Page last updated: 2024-10-22

amitriptyline and Delirium

amitriptyline has been researched along with Delirium in 29 studies

Amitriptyline: Tricyclic antidepressant with anticholinergic and sedative properties. It appears to prevent the re-uptake of norepinephrine and serotonin at nerve terminals, thus potentiating the action of these neurotransmitters. Amitriptyline also appears to antagonize cholinergic and alpha-1 adrenergic responses to bioactive amines.
amitriptyline : 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.

Delirium: A disorder characterized by CONFUSION; inattentiveness; disorientation; ILLUSIONS; HALLUCINATIONS; agitation; and in some instances autonomic nervous system overactivity. It may result from toxic/metabolic conditions or structural brain lesions. (From Adams et al., Principles of Neurology, 6th ed, pp411-2)

Research Excerpts

ExcerptRelevanceReference
"In a case of acute intoxication with a tricyclic antidepressant (amitriptyline) delirium was prolonged without there being prominent peripheral anticholinergic or electrocardiographic signs."7.66Prolonged delirium without anticholinergic signs following amitriptyline overdose. ( Gomolin, IH; Melmed, CA, 1983)
" We report an unusual case of a patient who experienced symptoms of delirium and hyperkinetic movement disorders shortly after initiating treatment with cyclobenzaprine and oxycodone."3.79Neuropsychiatric side effects of cyclobenzaprine. ( Sederholm, B; Shprecher, D; Sloan, CT, 2013)
"We present a case of delirium due to amitriptyline overdose, which resolved rapidly following initiation of the cholinesterase inhibitor donepezil."3.72Donepezil for anticholinergic drug intoxication: a case report. ( Aksu, H; Elbi, H; Noyan, MA, 2003)
"In a case of acute intoxication with a tricyclic antidepressant (amitriptyline) delirium was prolonged without there being prominent peripheral anticholinergic or electrocardiographic signs."3.66Prolonged delirium without anticholinergic signs following amitriptyline overdose. ( Gomolin, IH; Melmed, CA, 1983)
"Successful treatment of delirium depends on the detection of the reversible contributors."1.72Incidence of Drug-Induced Delirium During Treatment With Antidepressants or Antipsychotics: A Drug Surveillance Report of German-Speaking Countries Between 1993 and 2016. ( Engel, R; Frey, R; Friedrich, ME; Grohmann, R; Kasper, S; Konstantinidis, A; Rabl, U; Seifert, J; Stübner, S; Toto, S; Winkler, D, 2022)
" A cautious dosing of AMI with VPA comedication is advisable, and therapeutic drug monitoring should be performed because this combination may lead to a remarkable increase of AMI and NOR serum levels."1.39Interaction of valproic acid and amitriptyline: analysis of therapeutic drug monitoring data under naturalistic conditions. ( Burger, R; Deckert, J; Hohage, A; Pfuhlmann, B; Unterecker, S, 2013)
"Drug-induced delirium is a common matter in the elderly and anticholinergics, together with a number of different drugs, may significantly contribute to the delirium onset, especially in demented people."1.34Anticholinergic drug-induced delirium in an elderly Alzheimer's dementia patient. ( Cotroneo, A; De Fazio, P; De Fazio, S; De Sarro, G; Gallelli, L; Gareri, P; Lacava, R, 2007)
"Delirium was documented in 10 cases."1.27Tricyclic antidepressants and delirium. ( Isenberg, K; Livingston, RL; Wetzel, RD; Zucker, DK, 1983)
" Thus, this adverse effect could be avoided by monitoring levels and reducing dosage when appropriate."1.26Tricyclic-antidepressant-induced delirium and plasma drug concentration. ( Preskorn, SH; Simpson, S, 1982)

Research

Studies (29)

TimeframeStudies, this research(%)All Research%
pre-199021 (72.41)18.7374
1990's2 (6.90)18.2507
2000's2 (6.90)29.6817
2010's3 (10.34)24.3611
2020's1 (3.45)2.80

