Amitriptyline

Publication Title: 
Aktuelle Urologie

The so-called interstitial cystitis is a chronic pain syndrome rather than a purely end organ disease of the urinary bladder. New suggestions for definitions and nomenclature take this into consideration. Since aetiology and pathogenesis are still unknown a treatment of the cause is still not possible. There are neither evidence-based treatment algorithms nor a so-called standard therapy. Numerous therapeutic approaches have been tried up to now. These attempts can be divided into oral, intravesical, surgical and physical procedures.

Author(s): 
Binder, I.
Rossbach, G.
van Ophoven, A.
Publication Title: 
Aktuelle Urologie

The so-called interstitial cystitis is a chronic pain syndrome rather than a purely end organ disease of the urinary bladder. New suggestions for definitions and nomenclature take this into consideration. Since aetiology and pathogenesis are still unknown a treatment of the cause is still not possible. There are neither evidence-based treatment algorithms nor a so-called standard therapy. Numerous therapeutic approaches have been tried up to now. These attempts can be divided into oral, intravesical, surgical and physical procedures.

Author(s): 
Binder, I.
Rossbach, G.
van Ophoven, A.
Publication Title: 
The British Journal of Medical Psychology

A case of the Capras phenomenon in a man of 58, arising during the course of a depressive illness, is described. Physical, electroencephalographic and psychometric investigations gave no sign of organic disease, and recovery was complete. Factors leading to the development of a depressive psychosis and its particular manifestation in the Capgras delusion are traced in detail. The psychopathology of the condition and the implications for treatment are discussed.

Author(s): 
Dally, P.
Gomez, J.
Publication Title: 
British Journal of Pharmacology and Chemotherapy

Seven structurally-related compounds consisting of three antidepressant drugs (imipramine, desmethylimipramine and amitriptyline), three tranquillizing agents (promazine, chlorpromazine and chlorprothixene) and a hybrid, desmethylpromazine, have been examined in a series of tests involving autonomic functions and antagonism of reserpine.

Author(s): 
Halliwell, G.
Quinton, R. M.
Williams, F. E.
Publication Title: 
Psychotherapy and Psychosomatics
Author(s): 
Viëtor, W. P.
Zwart, J. M.
Publication Title: 
The Journal of Pharmacology and Experimental Therapeutics

Pretreatment of rats with tricyclic antidepressants, imipramine, desipramine, amitriptyline and nortriptyline, at two doses (5 and 25 mg/kg) 20 minutes before administration of barbiturate markedly reduced the latent period of the response to barbital and prolonged the sleeping time induced by pentobarbital (PB) and barbital. The effects were dose-dependent. The prolonged sleeping time produced by PB was associated with decreases in the rates of disappearance of PB from the brain and plasma.

Author(s): 
Liu, S. J.
Huang, C. L.
Waters, I. W.
Publication Title: 
The Italian Journal of Gastroenterology

The major aims of medical therapy in irritable bowel syndrome (IBS) are: a) to ameliorate symptoms (pain, bowel movement abnormalities, bloating) and b) to improve psychological problems of the patients. The first step of IBS therapy is the diet. In fact some forms of IBS can be ascribed to food intolerance. When abdominal pain, meteorism and constipation are the main symptoms, treatment with high-fiber diet, antispastic and antimuscarinic drugs is indicated. Sometimes amitriptyline, an antidepressant which also shows anticholinergic and analgesic properties, can be helpful.

Author(s): 
Castiglione, F.
Daniele, B.
Mazzacca, G.
Publication Title: 
Headache

BACKGROUND: Although both pharmacological and behavioral interventions may relieve tension-type headache, data are lacking regarding treatment preference, long-term patient compliance, and feasibility of behavioral intervention in a standard neurological outpatient clinic setting. OBJECTIVE: To describe patient choice, long-term compliance, and clinical outcome in a neurological clinic setting where patients are given the choice of the approach they wish to pursue.

Author(s): 
Ezra, Yacov
Gotkine, Marc
Goldman, Sylvie
Adahan, Haim Moshe
Ben-Hur, Tamir
Publication Title: 
BMJ (Clinical research ed.)

OBJECTIVE: To investigate whether a sham device (a validated sham acupuncture needle) has a greater placebo effect than an inert pill in patients with persistent arm pain. DESIGN: A single blind randomised controlled trial created from the two week placebo run-in periods for two nested trials that compared acupuncture and amitriptyline with their respective placebo controls. Comparison of participants who remained on placebo continued beyond the run-in period to the end of the study. SETTING: Academic medical centre.

Author(s): 
Kaptchuk, Ted J.
Stason, William B.
Davis, Roger B.
Legedza, Anna R. T.
Schnyer, Rosa N.
Kerr, Catherine E.
Stone, David A.
Nam, Bong Hyun
Kirsch, Irving
Goldman, Rose H.
Publication Title: 
Pain

Amitriptyline is sometimes used to treat arm pain related to repetitive use, but rigorous evidence of its benefit is lacking. This randomized controlled trial investigated whether amitriptyline provided greater pain relief or improved arm function than a placebo pill in adults with arm pain associated with repetitive use that had persisted for at least 3 months. Participants (N=118) were randomly assigned to receive 25mg of amitriptyline or a placebo pill for 6 weeks.

Author(s): 
Goldman, Rose H.
Stason, William B.
Park, Sung Kyun
Kim, Rokho
Mudgal, Sharmila
Davis, Roger B.
Kaptchuk, Ted J.

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