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It should not be given concomitantly with monoamine oxidase inhibitorsHyperpyretic crisessevere convulsionsand deaths have occurred in patients receiving tricyclic antidepressant and monoamine oxidase inhibiting drugs simultaneouslyWhen it is desired to replace a monoamine oxidase inhibitor with amitriptyline hydrochloridea minimum of 14 days should be allowed to elapse after the former is discontinuedAmitriptyline hydrochloride should then be initiated cautiously with a gradual increase in dosage until optimum response is achieved.
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If you need surgerytell the surgeon ahead of time that you are using ElavilYou may need to stop using the medicine for a short time.
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