In modern medicine they have been largely replaced by the benzodiazepines, primarily because they can induce tolerance, physical dependence and serious withdrawal symptoms.
Adolescents (12-18 years old) have a stronger reaction to Elavil than do adults and may need smaller doses. However, suddenly discontinuing Elavil may cause withdrawal symptoms.
It is used primarily to treat major depression (both psychotic and endogenous), especially depression associated with a sleep disturbance.
Because of its sedative effects, it may be useful in treating anxiety associated with depression.
Elavil should not be used for bipolar disorder (manic depression) as it may precipitate a manic episode.
Elavil may also be prescribed to treat: It is also useful in treatment for nerve pain, chronic pain syndromes, migraines/migraine prevention, nocturnal enuresis and insomnia. Tablet: 10 mg, 25 mg, 50 mg, 75 mg, 100 mg, 150 mg In Adolescents: Initial: 25-50 mg/day; may give in divided doses; increase gradually to 100 mg/day in divided doses; maximum dose: 200 mg/day In Children: Investigationally: initial doses of 1 mg/kg/day given in 3 divided doses with increases to 1.5 mg/kg/day have been reported in a small number of children (n=9) 9-12 years of age Clinically, doses up to 3 mg/kg/day (5 mg/kg/day if monitored closely) have been proposed Warnings and Precautions Special care should be used in children under twelve years.
The shelter alledly had a muscle on him and he could still bite through it.