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Can I take Amitriptyline and Tizanidine together?

Guía de interacción de medicamentos

Taking amitriptyline and tizanidine together can make you feel extremely drowsy, dizzy, and lightheaded. It can also cause a significant drop in blood pressure, which might lead to fainting. You may find it very difficult to concentrate or perform tasks that require alertness.

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Por qué sucede esto

Both drugs have a 'depressing' effect on the central nervous system (brain and nerves). When used together, these effects are added together (additive effect). Additionally, both medications can lower blood pressure and slow down your heart rate.

You should speak to your doctor before taking these two medicines together. If your doctor prescribes both, they may start you on a lower dose and monitor you closely. Do not drive or operate machinery until you know how this combination affects you. Seek medical help immediately if you feel very faint, confused, or have a very slow heartbeat.

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Pensamientos suicidas y cambios de humor

La amitriptilina puede aumentar el riesgo de pensamientos suicidas o autolesiones, especialmente al comenzar el tratamiento o al cambiar las dosis. Busque ayuda médica inmediata si su estado de ánimo cambia o se siente deprimido.

Drowsiness and coordination

Both medicines cause significant drowsiness and slow your reactions. Taking them together greatly increases this effect, making it dangerous to drive, use tools, or operate machinery until you know how they affect you.

Liver or kidney problems

You must not take tizanidine if you have severe liver problems. If you have kidney issues, your doctor must start you on a very low dose, as the medicine can build up to dangerous levels in your body.

Condiciones del corazón

Do not take amitriptyline if you have recently had a heart attack or have certain heart rhythm disorders (such as heart block), as it can affect the electrical signals in your heart.

Alcohol

You must avoid or strictly limit alcohol while taking these medicines. Both amitriptyline and tizanidine cause drowsiness and dizziness; alcohol significantly increases these effects, which can lead to dangerous levels of sedation, impaired coordination, and breathing difficulties.

Cafeína (Café, Té, Bebidas Energéticas)

Caffeine can interfere with how your body breaks down tizanidine. This can lead to higher levels of the medicine in your blood, increasing the risk of side effects like very low blood pressure, a slow heart rate, or extreme drowsiness.

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Taking multiple medicines? Our Verificador de Interacciones de Medicamentos helps you check whether your prescriptions, over-the-counter medicines, and supplements are safe to take together. Simply search for your medicines to see potential interactions and what to do about them.

Descargo de responsabilidad

Esta información es solo para fines educativos generales y no debe considerarse como un sustituto del consejo médico profesional. Siempre consulte a su médico de cabecera, farmacéutico u otro profesional de la salud calificado antes de tomar decisiones sobre sus medicamentos. Las circunstancias individuales pueden variar, y solo un profesional de la salud que conozca su historial médico puede proporcionar orientación personalizada.

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Historial del artículo

La información en esta página está escrita y revisada por pares por clínicos calificados.

  • 25 Ene 2026 | Publicado originalmente
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