AmitriptylinePrices, Coupons & Savings

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*Based on the difference between the U&C price submitted and the price the patient paid, as of April 2023.

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  1. Medication
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  2. Amitriptyline
    Generic for Elavil
    30 tablets $5.7 USD
    Save $4.20
  3. Amitriptyline
    Generic for Elavil
    45 tablets $8.1 USD
    Save $6.75
  4. Amitriptyline
    Generic for Elavil
    30 tablets $5.7 USD
    Save $4.20
  5. Amitriptyline
    Generic for Elavil
    30 tablets $5.7 USD
    Save $4.20
  6. Amitriptyline
    Generic for Elavil
    135 tablets $23.1 USD
    Save $21.45
  7. Amitriptyline
    Generic for Elavil
    15 tablets $4.8 USD
    Save $0.15
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Do you need a prescription for amitriptyline?

Yes, amitriptyline is only available with a valid physician Rx.

How much is amitriptyline without Insurance in the US?

Our website gives two competitive savings options to US customers who wish to purchase amitriptyline, as either a brand or generic, if available. The first is access to medications through our mail-order online pharmacy. The second is by using the Now Patient Rx Advantage Card, which can be used in over 65,000 pharmacies nationwide, across America. If you are insured, then in most cases, the cash price will be significantly cheaper than the copay.

What will my out-of-pocket cost be for amitriptyline in the US?

There are no out-of-pocket (OOP) costs because we are currently only offering a cash-based option to purchase medications.

Is Now Patient a amitriptyline savings card?

Yes. Save up to 90% on your amitriptyline with the FREE Now Patient Rx Advantage card*.
*Based on the difference between the U&C submitted by the pharmacy and the price the patients pay.

Can you handle Rx transfers for home delivery in the US?

Yes. If you use the mail-order online pharmacy option, then we can handle requests by you to have your prescription transferred to our pharmacy for home delivery. We can even help you manage your refills by giving you timely reminders, so you do not run out of your medication.

Is Now Patient a amitriptyline coupon provider in the US?

No. Now Patient does not provide amitriptyline coupons or FREE amitriptyline samples.

Do you accept commercial, Medicare or Medicaid coverage for amitriptyline in the US?

No. Currently, we only offer cash-based options for purchase, therefore we do not require your insurance benefit details. In the future, our plan is to be able to handle commercial insurance, Medicare and Medicaid including cases where you have multiple health plans that provide benefit coverage (e.g. Medicaid and Commercial). We also anticipate being able to handle more complex scenarios such as using primary insurance combined with a manufacturer copay assistance program.

Does Now Patient work with Medicare?

Our cash-based prices for medications are typically cheaper than Medicare copays. We do not bill Medicare Part D (standalone drug coverage) or Medicare Advantage (combined health and drug coverage). When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

Does Now Patient work with Commercial Insurance?

Our cash-based prices for medications are typically cheaper than commercial plan copays. We do not bill your commercial plan. When you purchase your medication from Now Patient, you will be doing so out of your pocket. The spend will not count towards your plan deductibles or gaps.

What should you do if you use too much amitriptyline?


Call your doctor right away or seek immediate medical attention if your symptoms do not improve or they become worse after using amitriptyline. You can also call 800-222-1222 to reach the American Association of Poison Control Centers or use its online resource if you think you’ve used too much amitriptyline. But if you have severe symptoms, call 911 (or your local emergency number) immediately or go to the nearest emergency room.


If you think it is an emergency, call 999 or find your nearest A&E
If you need help now, but it’s not an emergency go to 111.nhs.uk or call 111. Alternatively you can speak to one of our pharmacists or use the Now Patient app to make an appointment with your GP.

What should I do if I miss my dose?

There are occasions when people forget to take their medication at correct prescribed times. This may not only have an effect on potentially making the medication less effective but it may also inadvertently lead to taking doses too close together, thereby increasing the risks of side effects.

Click here to find out what to do if you forgot to take your medication

What is generic amitriptyline?

Generic amitriptyline refers to the non-brand-name version of the medication. It contains the same active ingredient as the brand-name drug but is typically less expensive.

FDA approval of amitriptyline

Amitriptyline is approved by the U.S. Food and Drug Administration (FDA) for the treatment of depression. It is also used off-label for the treatment of other conditions, such as chronic pain, migraines, and sleep disorders.

Active ingredient of amitriptyline

The active ingredient of amitriptyline is amitriptyline hydrochloride.