Authors

AuthorsStudies
Friedrich, ME1
Grohmann, R1
Rabl, U1
Winkler, D1
Konstantinidis, A1
Engel, R1
Seifert, J1
Toto, S1
Stübner, S1
Frey, R1
Kasper, S1
Shprecher, D1
Sloan, CT1
Sederholm, B1
Unterecker, S1
Burger, R1
Hohage, A1
Deckert, J1
Pfuhlmann, B1
Brennan-Taylor, MK1
Noyan, MA1
Elbi, H1
Aksu, H1
ARNOLD, OH2
KRYSPIN-EXNER, K1
Gareri, P1
De Fazio, P1
Cotroneo, A1
Lacava, R1
Gallelli, L1
De Fazio, S1
De Sarro, G1
Kahr, H1
Battegay, R1
Pöldinger, W1
Krypsin-Exner, K1
Werner, V1
Diehl, LW1
Zechnich, R1
Gomolin, IH1
Melmed, CA1
Stern, TA1
Livingston, RL1
Zucker, DK1
Isenberg, K1
Wetzel, RD1
Pies, R1
Preskorn, SH1
Simpson, S1
Teas, GA1
Rechlin, T1
Weis, M1
Claus, D1
Kaschka, WP1
Engel, PA1
Chapron, D1
Hollender, MH1
Jamieson, RC1
McKee, EA1
Roback, HB1
Mühlendahl, KE1
Hammersen, G1
Krienke, EG1
Figiel, GS1
Krishnan, KR1
Breitner, JC1
Nemeroff, CB1
Schwartz, J1
Speed, N1
Clavier, E1
Heiser, JF1
Wilbert, DE1
Sommer, J1
Spiegelberg, U1
Rawson, RA1
Lipscomb, WR1
Rozynko, J1
Voelkel, A1
Mikhalenko, IN1
Nuller, IuL1
Boleloucky-Bolen, P1
Hofmann, G1

Reviews

1 review available for amitriptyline and Delirium

ArticleYear
[The state of psychopharmacotherapy in geriatrics 2].
    Therapie der Gegenwart, 1980, Volume: 119, Issue:12

    Topics: Actihaemyl; Aged; Amitriptyline; Bencyclane; Cerebrovascular Circulation; Clorazepate Dipotassium; D

1980

Trials

1 trial available for amitriptyline and Delirium

ArticleYear
[Noxiptilin in clinic and practice].
    Arzneimittel-Forschung, 1969, Volume: 19

    Topics: Amitriptyline; Antidepressive Agents; Bipolar Disorder; Central Nervous System; Clinical Trials as T

1969

Other Studies

27 other studies available for amitriptyline and Delirium

ArticleYear
Incidence of Drug-Induced Delirium During Treatment With Antidepressants or Antipsychotics: A Drug Surveillance Report of German-Speaking Countries Between 1993 and 2016.
    The international journal of neuropsychopharmacology, 2022, 08-04, Volume: 25, Issue:7

    Topics: Adverse Drug Reaction Reporting Systems; Amitriptyline; Antidepressive Agents; Antipsychotic Agents;

2022
Neuropsychiatric side effects of cyclobenzaprine.
    BMJ case reports, 2013, May-02, Volume: 2013

    Topics: Amitriptyline; Antidepressive Agents; Delirium; Humans; Male; Middle Aged; Movement Disorders; Muscl

2013
Interaction of valproic acid and amitriptyline: analysis of therapeutic drug monitoring data under naturalistic conditions.
    Journal of clinical psychopharmacology, 2013, Volume: 33, Issue:4

    Topics: Adult; Aged; Amitriptyline; Antidepressive Agents; Chi-Square Distribution; Delirium; Depressive Dis

2013
"Mom, You Have to Trust Me".
    JAMA internal medicine, 2015, Volume: 175, Issue:9

    Topics: Aged, 80 and over; Amitriptyline; Cross Infection; Delirium; Fatal Outcome; Female; Humans; Medicati

2015
Donepezil for anticholinergic drug intoxication: a case report.
    Progress in neuro-psychopharmacology & biological psychiatry, 2003, Volume: 27, Issue:5

    Topics: Amitriptyline; Cholinergic Antagonists; Delirium; Donepezil; Drug Overdose; Humans; Indans; Male; Mi

2003
[EXPERIMENTAL DELIRIUM].
    Wiener Zeitschrift fur Nervenheilkunde und deren Grenzgebiete, 1964, Oct-16, Volume: 22

    Topics: Amitriptyline; Delirium; Pharmacology; Toxicology

1964
Anticholinergic drug-induced delirium in an elderly Alzheimer's dementia patient.
    Archives of gerontology and geriatrics, 2007, Volume: 44 Suppl 1

    Topics: Acute Disease; Aged, 80 and over; Alzheimer Disease; Amitriptyline; Antipsychotic Agents; Cholinergi

2007
[Psychopathological complications in antidepressant medication].
    Arzneimittel-Forschung, 1966, Volume: 16, Issue:2

    Topics: Amitriptyline; Animals; Antidepressive Agents; Blood Pressure; Delirium; Depression; Desipramine; Do

1966
[Spontaneous and experimental delirium].
    Arzneimittel-Forschung, 1966, Volume: 16, Issue:2

    Topics: Alcoholism; Amitriptyline; Brain; Delirium; Hallucinations; Hallucinogens; Humans; Judgment; Psychos

1966
Delirium and tricyclic antidepressants.
    The American journal of psychiatry, 1984, Volume: 141, Issue:12

    Topics: Akathisia, Drug-Induced; Amitriptyline; Confusion; Delirium; Female; Humans

1984
Prolonged delirium without anticholinergic signs following amitriptyline overdose.
    Canadian Medical Association journal, 1983, Dec-01, Volume: 129, Issue:11

