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Amitriptyline hydrochloride should not be given with Cisapride due to the potential for increased QT interval and increased risk for arrhythmia.

Take the missed dose as soon as you rememberSkip the missed dose if it is almost time for your next scheduled doseDo not take extra medicine to make up the missed dose.

It should not be given concomitantly with monoamine oxidase inhibitorsHyperpyretic crisessevere convulsionsand deaths have occurred in patients receiving tricyclic antidepressant and monoamine oxidase inhibiting drugs simultaneouslyWhen it is desired to replace a monoamine oxidase inhibitor with amitriptyline hydrochloridea minimum of 14 days should be allowed to elapse after the former is discontinuedAmitriptyline hydrochloride should then be initiated cautiously with a gradual increase in dosage until optimum response is achieved.

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