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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Pain After Undergoing Knee Revision Surgery

HELLO I HAVE HAD A KNEE REVISION 12 WEEKS AGO AND AM SUFFERING WITH IMMENSE PAIN. MY CONSULTANT SENT ME TO A PAIN MANAGEMENT SPECIALIST . ONE OF THE TABS HE PUT ME ON IS AMITRIPTYLINE 1OMG I AT NIGHT. THEY ARE MAKING ME SLEEPY AND HAVE CHANGED MY MANNER I.E VERY DROUSY AND IRRITABLE. I AM NOT GOING TO TAKE THIS NIGHT. WHAT DO YOU THINK.
Mon, 22 Feb 2016
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Orthopaedic Surgeon, Joint Replacement,  's  Response
Hello,
Amytryptaline is a very good tablet for neurological pain. Also pain is associated with depression, anxiety and lack of sleep. These things also improves with Amytryptaline. So I would suggest you to continue with it. You should take it 3 hours before going to sleep. If you want then you can decrease dose also. Start with 5 mg .
if you are continuing feeling sedation then you need to check your other medicine also. As opioids drugs if taken with this can cause sedation. I hope this answer will be useful for you.Let me know if there is any other followup questions.
thanks
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Suggest Treatment For Severe Pain After Undergoing Knee Revision Surgery

Hello, Amytryptaline is a very good tablet for neurological pain. Also pain is associated with depression, anxiety and lack of sleep. These things also improves with Amytryptaline. So I would suggest you to continue with it. You should take it 3 hours before going to sleep. If you want then you can decrease dose also. Start with 5 mg . if you are continuing feeling sedation then you need to check your other medicine also. As opioids drugs if taken with this can cause sedation. I hope this answer will be useful for you.Let me know if there is any other followup questions. thanks