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If you are over 65 years of agethere may be specific risks and recommendations for use of this medicinePlease discuss your individual circumstances with your pharmacistdoctor or health professionalFor more information read our page on medication safety for older people.

To relieve dry mouthsuck onsugarlesshard candy or ice chipschewsugarlessgumdrink wateror use a saliva substitute.

Amitriptyline may cause a condition that affects the heart rhythmQT prolongationQT prolongation can rarely cause seriousrarely fatalfast/irregular heartbeat and other symptomssuch as severe dizzinessfaintingthat need medical attention right away.

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Older adults may be more sensitive to the side effects of this drugespecially dry mouthdizzinessdrowsinessconfusionconstipationdifficulty urinatingand QT prolongationsee aboveDizzinessdrowsinessand confusion can increase the risk of falling.

DrOgbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

Diabetic neuropathy refers to nerve damage caused by diabetesSymptoms include muscle weaknesserectile dysfunctionincontinence and constipation.

For FibromyalgiaI have been on Endep for Fibromyalgia for 10 yearsAt first the affect was awesomefor the first time in many years I slept properly and had hardly any painOver the years thoughthis has changedI started off on 50mg per day and over the years had to have it increased to the maximum does of 150mgRecently I have been having heart palpatations and an increased heart rateMy doctor has put it down to the extended time I have been on Endep at such a high rateSo now I am on a drug to lower my heart ratewhich works wellbut my doctor is getting me to try to cut down on the Endep with a view of going off it altogether and hopefully also going off the drug that I need to lower my heart rateIt’s not working I’m in too much pain”

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