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Overview

Amiwel 25 MG Tablet

Manufacturer: Zeus Pharma
Medicine composition: Amitriptyline
Prescription vs.OTC: Prescription by Doctor required

Prescribed for the treatment of depression and its symptoms, Amiwel 25 MG Tablet acts as a tricyclic antidepressant. It basically controls brain chemicals that are unbalanced in patients who suffer from mental illness and depression.

Before you start using Amiwel 25 MG Tablet ask your doctor more information about how it works and how the drug should be taken. The drug should not be used if you have suffered a heart attack recently. It is also not meant for consumption by breast feeding mothers as the drug can pass into the milk and harm the baby.

You should take Amiwel 25 MG Tablet as per instructions on the prescription and guide that comes with the drug. Take the exact dose that has been prescribed to you. It can take about 4 weeks before your symptoms of depression show improvement. It is advised that Amiwel 25 MG Tablet should not be stopped suddenly, as it can cause unpleasant withdrawal symptoms. If the need arises consult your doctor about stopping Amiwel 25 MG Tablet. The drug should be stored at room temperature and kept safe from light, heat as well as moisture.

All medicines cause some or the other side effects, which gradually go away. In case Amiwel 25 MG Tablet, the side affects you may experience are diarrhea or constipation, nausea and vomiting, bad taste and pain in the mouth, changes in appetite as well as weight, rashes and swelling of breasts in case of men. You may also experience some severe side effects like strange behavioral changes and thoughts, a feeling that you may pass out, pain or pressure build up in the chest, irregular heartbeat, hallucinations and confusion in general, severe case of constipation and bruising. In case of any of these severe symptoms get in touch with a doctor as soon as possible.

Amiwel 25 MG Tablet can only be taken by patients older than 12 years.

Information given here is based on the salt and content of the medicine. Effect and uses of medicine may vary from person to person. It is advicable to consult a Psychiatrist before using this medicine.

