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Drug ReportsAmitriptyline
Amitriptyline
Amitriptyline, Amitriptyline / (amitriptyline) is a small molecule pharmaceutical. Amitriptyline was first approved as Elavil on 1982-01-01. It is used to treat depressive disorder, pain, and psychotic affective disorders in the USA. The pharmaceutical is active against muscarinic acetylcholine receptor M2, muscarinic acetylcholine receptor M4, muscarinic acetylcholine receptor M5, muscarinic acetylcholine receptor M3, muscarinic acetylcholine receptor M1, histamine H1 receptor, sodium-dependent serotonin transporter, and sodium-dependent noradrenaline transporter. In addition, it is known to target 5-hydroxytryptamine receptor 2A, 5-hydroxytryptamine receptor 7, 5-hydroxytryptamine receptor 2C, lysophosphatidic acid receptor 1, 5-hydroxytryptamine receptor 6, G protein-activated inward rectifier potassium channel 4, and G protein-activated inward rectifier potassium channel 2.
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Commercial
Clinical
Drug
Target
Variants
Financial
Trends
Safety
Events Timeline
5D
1M
3M
6M
YTD
1Y
2Y
5Y
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EMA approval date
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Commercial
Therapeutic Areas
Therapeutic Area
MeSH
signs and symptoms pathological conditionsD013568
psychological phenomenaD011579
mental disordersD001523
musculoskeletal and neural physiological phenomenaD055687
Trade Name
FDA
EMA
No data
Drug Products
FDA
EMA
New Drug Application (NDA)
New Drug Application (NDA)
Abbreviated New Drug Application (ANDA)
Abbreviated New Drug Application (ANDA)
Amitriptyline hydrochloride
Tradename
Company
Number
Date
Products
ELAVILAstraZenecaN-012703 DISCN1982-01-01
6 products, RLD
ELAVILAstraZenecaN-012704 DISCN1982-01-01
1 products
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Amitriptyline hydrochloride
+
Chlordiazepoxide
Tradename
Company
Number
Date
Products
LIMBITROLChartwell PharmaceuticalsN-016949 DISCN1982-01-01
1 products, RLD
LIMBITROL DSChartwell PharmaceuticalsN-016949 DISCN1982-01-01
1 products, RLD
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Amitriptyline hydrochloride
+
Perphenazine
Tradename
Company
Number
Date
Products
TRIAVIL 2-25New River PharmaceuticalsN-014715 DISCN1982-01-01
1 products
TRIAVIL 4-10New River PharmaceuticalsN-014715 DISCN1982-01-01
1 products
TRIAVIL 2-10New River PharmaceuticalsN-014715 DISCN1982-01-01
1 products
TRIAVIL 4-25New River PharmaceuticalsN-014715 DISCN1982-01-01
1 products
TRIAVIL 4-50New River PharmaceuticalsN-014715 DISCN1982-01-01
1 products
ETRAFON-AMerck Sharp & DohmeN-014713 DISCN1982-01-01
1 products
ETRAFON 2-25Merck Sharp & DohmeN-014713 DISCN1982-01-01
1 products
ETRAFON-FORTEMerck Sharp & DohmeN-014713 DISCN1982-01-01
1 products
ETRAFON 2-10Merck Sharp & DohmeN-014713 DISCN1982-01-01
1 products
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Agency Specific
FDA
EMA
No data
Patent Expiration
No data
ATC Codes
N: Nervous system drugs
— N06: Psychoanaleptics
— N06A: Antidepressants
— N06AA: Non-selective monoamine reuptake inhibitors
— N06AA09: Amitriptyline
— N06C: Psycholeptics and psychoanaleptics in combination
— N06CA: Antidepressants in combination with psycholeptics
— N06CA01: Amitriptyline and psycholeptics
HCPCS
Code
Description
J1320
Injection, amitriptyline hcl, up to 20 mg
Clinical
Clinical Trials
144 clinical trials
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Indications Phases 4
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Migraine disordersD008881EFO_0003821G43—142613
FibromyalgiaD005356EFO_0005687M79.11432210
HeadacheD006261HP_0002315R51—13138
PainD010146EFO_0003843R52—13318
NeuralgiaD009437EFO_0009430——231—6
Diabetic neuropathiesD003929EFO_1000783——431—5
Low back painD017116HP_0003419M54.5——2114
Depressive disorderD003866EFO_1002014F32.A1—11—3
Myofascial pain syndromesD009209EFO_1001054——111—2
Postherpetic neuralgiaD051474———1—1—2
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Indications Phases 3
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
DepressionD003863—F33.93—1—26
