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A MyFibroTeam Member asked a question 💭
Sheffield, UK

Does anyone take amitriptiline and do they have a lack of appetite?

I take 30mg each night which helps me fall asleep, but since taking it I'm finding it very hard to eat. I'm just not hungry at all. I can eat 'finger' foods but a cooked meal is just too much.

While I've been off work I have been able to eat little but often but now I'm back at work that just isn't possible.

I'm just wondering if that is common or am I experiencing another symptom of fibro.

Any information would be greatly… read more

September 6, 2016
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Answer Summary

Members discussed experiences with amitriptyline and appetite changes, with many sharing that the medication affected their eating patterns... Read more

Members discussed experiences with amitriptyline and appetite changes, with many sharing that the medication affected their eating patterns differently, from complete loss of appetite and ability to only eat small snacks or finger foods, to increased sugar cravings and weight gain. Several members offered practical strategies including eating whatever sounds appealing regardless of time of day, keeping cold protein drinks on hand, sitting with food for 15-20 minutes to allow hunger signals to develop, grazing on small amounts throughout the day to maintain metabolism, and considering thyroid testing or medication timing adjustments with a doctor. A recurring theme was the importance of listening to your body, not forcing large meals, and working closely with healthcare providers to find the right medication dosage and eating pattern that works for each individual's needs.

A MyFibroTeam Member

Hi, i am on Amitriptiline was taking 30mg a day, however this made me so drowsy in the mornings my doctor reduced it to 20mg, which seems to be better for me, i also on Proprananol for my headaches, i have discovered since taking only 20mg of Amitriptiline that i cope better in a morning no more groggy starts, it's hard enough to get up some days without a medication adding to it, I also use Green Tea Matcha, this balances out my metabolism as i gained a lot of weight, which is slowly coming off, and i have found that it gives me that extra boost i need to get me through the day. so its a big thumbs up for me xxx hugs xxx

September 6, 2016
A MyFibroTeam Member

My DH and I call it having a broken hunger switch. Any of the low dose tricyclics (amitrip, Trazodone, desaryl, etc) have that effect. Other things that can do it are pain, loss of sleep, depression, other meds, and the pressure to remember eat. For me it takes 10-20 minutes of smelling food to start to get hungry. We've worked out that if I get a plate of food, and plan on only eating 5-8 bites, then sit with the plate for 15-20min, I can usually pick out/up a few more bites, up to half the meal. Then a couple hours later or so, I come back for another 5-8 bites. It helps that I was a nurse for a long time and I'm used to eating my food on the cold side (😛). Over the course of the week I get quite a bit eaten.
The other tip is to eat whatever you are hungry for, no matter what time of day, if possible. If waffles and ice cream sound good, order it. Listening to your body on type of food makes it easier to take those extra bites. Try pre-made protein drinks as well to fill in when you just can eat -- but make sure they're really cold.

September 6, 2016
A MyFibroTeam Member

Take it earlier in the evening. I have been on it for years and struggled with morning fatigue until I moved up the time I take it. I take it at 8pm each evening and wake each morning at approx 8am without an alarm on most mornings. You might find your appetite improves as well.

September 10, 2016
A MyFibroTeam Member

I find i dont have an appetite for a big meal id rather eat small things like sandwiches etc i also found i have a really sweet tooth something i didnt bother with before xx

September 6, 2016
A MyFibroTeam Member

@A MyFibroTeam Member That's exactly what I was like, the smell of bacon was awful, the thought of cooked food made me feel sick. My diet was very restricted, this was in the run up to Christmas the 1st time. I only ate 1 bowl of cereal a day the rest was fruit, that went on for 3 weeks. I went Cold turkey from taking 40mg a night, which had no effect on my sleep or my migraine the reason I was on it. It gave me tinnitus that was the reason for stopping it. I then saw a neurologist who said as I still had the tinnitus 2 weeks later that it hadn't caused it and to go back on it, i spoke to my GP and we agreed to try again, this was Christmas eve at 50mg a night and upping it quicker than once a week as the neurologist wanted. 5 days later I was taking 75mg a night and I started with what I call twitching, my arms and legs would just jump, I spoke to a gp who said to carry on until I saw my usual gp but if things got worse to get in touch, the next day it started in my neck, and everytime my neck jumped it cracked and really hurt, it felt like I was having a fit I was constantly jumping. I was really worried so went to the doctors, ended up breaking down, the doctor was really good and said to stop it but to hopefully stop the withdrawal symptoms to decrease the amount by 25mg every couple of nights. That didn't work either really, but i was able to eat 3 bowls of cereal and fruit a day. Unfortunately I still have this side effects now and I stopped it in January this year.

September 6, 2016

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