Amiwel 25 MG Tablet is used to relieve symptoms of depression. These symptoms may include sadness, loss of interest, irritability and sleeplessness.
Migraine prevention
Amiwel 25 MG Tablet is also used to prevent the onset of migraine headaches in some patients.
Amiwel 25 MG Tablet may sometimes be used to treat a condition in children characterized by bed wetting while sleeping.
Amiwel 25 MG Tablet is not recommended for use if you have a history of allergy to it or any other component of the medicine.
Monoamine oxidase inhibitors
Amiwel 25 MG Tablet should be used with extreme caution along with any medicine belonging to the class Monoamine oxidase inhibitors. Some medications belonging to this class are Selegiline and Isocaboxazid.
Cisapride
Amiwel 25 MG Tablet is not recommended for use along with Cisapride due to an increased risk of side effects on heart and blood vessels.
Amiwel 25 MG Tablet is not recommended for use if the patient is recovering from a recent heart attack.
In addition to its intended effect, Amiwel 25 MG Tablet may cause some unwanted effects too. In such cases, you must seek medical attention immediately. This is not an exhaustive list of side effects. Please inform your doctor if you experience any adverse reaction to the medication.
Headache Moderate Common
Nausea and Vomiting Moderate Common
Constipation or diarrhea Minor Less Common
Blurred vision Moderate Less Common
Swelling of face, lips, eyelids, tongue, hands and feet Moderate Less Common
Unexpected weight gain or loss Minor Less Common
Chest pain and discomfort Major Less Common
Shortness of breath Major Less Common
Weakness in one side of the body Major Rare
Slurred speech Major Rare
Seizures Major Rare
Decreased sexual urge Minor Less Common
Unusual bleeding Major Rare
How long is the duration of effect?
The effect of this medicine lasts for an average duration of 4-7 weeks after onset of action. However, it is subject to variation based on a patient's response to the medicine after administration.
What is the onset of action?
The effect of this medicine can be observed within 3-6 weeks of administration.
Are there any pregnancy warnings?
This medicine should be used by pregnant women only when the benefits outweigh the risk associated with usage. This medicine can cause harmful effects on fetus. Hence, you are advised to consult your doctor before taking this medicine.
Is it habit forming?
No habit forming tendencies were reported.
Are there any breast-feeding warnings?
This medicine should not be used by women who are breastfeeding. If it is absolutely necessary to take this medicine then you should stop breastfeeding. Consult your doctor before using this medicine.
Below is the list of medicines, which have the same composition, strength and form as Amiwel 25 MG Tablet , and hence can be used as its substitute.
Alkem Laboratories Ltd
Intas Pharmaceuticals Ltd
Mankind Pharmaceuticals Ltd
Lundbeck India Private Limited
Zuventus Healthcare Ltd
Missed Dose instructions
Take the missed dose as soon as you remember. However, if it is almost time for the next scheduled dose then the missed dose should be skipped.
Overdose instructions
Contact a doctor immediately if an overdose is suspected. Symptoms of overdose may include a change in pulse rates, severe drowsiness, confusion, vomiting, hallucinations, convulsions, and fainting. Immediate medical intervention may be required if the overdose symptoms are severe.
India
United States
Japan
Whenever you take more than one medicine, or mix it with certain foods or beverages, you"re at risk of a drug interaction.
Interaction with Disease
Heart Disease Major
Amiwel 25 MG Tablet should be used with caution in patients suffering from heart disease like heart failure, stroke, heart block etc. A fall in blood pressure, change in pulse, dizziness and other associated complications should be reported to the doctor. It is advised to not take this medicine if the patient has recently suffered a heart attack.
Pheochromocytoma Major
Amiwel 25 MG Tablet should be administered with extreme caution in patients suffering from Pheochromocytoma, the risk of severe to fatal change in blood pressure is very high. Suitable dose adjustment and clinical monitoring of the symptoms is recommended in such cases.
Seizure disorders Major
Amiwel 25 MG Tablet should be used with caution in patients having a seizure disorder. Seizures may be caused due to a disease, some other medicine, head injury in the past etc. Using this medicine can cause more frequent and severe episodes of seizures.
Diabetes Moderate
Amiwel 25 MG Tablet should be used with caution if you have diabetes as the risk of changes in blood sugar levels are very high. You should get your blood sugar levels checked more frequently while using this medicine.
Glaucoma Moderate
Amiwel 25 MG Tablet should be used with caution if you have glaucoma. Use of this medicine can worsen the symptoms of both closed and open angle glaucoma.
Interaction with Alcohol
Ethanol Moderate
You should restrict or minimize the use of alcohol while taking this medicine. Symptoms like sleepiness, excessive sweating, muscle stiffness and change in pulse should be reported to the doctor on priority.
Interaction with Lab Test
Lab
Information not available.
Interaction with Food
Food
Information not available.
Interaction with Medicine
Cisapride Major
Report the use of either of the medicines to the doctor. You may require a dose adjustment and clinical safety monitoring while taking these medicines together. Any heart-related complications like palpitation, change in pulse rate, dizziness and excessive sweating should be reported immediately.
Clozapine Major
Report the use of either of the medicine to the doctor as the risk of adverse effects on the heart is very high if these medicines are administered together. You may require a dose adjustment and clinical safety monitoring while taking them together. In some cases, your doctor may prescribe an alternative medicine that does not interact with Clozapine.
Fluoxetine Major
Report the use of either of the medicine to the doctor. The risk of adverse effects like sleepiness, dry mouth, vision disturbances, confusion etc is very high while these medicines are administered together. Your doctor may prescribe an alternate medicine that does not interact with Amiwel 25 MG Tablet.
Linezolid Major
Report the use of Amiwel 25 MG Tablet to the doctor before receiving Linezolid. The risk of adverse effects like confusion, hallucinations, convulsions and coma are very high if these medicines are administered together. Your doctor may ask you to stop the use of Amiwel 25 MG Tablet before the use of Linezolid.
Ondansetron Major
Report the use of either of the medicine to the doctor. The risk of adverse effects on the heart is very high while these medicines are administered together. Suitable dose adjustment and clinical safety monitoring may be required in such cases.
Major
Report the use of either of the medicine to the doctor. The risk of adverse effects is very high if these medicines are administered together. You should wait for 14 days after stopping Selegeline and then start using Amiwel 25 MG Tablet and vice versa. Contact your doctor if you experience symptoms like hallucination, convulsions, changes in blood pressure etc.
Phenylephrine Major
Report the use of either of the medicine to the doctor. You may require a dose adjustment and more frequent monitoring of blood pressure when these medicines are administered together. It is advised to not use these medicines together except when they are very urgently required.
The exact mechanism of action for Amiwel 25 MG Tablet is not established. However, it is believed to act by preventing the reuptake of neurotransmitters namely norepinephrine and serotonin. These chemicals are imbalanced in people with depression.
What are you using Amiwel 25 MG Tablet for?
Bedwetting
Disclaimer: The information produced here is best of our knowledge and experience and we have tried our best to make it as accurate and up-to-date as possible, but we would like to request that it should not be treated as a substitute for professional advice, diagnosis or treatment.

