Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum.  ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Heart Disease  (Expert Forum)
 | 
Effect of low dosage Elavil for pain perception.
Answered by
Cleveland - OH
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

Effect of low dosage Elavil for pain perception.

by joanincarolina, Jul 24, 2009 01:54PM
I have been diagnosed with severe cardiac microvascular dysfunction with vasopasm (visualized on test) of LAD and cardiac arrest. I am nitro dependent wearing two 0.6mg patches 24/7, supplemented with nitro spray 0.4mg prn chest tightness, pain or spasm. I take 5 mg Elavil HS QD to reduce my perception of pain. I am a 63 yo female with no other health issues, no MI and clear coronary arteries ( 3 cardiac caths over 2.5 years). I would really like to d/c this elavil as I feel that pain is my first sign to take further nitro. What do you think?  

by Cleveland Clinic, Jul 24, 2009 09:16PM
I would recommend against that.  Think of is as a domino effect.  When the pain first starts your catecholamines rise causing you to have more pain and it takes off from there.    So the best way to treat your condition is to minimize the pain any way you can.  I would keep taking the elavil.
Member Comments (2)

by joanincarolina, Jul 25, 2009 05:49PM
To: Cleveland Clinic
Dear Doctor; thanks so much for your response to my d/c Elavil question. I understand the catechoalamine reaction and that was the missing science piece I needed to understand and manage this microvascular endothelial dysfunction. To see my medical journey to this diagnosis read my short journal here at 'joanincarolina'. Best wishes to ALL the dedicated medical and research people out there working on this medical problem. Thanks again.
Continue discussion
RSS Expert Activity
What You Don't Know About Breathing...
Nov 24 by Steven Y Park, MD
Thanksgiving
Nov 23 by Thomas Dock, Vet. Technician
Snoring As Your Internal Smoke Alar...
Nov 22 by Steven Y Park, MD