17 U.S. Code § 107 - Limitations on exclusive rights: Fair use
Notwithstanding the provisions of sections 106 and 106A, the fair use of a copyrighted work, including such use by reproduction in copies or phonorecords or by any other means specified by that section, for purposes such as criticism, comment, news reporting, teaching (including multiple copies for classroom use), scholarship, or research, is not an infringement of copyright. In determining whether the use made of a work in any particular case is a fair use the factors to be considered shall include—
(1) the purpose and character of the use, including whether such use is of a commercial nature or is for nonprofit educational purposes [all mirrored content falls under this clause, any ads present are mirrored from the original site, mirrored content earns me no revenue whatsoever];
(2) the nature of the copyrighted work [this is a unique resource for the mentally ill, and preservation of it can be argued to be incredibly important];
(3) the amount and substantiality of the portion used in relation to the copyrighted work as a whole; and
(4) the effect of the use upon the potential market for or value of the copyrighted work. [absolutely none whatsoever, as the original work no longer exists anywhere else (outside of whatever bits and pieces archive.org managed to capture) - the original site was intermittantly completely unavailable for a extended period of time before its SSL certificate expired (and was never renewed), and eventually the site went offline for good, then finally the DNS records were removed at some point prior to May 2018, so at this point it is well beyond the 'dead and rotting' stage]
The fact that a work is unpublished shall not itself bar a finding of fair use if such finding is made upon consideration of all the above factors.

This domain is not controlled by Jerod Poore, and I will NOT continue redirecting traffic from this domain to crazymeds.us [as I formerly did] while Jerod continues with his immature temper tantrum over adblock or continues to fail to maintain his site, fucking over his entire community and countless visitors in the process. [belated clarification: with specific regards to the adblock drama I was referring to Poore at one point replacing his entire site with a single page complaining about the amount of revenue lost to users with ad blocking active, which is something that I took extreme exception to because this affected ALL visitors to the site regardless of if or if not they were actually using ad blocking]
This mirror is unfortunately incomplete (and very slightly outdated), as /CrazyTalk/ was not included when I scraped the site (it was far too large to scrape given the site's extremely poor performance, my wish to avoid worsening the poor performance further, and other factors). If you're looking for a replacement forum, I suggest visiting https://www.crazyboards.org/forums/. There are issues with many of the mirrored pages, I am working on identifying and fixing them, but I do not have the time to address every single issue at this moment (although by now the majority of these issues have been resolved). Dynamic content is obviously completely broken (this is beyond my control), and the loss of /CrazyTalk/ is quite bad given how much good user-generated info was on there, but you have Jerod to "thank" for that. Maybe I'll bring it back online at some point, but it wouldn't be the same as before. For now, I suggest visiting CrazyBoards instead.
Note (Oct 9 2018): Infrequent additional updates regarding the status of this site will be posted on https://info.crazymeds.net

Highlighting uses, dosage, how to take and discontinue


Elavil’s Side Effects, Warnings, etc. >>

Brand & Generic Names; Drug Classes

US brand name: Elavil
Generic name: amitriptyline

Drug Class(es)

Primary drug class: Antidepressants
Additional drug class(es): Tricyclic & Tetracyclic Antidepressants

Approved & Off-Label Uses (Indications)

Elavil’s US FDA Approved Treatment(s)


Uses Approved Overseas but not in the US


Off-Label Uses of Elavil

  • Dysthymia (constant, mild depression)
  • Neuropathic and chronic pain
  • Vulvodynia - depression caused and/or accompanied by vaginal pain1. It didn’t work all that well, unlike Pamelor (nortripyline).
  • Somatoform pain disorder (where they think it’s all in your head)
    • Although the data are mixed when it comes to phantom limb pain. In this study it didn’t do much good, but in this study both amitriptyline and Ultram (tramadol) worked just fine.
  • Migraines
  • Post traumatic stress disorder (PTSD)
  • Panic/Anxiety disorders
  • Insomnia
  • Irritable Bowel Syndrome (IBS)

When & If Elavil Will Work

Elavil’s Usual Onset of Action (when it starts working)

TCAs generally take 7 to 28 days to be effective, although you’ll feel something - usually side effects - the next day.

Likelihood of Working

As far as amitriptyline’s approved use goes, the odds favor relief for endogenous (biologically caused) depression - i.e. being depressed for no good reason other than your brain hating you.

Taking and Discontinuing

How to Take Elavil

Initial dose for outpatients (you’re not crazy enough to be hospitalized) should be 50 mg at bedtime. You can increase it by 25 mg a night every week until you get to a maximum of 150 mg a night. You can also try it in a divided dose. Elavil (amitriptyline) is approved for dosages of 200 - 300 mg a day for hospitalized patients and used to be prescribed up to 400 mg a day for inpatients. Personally I wouldn’t trust it above 150 mg a day. Not that it’s particularly more dangerous than other TCAs (see comments), as long as you’re not taking a bunch of other drugs, including a potent CYP2D6 inhibitor, and aren’t a poor CYP2D6 metabolizer. If amitriptyline isn’t doing anything at all for you by the time you reach 100 mg a day, try something else. If it’s sort of working for you, try Pamelor (nortriptyline HCl), or another TCA if you haven’t already.

How to Stop Taking Elavil (discontinuation / withdrawal)

Your doctor should be recommending that you reduce your dosage by 25–50 mg a day every five days if you need to discontinue it. While TCAs don’t have a discontinuation syndrome as such, they can trigger mania if discontinued too quickly, regardless of your being bipolar or not. Any antidepressant can do that, it’s just more likely to happen with a TCA than other antidepressants.

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1 That sure the hell would depress me to no end.

Last modified on Fri, 22 May, 2015 at 12:26:29 by JerodPoorePage Author Date created Thursday, 31 January 2013 at 11:19:31
“Elavil (amitriptyline): Uses and Using” by Jerod Poore is copyright © 2013 Jerod Poore Published online 2013/01/31

Elavil, and all other drug names on this page and used throughout the site, are the trademarks of someone else.

will probably have the name of the manufacturer and trademark owner (they’re not always the same company) at or near the very bottom. Or ask Google who the owner is. The way pharmaceutical companies buy each other and swap products like Monopoly™ real estate, the ownership of the trademark may have changed without my noticing. It may of changed hands by the time you finished reading this article.

Page design and explanatory material by Jerod Poore, copyright © 2003 - 2015. All rights reserved. See the full copyright notice for full copyright details.
Don’t automatically believe everything you read on teh Intergoogles. No warranty is expressed or implied in this information. Consult one or more doctors and/or pharmacists before taking, or changing how you take any neurological and/or psychiatric medication. Your mileage may vary. What happened to us won’t necessarily happen to you. For more details see the Crazymeds big-ass disclaimer.

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