Some people find amitriptyline effective, while others experience severe side effects, leading them to stop using it. This raises the question, “how long does amitriptyline stay in your system?” In the United States, amitriptyline was the 107th most prescribed medication in 2021, with approximately 5.9 million prescriptions filled. It’s mainly used for pain and migraine prevention, but sometimes, it’s also used for depression and low mood.
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In this blog, we will guide you through the timeline of how long does amitriptyline stays in your system, its half-life, and how it affects the mind and body. Read on!
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How Long Does Amitriptyline Stay In Your System?
Amitriptyline is a tricyclic antidepressant that affects brain chemicals linked to depression. It is non-habit forming and effective for many, but it can have significant side effects compared to other antidepressants.
Some people find amitriptyline very effective, while others experience severe side effects, leading them to stop using it. This raises the question, “how long does amitriptyline stay in your system?” The medication typically leaves your system a few weeks after stopping it. However, withdrawing from amitriptyline can be challenging.
Don’t Rush
The process can take several weeks. Be patient and give your body time to adjust gradually, reducing the risk of severe withdrawal symptoms.
Gradually Reduce the Dosage
Instead of stopping suddenly, taper off the medication slowly under the guidance of your healthcare provider to minimize side effects.
Choose a Low-Stress Time to Stop
Plan your withdrawal during a period when you are not under a lot of stress to make the process more manageable and less disruptive to your daily life.
Amitriptyline, known by its brand name Elavil, has a half-life of about 20 hours. This means it takes about 20 hours for your body to clear half of the drug.
It takes about 4 to 6 days for Amitriptyline to be completely cleared from your system. This timeframe can be longer for those who have taken higher doses or used it longer.
Amitriptyline Detection
Elavil (amitriptyline) is typically detectable in drug tests for about 5 days. However, since it is an antidepressant, it is not usually included in standard drug screenings.
Urine
In urine, Detectable for up to 5 days.
Saliva
Detectable for up to 48 hours, though saliva tests are uncommon.
Blood
Detectable for 2 to 4 days.
Hair
It is detectable for up to 90 days, though it takes more than 7 days to show up in hair tests.
Amitriptyline Prescription Facts
Some essential safety precautions for using Amitriptyline (amitriptyline):
- Drinking alcohol while on Amitriptyline can cause dangerous side effects or even death.
- Do not use Amitriptyline if you have taken an MAO inhibitor in the past 14 days.
- Some people, especially those under 24, may experience suicidal thoughts when starting antidepressants.
- Inform your doctor of any new or worsening symptoms like anxiety, trouble sleeping, or increased depression.
- If you miss a dose, do not take a double dose to compensate, as this can cause serious side effects.
Most Commonly Abused Drugs Containing Amitriptyline
Common brand names for amitriptyline:
- Elavil
- Endep
- Lentizol
- Saroten
- Tryptanol
- Tryptizol
How Amitriptyline Affects The Brain And Body
It is a tricyclic antidepressant that increases levels of norepinephrine and serotonin, two key neurotransmitters in the brain. Although its exact mechanism isn’t fully understood, it is known to inhibit acetylcholine action. By balancing these neurotransmitters, Amitriptyline is believed to help manage mood disorders.
Half-Life Of Amitriptyline
Amitriptyline has a half-life of approximately 20 hours. This means that when someone takes a 20-mg dose of the medication, the concentration of the drug in their system will be reduced by half after 20 hours. Therefore, 20 hours after taking the dose, 10 mg of amitriptyline will remain in the body.
As another 20 hours pass, the amount of the drug in the system will be halved again, resulting in 5 mg. This process of halving continues over successive periods of 20 hours, progressively reducing the concentration of the drug until it becomes undetectable in the system.
Factors That Influence How Long Amitriptyline Stays In Your System
The speed and ease of withdrawing from amitriptyline can vary widely from person to person due to several factors:
Dosage
People who take higher doses of amitriptyline may experience a longer withdrawal process compared to those on lower doses.
Genetics
Some individuals naturally handle withdrawal better and more quickly due to their genetic makeup.
Body Size
Those with larger body frames, such as those who are heavier or taller, often go through withdrawal more swiftly and comfortably than those with smaller bodies.
Other Medications
Taking other drugs alongside amitriptyline can affect how quickly and severely withdrawal occurs.
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FAQs: How Long Does Amitriptyline Stay in Your System
Que: How quickly does amitriptyline wear off?
Ans: Amitriptyline stays in your system for 2 to 6 days after your last dose, but its effects might wear off sooner. Its half-life is between 10 to 28 hours, meaning the drug’s concentration in your blood reduces by half in this time.
Que: What happens when you stop taking amitriptyline?
Ans: Stopping amitriptyline suddenly can cause side effects like flu-like symptoms, muscle pain, and fatigue. These occur as the drug leaves your system.
Que: What is the elimination time of amitriptyline?
Ans: Amitriptyline has a half-life of around 20 hours. For example, after 20 hours, 10 mg of a 20-mg dose will remain in your system, and after another 20 hours, 5 mg will remain.
Que: How long does amitriptyline last for sleep?
Ans: Amitriptyline can make you feel sleepy for 12-24 hours, but it can also cause grogginess during the day.
Que: Why might doctors not prescribe amitriptyline?
Ans: Doctors may avoid prescribing amitriptyline if you’ve had an allergic reaction to it or similar drugs, recently had a heart attack, or are taking medications that interact with it.
Conclusion
People taking drug tests may worry about how long amitriptyline stays in their system, as it could potentially cause a false positive for illegal drugs. The exact duration varies among individuals, but amitriptyline (Elavil) should be cleared from your system within a few weeks after stopping the medication.
If you’re concerned about “how long does amitriptyline stay in your system,” you can typically expect it to be undetectable within a few weeks. For personalized advice and to ensure your specific situation is managed correctly, consult your doctor.