    Topics: Amitriptyline; Delirium; Depression; Female; Humans; Nortriptyline; Parasympatholytics; Physostigmin

1983
Continuous infusion of physostigmine in anticholinergic delirium: case report.
    The Journal of clinical psychiatry, 1983, Volume: 44, Issue:12

    Topics: Adult; Amitriptyline; Benztropine; Delirium; Female; Humans; Infusions, Parenteral; Parasympatholyti

1983
Tricyclic antidepressants and delirium.
    The Journal of clinical psychiatry, 1983, Volume: 44, Issue:5

    Topics: Adolescent; Adult; Age Factors; Aged; Amitriptyline; Antidepressive Agents, Tricyclic; Black People;

1983
Capgras phenomenon, delirium, and transient hepatic dysfunction.
    Hospital & community psychiatry, 1982, Volume: 33, Issue:5

    Topics: Adolescent; Amitriptyline; Capgras Syndrome; Chemical and Drug Induced Liver Injury; Delirium; Drug

1982
Tricyclic-antidepressant-induced delirium and plasma drug concentration.
    The American journal of psychiatry, 1982, Volume: 139, Issue:6

    Topics: Adult; Aged; Amitriptyline; Delirium; Depressive Disorder; Dose-Response Relationship, Drug; Female;

1982
Toxic delirium resulting from combination antidepressant therapy.
    The American journal of psychiatry, 1981, Volume: 138, Issue:8

    Topics: Amitriptyline; Bipolar Disorder; Delirium; Drug Therapy, Combination; Humans; Male; Middle Aged; Phe

1981
Identifying delirious states and autonomic cardiovascular dysfunction associated with amitriptyline treatment by standardized analysis of heart rate.
    Psychiatry research, 1995, Apr-28, Volume: 56, Issue:3

    Topics: Adult; Aged; Amitriptyline; Antidepressive Agents, Tricyclic; Autonomic Nervous System Diseases; Car

1995
Cyclobenzaprine-induced delirium in two octogenarians.
    The Journal of clinical psychiatry, 1993, Volume: 54, Issue:1

    Topics: Age Factors; Aged; Aged, 80 and over; Alzheimer Disease; Amitriptyline; Delirium; Female; Humans; Ma

1993
Anticholinergic delirium in a case of Munchausen syndrome.
    The American journal of psychiatry, 1978, Volume: 135, Issue:11

    Topics: Adult; Amitriptyline; Chlorpromazine; Delirium; Female; Humans; Munchausen Syndrome; Ophthalmic Solu

1978
[Physostigmine treatment in poisoning with anticholinergicagent].
    Monatsschrift fur Kinderheilkunde, 1977, Volume: 125, Issue:5

    Topics: Adolescent; Adult; Aged; Amitriptyline; Antidotes; Child; Child, Preschool; Delirium; Female; Humans

1977
Radiologic correlates of antidepressant-induced delirium: the possible significance of basal-ganglia lesions.
    The Journal of neuropsychiatry and clinical neurosciences, 1989,Spring, Volume: 1, Issue:2

    Topics: Aged; Aged, 80 and over; Amitriptyline; Antidepressive Agents; Basal Ganglia; Basal Ganglia Diseases

1989
Antidepressant side effects in the medically ill: the value of psychiatric consultation.
    International journal of psychiatry in medicine, 1988, Volume: 18, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Amitriptyline; Antidepressive Agents; Delirium; Doxepin; Humans; Mal

1988
Reversal of delirium induced by tricyclic antidepressant drugs with physostigmine.
    The American journal of psychiatry, 1974, Volume: 131, Issue:11

    Topics: Amitriptyline; Antidotes; Delirium; Drug Combinations; Female; Humans; Male; Middle Aged; Perphenazi

1974
Acute delirium in amitriptyline-perphenazine therapy of alcoholism.
    Clinical toxicology, 1971, Volume: 4, Issue:1

    Topics: Acute Disease; Adult; Alcoholism; Amitriptyline; Delirium; Diazepam; Drug Combinations; Hallucinatio

1971
[Complications caused by anonymous preclinical medication].
    Arzneimittel-Forschung, 1970, Volume: 20, Issue:7

    Topics: Amitriptyline; Antidepressive Agents; Barbiturates; Bromides; Cannabis; Chlordiazepoxide; Delirium;

1970
[Clinical trial of damilen (amitriptylene)].
    Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova (Moscow, Russia : 1952), 1967, Volume: 67, Issue:1

    Topics: Adolescent; Adult; Aged; Amitriptyline; Delirium; Depression; Female; Humans; Male; Middle Aged; Uri

1967
[Delirious syndrome in connection with treatment and overdosis (SMV) amitriptyline].
    Wiener klinische Wochenschrift, 1968, Oct-11, Volume: 80, Issue:41

    Topics: Adult; Age Factors; Aged; Alcoholism; Amitriptyline; Central Nervous System Diseases; Delirium; Fema

1968