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Amitriptyline HCl 50 mg Rectal Suppository

FDA-approved generic
Dose form
Suppository
Active ingredients
Amitriptyline Hydrochloride

The Amitriptyline HCl 50 mg Rectal Suppository is a solid dosage form designed for insertion into the rectum. Upon insertion, the suppository dissolves or melts, releasing the medication for local or systemic absorption. Amitriptyline HCl is commonly used in the treatment of various disease states including depression, anxiety disorders, and certain types of nerve pain. This formulation provides a targeted, localized delivery method for the medication, potentially reducing systemic side effects and improving patient compliance.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Amitriptyline Hydrochloride
Suppository
65317d77829a349a55476ab4
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Amitriptyline HCl 50 mg Rectal Suppository is a specialized formulation designed for rectal administration. This solid dosage form is inserted into the rectum, where it dissolves or melts to release the medication. The active ingredient, Amitriptyline HCl, is then absorbed locally or systemically to exert its therapeutic effects.

Amitriptyline is a tricyclic antidepressant (TCA) that works by increasing the levels of certain chemicals in the brain that help improve mood, relieve anxiety, and treat certain types of chronic pain. It is commonly used in the management of various mental/mood disorders such as depression and anxiety. It may also be used in the treatment of neuropathic pain, fibromyalgia, and chronic tension-type headaches.

Rectal administration of Amitriptyline HCl 50 mg can be particularly beneficial for patients who have difficulty swallowing pills, are nauseous, or cannot tolerate oral medication due to gastrointestinal side effects. The rectal route allows for the medication to be absorbed directly into the bloodstream, bypassing the digestive system, which can lead to a faster onset of action and potentially fewer side effects.

It's important to note that the use of Amitriptyline HCl 50 mg Rectal Suppository should be under the supervision of a healthcare provider. The medication may cause drowsiness, dizziness, or blurred vision. Patients should be advised not to drive, use machinery, or do anything that needs alertness until they can do it safely. Alcohol or marijuana can make these side effects worse.

As compounding pharmacists, we can customize this formulation to meet the specific needs of individual patients. This includes adjusting the dose, changing the base to accommodate allergies or sensitivities, or adding flavorings to improve palatability.

If you have any questions about Amitriptyline HCl 50 mg Rectal Suppository or would like more information about our compounding services, please don't hesitate to reach out to us at Bayview Pharmacy. We are here to help.

Drug Interactions

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Amitriptyline HCl is a tricyclic antidepressant that is used to treat various conditions such as depression, neuropathic pain, and migraine prophylaxis. It works by increasing the levels of certain chemicals in the brain that help elevate mood, reduce pain, and prevent migraines. However, it can interact with several other medications, potentially altering their effects or increasing the risk of adverse reactions.

One of the most significant interactions is with monoamine oxidase inhibitors (MAOIs). Combining these two types of medications can lead to a potentially life-threatening condition called serotonin syndrome. Symptoms can include agitation, hallucinations, rapid heartbeat, fever, and loss of coordination. If you are taking an MAOI, you should not start amitriptyline until at least 14 days after stopping the MAOI.

Amitriptyline can also interact with other types of antidepressants, including selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs). These interactions can also increase the risk of serotonin syndrome. If you are taking any of these medications, your doctor may need to adjust your dose or monitor you more closely for side effects.

Other medications that can interact with amitriptyline include anticholinergic drugs, which can increase the risk of side effects such as dry mouth, blurred vision, and urinary retention. Certain antihypertensive medications can also interact with amitriptyline, potentially leading to an excessive drop in blood pressure.

Furthermore, amitriptyline can interact with certain medications used to treat seizures, such as phenytoin and carbamazepine, potentially reducing their effectiveness. If you are taking any of these medications, your doctor may need to monitor your condition more closely or adjust your dose.

It's important to note that this is not a complete list of all possible drug interactions. Always inform your healthcare provider about all the medications you are currently taking, including prescription drugs, over-the-counter medications, vitamins, and herbal supplements. Never start a new medication without consulting your healthcare provider first.

If you have any questions about amitriptyline HCl 50 mg rectal suppository or its potential interactions with other medications, please don't hesitate to reach out to us.

How Does it Work

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Amitriptyline HCl 50 mg Rectal Suppository is a solid dosage form that is inserted into the rectum, where it dissolves or melts to release the medication. The active ingredient, Amitriptyline HCl, is a tricyclic antidepressant (TCA) that works by increasing the levels of certain chemicals in the brain that help elevate mood, reduce pain, and improve sleep.

Once the suppository is inserted into the rectum, it begins to dissolve due to the body's natural heat. As it dissolves, the Amitriptyline HCl is released and absorbed through the rectal mucosa into the bloodstream. This route of administration bypasses the first-pass metabolism in the liver, which can lead to a more rapid onset of action and potentially fewer side effects compared to oral administration.

