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amitriptyline

File:Amitriptyline2DACS.svg · Wikimedia Commons · See Wikimedia Commons

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amitriptyline

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Also known as amitryptiline, 5-(gamma-dimethylaminopropylidene)-5H-dibenzo[a,d][1,4]cycloheptadiene, 3-(10,11-dihydro-5H-dibenzo[a,d]cyclohepten-5-ylidene)-N,N-dimethylpropan-1-amine, 5-(3-dimethylaminopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptene, 5-(3-dimethylaminopropylidene)-10,11-dihydro-5H-dibenzo[a,d]cycloheptatriene, 10,11-dihydro-N,N-dimethyl-5H-dibenzo(a,d)heptalene-delta(5),gamma-propylamine, 10,11-dihydro-5-(gamma-dimethylaminopropylidene)-5H-dibenzo[a,d]cycloheptene, 10,11-dihydro-N,N-dimethyl-5H-dibenzo[a,d]heptalene-delta(5),gamma-propylamine

Amitriptyline, formerly sold under the brand name Elavil among others, is a tricyclic antidepressant primarily used to treat major depressive disorder, and a variety of pain syndromes such as neuropathic pain, fibromyalgia, migraine and tension headaches. Due to the frequency and prominence of side effects, amitriptyline is generally considered a second-line therapy for these indications.

OverviewAI-generated

Amitriptyline is a chemical compound with the formula C₂₀H₂₃N. Its IUPAC name is N,N-dimethyl-3-(2-tricyclo[9.4.0.03,8]pentadeca-1(15),3,5,7,11,13-hexaenylidene)propan-1-amine. The compound has a mass of 277.183 and a defined daily dose of 75.

Chemical properties include an xlogp of 5, a topological polar surface area of 3.2, and a charge of 0. It has zero hydrogen bond donors and one hydrogen bond acceptor. The canonical SMILES notation for the molecule is CN(C)CCC=C1C2=CC=CC=C2CCC3=CC=CC=C31.

Amitriptyline is referenced by 4,158 other encyclopedia articles. A search for the term in PubMed yields a count of 10,509 entries.

Synthesized by Vinony from 19 facts across 4 sources: Wikidata, PubMed, PubChem, Vinony graph. Generated from structured data (not the Wikipedia text) and checked against those facts — may still contain errors.

Key facts

Drug.Watchedfields
changed
Drug.verifiedrevid
477169407
Drug.image
Amitriptyline2DACS.svg
Drug.image_class
skin-invert-image
Drug.width
200
Drug.image2
Amitriptyline-from-picrate-xtal-3D-balls.png
Drug.image_class2
bg-transparent
Drug.width2
250
Drug.tradename
Elavil, others
Drug.MedlinePlus
a682388
Drug.DailyMedID
Amitriptyline
Drug.pregnancy_AU
C
Drug.routes_of_administration
Oral, intramuscular injection
Drug.class
Tricyclic antidepressant (TCA)
Drug.ATC_prefix
N06
Drug.ATC_suffix
AA09
Drug.legal_AU
S4
Drug.legal_BR
C1

via Wikipedia infobox

Chemical data

Formula
C20H23N
Molecular weight
277.4 g/mol
IUPAC name
N,N-dimethyl-3-(2-tricyclo[9.4.0.03,8]pentadeca-1(15),3,5,7,11,13-hexaenylidene)propan-1-amine
SMILES
CN(C)CCC=C1C2=CC=CC=C2CCC3=CC=CC=C31
InChIKey
KRMDCWKBEZIMAB-UHFFFAOYSA-N
XLogP
5
Polar surface area
3.2 Ų
H-bond donors
0
H-bond acceptors
1
Formal charge
0

via PubChem

~27 min read

Encyclopedic overview

24 sections
Contents
  • Medical uses
  • Depression
  • Pain
  • Central post-stroke pain
  • Headache
  • Other indications
  • Contraindications and precautions
  • Side effects
  • Overdose
  • Interactions
  • Pharmacology
  • Pharmacodynamics
  • Mechanism of action
  • Pharmacokinetics
  • Pharmacogenetics
  • Chemistry
  • History
  • Society and culture
  • Names
  • Prescription trends
  • Research
  • See also
  • References
  • Further reading

Amitriptyline, formerly sold under the brand name Elavil among others, is a tricyclic antidepressant primarily used to treat major depressive disorder, and a variety of pain syndromes such as neuropathic pain, fibromyalgia, migraine and tension headaches. Due to the frequency and prominence of side effects, amitriptyline is generally considered a second-line therapy for these indications.

The most common side effects are dry mouth, drowsiness, dizziness, constipation, and weight gain. Glaucoma, liver toxicity and abnormal heart rhythms are rare but serious side effects. Blood levels of amitriptyline vary significantly from one person to another, and amitriptyline interacts with many other medications potentially aggravating its side effects.

Excerpted from Wikipedia’s “amitriptyline” article, available under the CC BY-SA 4.0 licence.

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