Lybrate is a medium to provide our audience with the common information on medicines and does not guarantee its accuracy or exhaustiveness. Even if there is no mention of a warning for any drug or combination, it never means that we are claiming that the drug or combination is safe for consumption without any proper consultation with an expert.

Lybrate does not take responsibility for any aspect of medicines or treatments. If you have any doubts about your medication, we strongly recommend you to see a doctor immediately.

Popular Questions & Answers

I am depressed and all I want to do is sleep, I was prescribed amitriptyline but will it help?

B.A.M.S
Ayurveda, Noida
I am depressed and all I want to do is sleep, I was prescribed amitriptyline but will it help?
Only cure of this to living with nature. First of all you should learn meditation. Daily read motivational books like sri ram charit manas. And take ashwagadharishta saraswatarishta 2 tsf each aftet meal.
1 person found this helpful

I am depressed and all I want to do is sleep, I was prescribed amitriptyline but will it help?

PGFCP, PGDEMS, Bachelor Of Ayurvedic Medicine And Surgery
Ayurveda, Satara
I am depressed and all I want to do is sleep, I was prescribed amitriptyline but will it help?
DEAR Lybrate USER. This problem is due to irritation and inadequate nutrition of the brain. So follow few basic things …. 1) take solid diet two times in a day and liquid diet two times in a day. 2) drink only 100-150 ml of lukewarm water during meals …. 3) don’t drink water one hour before meals and one hour after meal…4) avoid oily, spicy, salty, junk, fast, fermented and stale foods…. 5) avoid late night sleeping habits …. 6) do anuloma viloma pranayam regularly early in the morning. A) eat 5 gm of ajwain seeds along with 5 gm of jaggery after meals. B) take 60 ml of trifala juice along with 20 ml of honey early in the morning and at night before sleep. Do all these things for 15 days. It gives you good result. Consult to me for further suggestions. THANKS.
4 people found this helpful

I am depressed and all I want to do is sleep, I was prescribed amitriptyline but will it help?

DHMS (Hons.)
Homeopath, Patna
I am depressed and all I want to do is sleep, I was prescribed amitriptyline but will it help?
Hello, * go for meditation for 30 mnts to reduce your stress, anxiety and depression to restore your sleep. * take, easily digestible diet, with no junk food. * take, plenty of water to eliminate, toxins **homoeo-care** @ coffea cruda 200-6 pills, at bed time. @ nux-vom 30-6 pills, thrice a day. Take, care * avoid, dust, smoke, alcohol, smoking, sun.
2 people found this helpful

I am depressed and all I want to do is sleep, I was prescribed amitriptyline but will it help?

BHMS
Homeopath, Thane
I am depressed and all I want to do is sleep, I was prescribed amitriptyline but will it help?
Hi, don't go for amitriptyline as it has sideeffects. I will suggest some homoeopathic medicines please go for those as homoeopathic medicines don't have side effects and you will get complete cure. * r 14 drops (dr reckeweg and company, germany) 10drops in 1/4cup of water, drink 3times a day, 1/2 an hour before meals (total 30 drops /day) tablet tranquil 4tabs to be chewed 3times a day 1/2 an hour after meals continue these medicines for 3months and let me know how you feel.
1 person found this helpful

I am depressed and all I want to do is sleep, I was prescribed amitriptyline but will it help?