Amitriptyline HCl is primarily used to treat mental/mood problems such as depression. It can help improve mood and feelings of well-being, relieve anxiety and tension, and increase energy levels. This medication is also used to treat nerve pain (such as peripheral neuropathy, postherpetic neuralgia), and to prevent migraine headaches. It works on the central nervous system to increase the levels of certain chemicals in the brain, which helps to reduce the pain signals sent to the brain, thereby reducing the perception of pain.

It's important to note that the use of Amitriptyline HCl Rectal Suppository should be under the supervision of a healthcare provider. The dosage is based on the patient's medical condition and response to treatment. It may take up to a few weeks before the full benefits of this medication are felt. It's crucial to continue taking this medication even if you feel well, and not to stop taking it without consulting your healthcare provider.

Side effects may include constipation, dry mouth, and blurred vision. If any of these effects persist or worsen, notify your healthcare provider promptly. Remember that your healthcare provider has prescribed this medication because they have judged that the benefit to you is greater than the risk of side effects.

If you have any questions about Amitriptyline HCl 50 mg Rectal Suppository, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to help you understand your medication and how it works.

Other Uses

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Amitriptyline HCl 50 mg Rectal Suppositories can be utilized for other diverse applications beyond the commonly-prescribed disease states. In addition to its known antidepressant capabilities, Amitriptyline may also be prescribed for chronic pain management, particularly with neuropathic pain often reported in conditions such as post-herpetic neuralgia, fibromyalgia, and arthritis. Combining antidepressant and analgesic properties, this formulation may facilitate pain control in patients with depression and accompanying chronic pain.

Moreover, the drug can be used to manage persistent insomnia due to its sedative effect. Patients who can't utilize oral administration, or those who have difficulty swallowing pills, can benefit significantly from this rectal suppository form, allowing a flexible and comfortable method of medicine administration.

The anti-cholinergic effects of Amitriptyline HCl are also beneficial in managing certain cases where anticholinergic therapy is indicated, such as irritable bowel syndrome or overactive bladder. Some off-label uses also include migraine prophylaxis and facilitating withdrawal from other substances.

Though being an old medication, Amitriptyline HCl is widely used due to its multiple benefits and affordable cost. As with any medication, health risks come into play and care should be taken to ensure these are minimized. Regular monitoring and communication with healthcare providers is vital. Also, patients should be reminded that the efficacy of the drug may not be immediately apparent and may require several weeks before potential benefits are felt.

If you have any queries or require further information, feel free to communicate with us at Bayview Pharmacy.

Frequently Asked Questions

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What is the purpose of Amitriptyline HCl 50 mg Rectal Suppository?

The Amitriptyline HCl 50 mg Rectal Suppository is a medication often prescribed for certain mental/mood problems (such as depression, neuropathic pain or attention deficit hyperactivity disorder). The drugs may also be used to prevent symptoms of migraines or for other conditions as determined by your doctor.

How is a Rectal Suppository adminstered?

A Rectal Suppository is inserted into a body cavity, typically the rectum or vagina. It then gradually dissolves or melts to release the medication for local or systemic absorption.

What are the benefits of using a rectal suppository?

Rectal suppositories allow the medication to bypass the stomach, which can be beneficial if a patient has an issue with oral ingestion. Additionally, they allow for local delivery of medication, which can lead to fewer systemic side effects.

Are there any possible side effects of this type of medication?

Common side effects may include drowsiness, dizziness, dry mouth, or constipation. However, many people using this medication do not have serious side effects. It is important to report any new or worsening side effects to your health care provider.

Can everyone use Amitriptyline HCl 50 mg Rectal Suppository?

No. This medication should be used as prescribed by a healthcare provider and it isn't suitable for everyone. People with certain medical conditions or on certain other medications may not be able to use this compound. Always speak with your doctor or pharmacist for advice.

Can I stop taking Amitriptyline abruptly?

No, you should not stop taking your medication suddenly as it can lead to withdrawal symptoms. Always consult with your healthcare provider before making any changes to your medication regimen.

How often should I use the rectal suppository?

The frequency of use will be determined by your physician based on your specific condition and response to treatment. Always follow your healthcare provider's instructions exactly.

Can I use the suppository while pregnant or breastfeeding?

Please consult your healthcare provider before using the suppository while pregnant or breastfeeding, as Amitriptyline can pass into breast milk and may harm a nursing baby.

What should I do if I miss a dose?

If you miss a dose of your suppository, take it as soon as possible unless it is almost time for your next dose. Never double up on doses. Always discuss any dose concerns with your healthcare provider.

What should I do in the case of an overdose?

If an overdose is suspected, seek emergency medical attention or call a poison control center immediately. Symptoms of an overdose may include severe dizziness, fast heartbeat, seizures, or loss of consciousness.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Amitriptyline HCl 50 mg Rectal Suppository
Suppository
30 suppositories
controlled

Insert 1 unwrapped suppository

Once daily at bedtime