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The Elavil brand name has been discontinued in the U.SIf generic versions of this product have been approved by the FDAthere may be generic equivalents available.

Frequency not reportedBreast enlargementdilation of urinary tractimpotenceinterference with sexual functiontesticular swellingurinary frequencyRef]

In view of the lack of experience with the use of this drug in pediatric patientsit is not recommended at the present time for patients under 12 years of age.

This medication may impair your thinking or reactionsBe careful if you drive or do anything that requires you to be alert.

Because of the wide variation in the absorption and distribution of tricyclic antidepressants in body fluidsit is difficult to directly correlate plasma levels and therapeutic effectHoweverdetermination of plasma levels may be useful in identifying patients who appear to have toxic effects and may have excessively high levelsor those in whom lack of absorption or noncompliance is suspectedBecause of increased intestinal transit time and decreased hepatic metabolism in elderly patientsplasma levels are generally higher for a given oral dose of amitriptyline hydrochloride than in younger patients.

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