LCPS, BAM&S
Integrated Medicine Specialist, Pune
I am depressed and all I want to do is sleep, I was prescribed amitriptyline but will it help?
Depression is better treated by counselling, friends clubs, laughter clubs, outdoor sports, a gentle and caring hand of mother, sister or a girl friend than just medicines. So forget what you are suffering from, look around. See how nature works. Watch birds, shower in a natural spring, wander in a forest. Get closer to nature. You will discover joy of living.
1 person found this helpful

Popular Health Tips

Headache is one of the most frequently encountered problem

MD - General Medicine, MBBS
General Physician, Kolkata
Headache is one of the most frequently encountered problem
Headache

Headache is one of the most frequently encountered problem at a clinic. Even questions at lybrate are mostly studded with this symptom.
More often than not, headaches are self limiting and without a serious medical problem. But any chronic headache needs proper evaluation for definitive therapy.
Grossly, headaches can be divided into primary (no definite structural lesion in brain) or secondary (associated with changes).
Any headache, if associated with vomiting without nausea, visual disturbance or nerve deficit (new onset squint, double vision, loss of sensation anywhere, facial deviation amongst many) may indicate secondary headache, but exceptions are there. These require immediate attention to rule out life threatening disease.
Commonest primary headache is tension type headache all of us have felt at certain times. Often it is like a band pressing around forehead. Common analgesics manage them well but for recurrent problem, we might prescribe prophylactic drug.
Migraine is something very common presenting as pain in one half of head with vomiting, nausea, visual or auditory aura. They require immediate analgesic like acetaminophen and prophylaxis with propranolol or amitriptyline.
Cluster headache, as the name suggests, comes in cluster for few days and more common in male. Oxygen has been proven as effective treatment.
Trigeminal neuralgia is more sharp, lanceolating pain, but responds satisfactorily to carbamazepine.
Sinusitis, in frontal bone presents as headache more around 10am in the morning that requires therapy with antihistamines and antibiotics occasionally.
Therefore' headache' carries little value unless it is described in detail to ensure proper therapy.
103 people found this helpful

Herpes

MBBS, DHMS-Harvard, Masters in Clinical Dermatology
Dermatologist, Chandigarh
Herpes

Herpes zoster or Shingles is a viral infection that causes a painful rash. Although shingles can occur anywhere on your body, it most often appears as a single stripe of blisters that wraps around either the left or the right side of your torso.

Shingles is caused by the varicella-zoster virus — the same virus that causes chickenpox. After you've had chickenpox, the virus lies inactive in nerve tissue near your spinal cord and brain. Years later, the virus may reactivate as shingles.

While it isn't a life-threatening condition, shingles can be very painful. Vaccines can help reduce the risk of shingles, while early treatment can help shorten a shingles infection and lessen the chance of complications.

Symptoms

The signs and symptoms of shingles usually affect only a small section of one side of your body. These signs and symptoms may include:

  • Pain, burning, numbness or tingling
  • Sensitivity to touch
  • A red rash that begins a few days after the pain
  • Fluid-filled blisters that break open and crust over
  • Itching

Some people also experience:

Pain is usually the first symptom of shingles. For some, it can be intense. Depending on the location of the pain, it can sometimes be mistaken for a symptom of problems affecting the heart, lungs or kidneys. Some people experience shingles pain without ever developing the rash.

Most commonly, the shingles rash develops as a stripe of blisters that wraps around either the left or right side of your torso. Sometimes the shingles rash occurs around one eye or on one side of the neck or face.

Treatment

There's no cure for shingles, but prompt treatment with prescription antiviral drugs can speed healing and reduce your risk of complications. These medications include:

Shingles can cause severe pain, so your doctor also may prescribe:

  • Capsaicin topical patch
  • Anticonvulsants, such as gabapentin
  • Tricyclic antidepressants, such as amitriptyline
  • Numbing agents, such as lidocaine, delivered via a cream, gel, spray or skin patch
  • Medications that contain narcotics, such as codeine
  • An injection including corticosteroids and local anesthetics

Shingles generally lasts between two and six weeks. Most people get shingles only once, but it is possible to get it two or more times.

