Use of 200mg of amitriptyline alone as a drug in this country is practically non-existant, due to risks to fatal heart side effects.
Combined with high dose Methadone? Well Methadone itself is risky in certain patients...so when used with high dose amitriptyline?
You can read more here:
http://www.drugs.com/drug-interactio...ne_d00146.html
I would not recommend 200mg of Elavil for anything.
There are other safer therapeutic choices today that do not have the cardiac warnings.
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Weezie looking at petunias 8.25.2017
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