Peripheral nervous system diseasesD010523HP_0009830G64—22—14
NeoplasmsD009369—C80——3——3
Major depressive disorderD003865EFO_0003761F22—11—13
Interstitial cystitisD018856EFO_1000869N30.1——2—13
Musculoskeletal painD059352————2——2
Tension-type headacheD018781HP_0012228G44.2——1—12
Laryngeal diseasesD007818—J38.7—22——2
Sleep initiation and maintenance disordersD007319—F51.01——1—12
DyspepsiaD004415EFO_0008533K30—11—12
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Indications Phases 2
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Intervertebral disc displacementD007405EFO_1001800——1——23
Hiv infectionsD015658EFO_0000764B20—1——12
Post-traumatic headacheD051298—G44.3—1——12
Cystic fibrosisD003550EFO_0000390E84—2———2
Breast neoplasmsD001943EFO_0003869C50—1———1
Gastrointestinal neoplasmsD005770—C26.9—1———1
Multiple myelomaD009101—C90.0—1———1
Female genital neoplasmsD005833———1———1
Head and neck neoplasmsD006258———1———1
Laron syndromeD046150Orphanet_633E34.321—1———1
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Indications Phases 1
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Healthy volunteers/patients———4———26
EnuresisD004775—R321————1
Indications Without Phase
Indication
MeSH
Ontology
ICD-10
Ph 1
Ph 2
Ph 3
Ph 4
Other
Total
Taste disordersD013651——————33
Drug-related side effects and adverse reactionsD064420—T88.7————22
Drug interactionsD004347——————11
ArthritisD001168HP_0001369M05-M14————11
TendinopathyD052256EFO_1001434M77.9————11
SynovitisD013585EFO_0008997M67.5————11
SpasmD013035—M62.83————11
RadiculopathyD011843—M54.1————11
GoutD006073EFO_0004274M10————11
Intractable painD010148——————11
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Epidemiology
Epidemiological information for investigational and approved indications
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Drug
General
Drug common nameAmitriptyline
INNamitriptyline
Description
Amitriptyline is an organic tricyclic compound that is 10,11-dihydro-5H-dibenzo[a,d][7]annulene substituted by a 3-(dimethylamino)propylidene group at position 5. It has a role as an adrenergic uptake inhibitor, an antidepressant, an environmental contaminant, a xenobiotic and a tropomyosin-related kinase B receptor agonist. It is a tertiary amine and a carbotricyclic compound. It derives from a hydride of a dibenzo[a,d][7]annulene.
Classification
Small molecule
Drug classantidepressants (dibenzol[a,d]cycloheptane derivatives)
Image (chem structure or protein)Loading
Structure (InChI/SMILES or Protein Sequence)
CN(C)CCC=C1c2ccccc2CCc2ccccc21
Identifiers
PDB—
CAS-ID50-48-6
RxCUI—
ChEMBL IDCHEMBL629
ChEBI ID2666
PubChem CID2160
DrugBankDB00321
UNII ID1806D8D52K (ChemIDplus, GSRS)
Target
Agency Approved
No data
Alternate
ORM2
ORM2
Organism
Homo sapiens
Gene name
ORM2
Gene synonyms
AGP2
NCBI Gene ID
Protein name
alpha-1-acid glycoprotein 2
Protein synonyms
AGP 2, alpha-1-acid glycoprotein, type 2, OMD 2, Orosomucoid-2
Uniprot ID
Mouse ortholog
—
—
Variants
No data
Financial
Revenue by drug
$
€
£
â‚£
No data
Estimated US medical usage
Amitriptyline
Total medical expenditures per year (USD, in millions)
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Amitriptyline
+
Chlordiazepoxide
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Amitriptyline
+
Perphenazine
Total medical expenditures per year (USD, in millions)
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Trends
PubMed Central
Top Terms for Disease or Syndrome:
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Additional graphs summarizing 19,909 documents
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Safety
Black-box Warning
Black-box warning for: Amitriptyline hcl, Amitriptyline hydrochloride, Chlordiazepoxide & amitriptyline hydrochloride, Chlordiazepoxide and amitriptyline hydrochloride, Chlordiazepoxide and amitriptyline hydrochloride chlordiazepoxide and amitriptyline hydrochloride, Elavil 25 mg, Perphenazine and amitriptyline hydrochloride, Sentravil pm-25
Adverse Events
Top Adverse Reactions
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20,697 adverse events reported
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