10 people found this helpful

Things To Know About Spinal Stenosis Treatment!

MD - General Medicine
Sexologist, Delhi
Things To Know About Spinal Stenosis Treatment!

Spinal Stenosis is basically the narrowing of the spaces in the spine that further causes pressure on the spinal cord as well as nerves. It has been observed that nearly 75% of cases, mainly occur in the low back that requires lumbar spine treatment. The type of spinal stenosis treatments received for this problem may vary, as it totally depends on the location of the stenosis and the severity of your signs as well as symptoms.

Here are some treatments offered by a spine specialist:

1. Medications 
Sometimes, medications are prescribed by spine physicians to control the pain associated with spinal stenosis. Some of the common medicines prescribed are mentioned below.

• NSAIDs (Onsteroidal anti-inflammatory drugs that help to ease the pain and reduce the inflammation. These mainly include ibuprofen (Advil, Motrin IB, others) and naproxen (Aleve), that are easily available without prescription.

• Muscle relaxants help to calm the muscle spasms that occasionally occur and these medicines includes cyclobenzaprine (Amrix, Fexmid).

• Antidepressants like amitriptyline are recommended to be given as tricyclic nightly doses to ease chronic the pain.

• Anti-seizure drugs are commonly used to reduce pain caused by damaged nerves and these medicines include names like gabapentin (Neurontin, Gralise, Horizant) and pregabalin (Lyrica).

2. Therapy 
People suffering from stenosis tend to become less active to reduce the pain caused by physical activities. This further leads to weakness in the muscles that is even more painful. Therefore a physiotherapist teaches some exercises to build up the strength, maintain stability as well as flexibility in the spine and improvement in maintaining balance.

3. Steroid injections 
Because of this ailment nerve roots become a little irritated the spots that are pinched gets swollen. Thus injecting corticosteroid around that constriction that reduces the inflammation and gives relief to the pressure. Theses injections sometimes don't work for everyone and if they are repetitive, they can cause weakness in the nearby bones as well as the connective tissue. Therefore, only a few injections per year are suggested.

4. Surgery 
Surgery is considered, only if the other treatments don't work or a patient is disabled by its symptoms. The main aim of a surgery is to relieve the pressure on the spinal cord or nerve roots which is done by creating more space within the spinal canal. The main examples of surgeries suggested includes Laminectomy, Laminotomy and Laminoplasty.

In most cases, these space-creating operations help in the reduction of the symptoms of spinal stenosis. But sometimes the symptoms do not fully disappear or even get worse after surgery. Surgery even includes some risks like infections, blood clot in a leg vein, neurological deterioration or even a tear in the membrane that covers the spinal cord.

 

5 people found this helpful

Pain Management for Chronic Back Pain

Fellowship in Interventional Pain management , Diploma in Anesthesia, DA, MBBS
Pain Management Specialist, Jaipur
Pain Management for Chronic Back Pain

Back pain may occur due to various reasons. Chronic back pain is the one that remains for 12 weeks or more than that even after the cause of the pain has been treated. There are several ways of treating chronic back pain. Its treatment depends upon the nature of injury or the actual underlying cause of the pain.

The treatment for back pain has been listed below:

