycardia are specific and sensitive indicators of first generation tricyclic overdose. The absence of these findings is not exclusionary. Prolonged PR interval, ST-T wave changes, ventricular tachycardia and fibrillation may also occur.

Postmarketing Surveillance

Contingency Table:

Current Drug
Other Drugs
QT Prolongation
124
23968
Other ADRs
13587
38368000

Odds Ratio = 14.61

Drug Property Information



ATC Code(s):
  • N06AA09 - amitriptyline hydrochloride
    • N06AA - Non-selective monoamine reuptake inhibitors
    • N06A - ANTIDEPRESSANTS
    • N06 - PSYCHOANALEPTICS
    • N - NERVOUS SYSTEM
Active Ingredient:AMITRIPTYLINE HYDROCHLORIDE
Active Ingredient UNII:26LUD4JO9K
Drugbank ID:DB00321
PubChem Compound:2160
CTD ID:D000639
PharmGKB:PA448385
CAS Number:50-48-6
Dosage Form(s):tablet, film coated
Route(s) Of Administrator:oral
Daily Dose:
  • 75.0 mg/day N06AA09
Chemical Structure:
SMILE Code:
CN(C)CCC=C1C2=CC=CC=C2CCC2=CC=CC=C12

Reference

N/A

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The content of this database of QT prolongation is intended for educational and scientific research purposes only. It is not intended as a substitute for professional medical advice, diagnosis or treatment.

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