Chlordiazepoxide and Amitriptyline (Systemic)
Brand Names : Limbitrol, Limbitrol DS
Precautions While Using This MedicineIt is
very important that your doctor check your progress at regular visits to allow
dose adjustments and help reduce side effects.
Do not stop taking this medicine without first checking
with your doctor
. Your doctor may want you to reduce gradually the
amount you are using before stopping completely. This may help prevent a possible
worsening of your condition and reduce the possibility of withdrawal symptoms
such as headache, nausea, and/or an overall feeling of discomfort.
This medicine will add to the effects of alcohol and other CNS depressants
(medicines that slow down the nervous system, possibly causing drowsiness).
Some examples of CNS depressants are antihistamines or medicine for hay fever,
other allergies, or colds; sedatives, tranquilizers, or sleeping medicine;
prescription pain medicine or narcotics; barbiturates; medicine for seizures;
muscle relaxants; or anesthetics, including some dental anesthetics. This
effect may last for a few days after you stop taking this medicine. Check with your doctor before taking any of the above while
you are using this medicine
.
For diabetic patients:
-
This medicine may affect blood sugar levels. If you notice a change
in the results of your blood or urine sugar tests or if you have any questions,
check with your doctor.
Before you have any medical tests, tell the medical doctor in charge that
you are taking this medicine. The results of the metyrapone test may be affected
by this medicine.
Before having any surgery, any dental treatment, or
emergency treatment, tell the medical doctor or dentist in charge that you
are using this medicine
. Taking chlordiazepoxide and amitriptyline
combination together with medicines that are used during surgery or dental
or emergency treatments may increase the CNS depressant effects.
This medicine may cause some people to become dizzy, lightheaded, drowsy,
or less alert than they are normally. Even if taken at bedtime, it may cause
some people to feel drowsy or less alert on arising. Make sure you know how you react to this medicine before you drive, use machines,
or do anything else that could be dangerous if you are dizzy or are not alert
.
Dizziness, lightheadedness, or fainting may occur when
you get up from a lying or sitting position
. Getting up slowly may
help. If this problem continues or gets worse, check with your doctor.
Chlordiazepoxide and amitriptyline combination may cause dryness of the
mouth. For temporary relief, use sugarless candy or gum, melt bits of ice
in your mouth, or use a saliva substitute. However, if your mouth continues
to feel dry for more than 2 weeks, check with your medical doctor or dentist.
Continuing dryness of the mouth may increase the chance of dental disease,
including tooth decay, gum disease, and fungus infections.
Chlordiazepoxide and amitriptyline combination may cause your skin to be
more sensitive to sunlight than it is normally. Exposure to sunlight, even
for brief periods of time, may cause a skin rash, itching, redness or other
discoloration of the skin, or a severe sunburn. When you begin taking this
medicine:
-
Stay out of direct sunlight, especially between the hours of 10:00
a.m. and 3:00 p.m., if possible.
-
Wear protective clothing, including a hat. Also, wear sunglasses.
-
Apply a sun block product that has a skin protection factor (SPF)
of at least 15. Some patients may require a product with a higher SPF number,
especially if they have a fair complexion. If you have any questions about
this, check with your health care professional.
-
Apply a sun block lipstick that has an SPF of at least 15 to protect
your lips.
-
Do not use a sunlamp or tanning bed or booth.
If you have a severe reaction from the sun, check with
your doctor
.
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