  1. Short-term methods: Initially, people use short-term remedies for tackling back pain. Over-the-counter painkillers and home remedies are used to cure the patient. This might show useful results within six weeks.
  2. Continue movement: Although traditionally, patients with back pain were advised to take complete bed rest. However, doctors today are of the opinion that patients should not take complete bed rest. The patient should try to move around a bit. It may be hurting first, but slowly it will heal the pain. One can take up brisk walking for best results.
  3. Painkillers: Patients are first prescribed to take paracetamol. However, some people take non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen for faster relief. There are stronger painkillers like codeine. But one must keep in mind that painkillers are not good for health. They have side effects. Long-term use of painkillers can cause damage to the kidneys. If these are not effective, the doctor might switch to muscle relaxant like diazepam.
  4. Hot and cold compress: Patients are advised to take hot or cold compress to get relief. A hot bath or compress with hot water can be useful. Otherwise, using ice pack can also produce effective results. Often, alternate hot and cold compress are advised to get rid of the pain.
  5. Change your sleeping style: The pain can be reduced to a great extent by changing one's sleeping pattern. Use pillows to change the sleep pattern.
  6. Exercise: The patient might have developed back pain due to faulty posture or obesity. In order to get rid of the pain, one must address these issues first. Shred the extra pounds b exercising the correct way to get cured of the pain.
  7. Acupuncture: It is a kind of treatment in which fine needles are put at different points of the body. This helps in reducing the pain.
  8. Oil massage: There are various kinds of massage techniques available. These improve the circulation of blood. This in turn, rejuvenates the muscles and bones by providing sufficient oxygen supply.
  9. Antidepressants: These are prescribed when painkillers don't show effective results. Tricyclic antidepressants (TCAs), such as amitriptyline are given to the patient. However, these are given in small doses.
  10. Stay calm and positive: It is important to have a positive frame of mind to get rid of the pain. One has to be patient and not lose hope while the treatment is on. If you wish to discuss any specific problem, you can consult a pain management specialist.
4102 people found this helpful

Pain Management For Chronic Back Pain - Know More!

Fellowship in Pain Management, MD, MD - Anaesthesiology , MBBS , Observer post
Pain Management Specialist, Pune
Pain Management For Chronic Back Pain - Know More!

Back pain may occur due to various reasons. Chronic back pain is the one that remains for 12 weeks or more than that even after the cause of the pain has been treated. There are several ways of treating chronic back pain. Its treatment depends upon the nature of injury or the actual underlying cause of the pain.

The treatment for back pain has been listed below:

  1. Short-term methods: Initially, people use short-term remedies for tackling back pain. Over-the-counter painkillers and home remedies are used to cure the patient. This might show useful results within six weeks.
  2. Continue movement: Although traditionally, patients with back pain were advised to take complete bed rest. However, doctors today are of the opinion that patients should not take complete bed rest. The patient should try to move around a bit. It may be hurting first, but slowly it will heal the pain. One can take up brisk walking for best results.
  3. Painkillers: Patients are first prescribed to take paracetamol. However, some people take non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen for faster relief. There are stronger painkillers like codeine. But one must keep in mind that painkillers are not good for health. They have side effects. Long-term use of painkillers can cause damage to the kidneys. If these are not effective, the doctor might switch to muscle relaxant like diazepam.
  4. Hot and cold compress: Patients are advised to take hot or cold compress to get relief. A hot bath or compress with hot water can be useful. Otherwise, using ice pack can also produce effective results. Often, alternate hot and cold compress are advised to get rid of the pain.
  5. Change your sleeping style: The pain can be reduced to a great extent by changing one's sleeping pattern. Use pillows to change the sleep pattern.
  6. Exercise: The patient might have developed back pain due to faulty posture or obesity. In order to get rid of the pain, one must address these issues first. Shred the extra pounds b exercising the correct way to get cured of the pain.
  7. Acupuncture: It is a kind of treatment in which fine needles are put at different points of the body. This helps in reducing the pain.
  8. Oil massage: There are various kinds of massage techniques available. These improve the circulation of blood. This in turn, rejuvenates the muscles and bones by providing sufficient oxygen supply.
  9. Antidepressants: These are prescribed when painkillers don't show effective results. Tricyclic antidepressants (TCAs), such as amitriptyline are given to the patient. However, these are given in small doses.
  10. Stay calm and positive: It is important to have a positive frame of mind to get rid of the pain. One has to be patient and not lose hope while the treatment is on.
2739 people found this helpful

Table of Content

About Amiwel 25 MG Tablet
When is Amiwel 25 MG Tablet prescribed?
What are the contraindications of Amiwel 25 MG Tablet ?
What are the side effects of Amiwel 25 MG Tablet ?
Key highlights of Amiwel 25 MG Tablet
What are the substitutes for Amiwel 25 MG Tablet ?
What are the dosage instructions?
Where is the Amiwel 25 MG Tablet approved?
What are the interactions for Amiwel 25 MG Tablet ?