Advice on taking amatriplamine while carrying

[MnL1989]

Hello and good morning everyone.

Me and my GF are sharing this username as new parents to be. Best to get much information on things as possible.
Only found out officially Thursday past. 5-6 weeks the doc reckons.

Anywhos the real question is does any other person in this forum have advice on taking amatriplamine while pregnant the GF has bad nerve pain and the doctor is taking her off Amatriplamine and given her a 10 day supple left. That's going from 75mg a night to nothing in 10 days she has been on them for quite some time and give her some relief.

Any mother's with experience with taking these drugs during or did you just go through the pregnancy without untill given birth.

Any advice would be greatly appreciated.

Thanks

M

M is the Boyfriend
L is the Girlfriend

I spoke directly to a really experienced and well respected obstetrician as I also had very bad nerve pain early on in first trimester (not related to the pregnancy). She said she was totally comfortable with me taking them all low dosage for nerve pain as they have a lot of safety data for patients taking it at much higher dosages through pregnancy for depression. Also have they given your gf lower dose tablets to taper off with? You can get bad side affects if you just stop from higher doses. I came off 10mg a day and still felt a bit grotty and even the leaflet says you shouldn’t just stop.

I saw a maternal psychiatrist when l was pregnant. So a massive expert in this subject.

Amitryptiline is the safest of all anti depressants to take when pregnant. It is one of the oldest and therefore has the most data.

And I have a normal 14 year old ( well as normal as a teen in lockdown can be😖)

I think your doctors is talking shite tbh!

And l was on 125 mg

Thank you guys.

So basically we are getting advice of someone that has no experience in pregnancy and amatriplamine. I have read about the dangers of tapering off to fast.

So what's the best person to talk to ? The midwife or the shrink ?

Thanks

M

Who prescribed the amitryptiline?

I’d just go back tour docs and say what we’ve told you, and could he look into it?

A pain specialist would probably also know

Her doctor at the local centre.

She has been through alot of pain medication pregablin failed .. doloxtine failed. Amatriplamine is the only one that actually worked.

She has started going to the pain clinic. I said to her to ask the midwife and ask to be referred to a specialist so when we get out first appointment I will make my voice heard.

Not sure if you’re in the UK but I didn’t have my first appointment with the midwife until 8 weeks (sounds like your amitrypiline will run out by then and would be coming off it too abruptly and once off it takes a while to build back up again). I’d probably call the GP and ask them to consult with the hospital obstetricians if required for advice on the medication. Either that or contact the midwife sooner and see what they can do. Just my advice though

Thanks. And in UK

Will pass it on

M

Here is a link to BUMPS for amitriptyline, a site that includes in depth information aimed at patients for all kinds of medications using the most up to date research. It is reasonable to at least try to reduce the dose as much as possible, just because it is “the safest anti depressant” doesn’t mean it is “safe”, and of course your girlfriend isn’t actually using it for depression. Take a look at the information and take it along to the GP to discuss further. It is right that a slower withdrawal will cause less side effects so again something to discuss with the GP. Lastly, with a lot of pain relief taken long term, particularly for nerves we think we are getting benefit from it but it’s only when we stop that we realise it wasn’t doing all that much to begin with, so try to keep an open mind.

Lastly, with a lot of pain relief taken long term, particularly for nerves we think we are getting benefit from it but it’s only when we stop that we realise it wasn’t doing all that much to begin with, so try to keep an open mind.

I found the opposite. When l came off it, l couldn’t believe how much it was doing. I was in so much pain. It was doing an amazing job.