US brand name of amitriptyline and manufacturer

Amitriptyline is available in the US under various brand names, including Elavil and Vanatrip. The manufacturers may vary depending on the brand names.

UK brand name of amitriptyline and manufacturer

In the UK, amitriptyline is available under various brand names, including amitriptyline Actavis. The manufacturer may vary depending on the brand name.

Prescription requirement for amitriptyline

A prescription (Rx) is required for amitriptyline in both the US and the UK.

Availability of amitriptyline in the UK with NHS prescription

Amitriptyline is available in the UK with an NHS prescription.

Conditions treated by amitriptyline

Amitriptyline is primarily used for the treatment of depression. It is also prescribed off-label for the treatment of chronic pain, migraines, and certain sleep disorders, such as insomnia.

How does amitriptyline work?

Amitriptyline belongs to a class of medications called tricyclic antidepressants (TCAs). It works by increasing the levels of certain neurotransmitters, such as serotonin and norepinephrine, in the brain. This helps to improve mood, reduce depression symptoms, and relieve certain types of pain.

Forms of amitriptyline available

Amitriptyline is available in various forms, including oral tablets and oral solutions.

Dosage of amitriptyline

The dosage of amitriptyline may vary depending on the specific condition being treated, the severity of the condition, and other individual factors. Your doctor will probably start you on a lower dose of amitriptyline and gradually increase your dose. It is important to follow the recommended dosage instructions provided by the healthcare provider.

Directions for amitriptyline use

Amitriptyline should be taken as directed by the healthcare provider. The specific instructions may include the timing of administration, dosage adjustments, and any necessary precautions. If you miss a dose, take it as soon as you remember. If it is near the time of the next dose, skip the missed dose. Take your next dose at the regular time. Do not double the dose to catch up.

Warnings and precautions for amitriptyline

  • Amitriptyline may interact with other medications and substances, dosage adjustments or close monitoring may be necessary
  • Amitriptyline should not be taken with monoamine oxidase inhibitors (MAOIs) (isocarboxazid, linezolid, metaxalone, methylene blue, moclobemide, phenelzine, procarbazine, rasagiline, safinamide, selegiline, tranylcypromine) as it can lead to a dangerous increase in serotonin levels, potentially causing serotonin syndrome
  • Amitriptyline should not be taken with selective serotonin reuptake inhibitors (SSRIs) (fluoxetine, sertraline, paroxetine)
  • It is important to avoid alcohol and sedatives while taking amitriptyline, as they can enhance the sedative effects of the medication, leading to excessive drowsiness or even respiratory depression
  • Patients with a history of heart disease should exercise caution when taking amitriptyline as it can potentially worsen existing cardiovascular conditions
  • Individuals with glaucoma, a condition characterized by increased pressure within the eye, need to be cautious while using amitriptyline. The medication can further elevate intraocular pressure, potentially leading to complications or worsening of symptoms. Regular monitoring by an ophthalmologist is recommended for patients with glaucoma who are prescribed amitriptyline
  • Amitriptyline may cause urinary retention in some individuals due to its anticholinergic effects on bladder function. Patients who already have difficulty emptying their bladder should exercise caution when using this medication and discuss any concerns or symptoms they experience with their healthcare provider promptly
  • It is important to inform the healthcare provider about any existing medical conditions, especially heart conditions, as well as any history of psychiatric disorders (bipolar disorder, schizophrenia) or suicidal thoughts
  • Amitriptyline passes into breast milk. Speak to your doctor before breast-feeding
  • Inform a healthcare professional about all medications including supplements being taken to prevent drug interactions

Possible side effects of amitriptyline

Common side effects of amitriptyline may include drowsiness, dry mouth, constipation, blurred vision, eye pain and weight gain. If these side effects persist or worsen, it is important to contact a healthcare provider. Serious side effects include an increased risk of suicide and irregular heartbeat. If you experience palpitations, dizziness, or trouble breathing while on this medication, seek medical attention promptly. In rare cases, some individuals may have a severe allergic reaction to amitriptyline. Symptoms such as difficulty breathing, swelling of the face or throat, rash, or hives require immediate medical attention. It’s essential to inform your doctor about any previous allergies before starting this medication. Always speak to a healthcare professional right away if you experience any adverse effects.

Similar drugs to amitriptyline

Other tricyclic antidepressants (TCAs), such as nortriptyline and imipramine, may be used as alternatives to amitriptyline for the treatment of depression and certain pain conditions.



Now Patient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

Stefano Mirabello Medical Reviewer
Pharmacist / B.Pharm
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