Page last updated: 2024-10-22

amitriptyline and Dyspepsia

amitriptyline has been researched along with Dyspepsia in 22 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.

Dyspepsia: Impaired digestion, especially after eating.

Research Excerpts

ExcerptRelevanceReference
"To observe the therapeutic effect of low-dose amitriptyline (AMT) on epigastric pain syndrome (EPS) in patients with functional dyspepsia."9.41Effects of Low-Dose Amitriptyline on Epigastric Pain Syndrome in Functional Dyspepsia Patients. ( Jia, L; Jiang, SM; Liu, J; Liu, Y; Xu, J; Zhou, WC, 2021)
"Patients meeting the Rome III criteria for functional dyspepsia (FD) were invited to participate in a double blind, randomised, placebo-controlled trial and were treated with either amitriptyline (12."9.15Randomised clinical trial: the effects of amitriptyline on drinking capacity and symptoms in patients with functional dyspepsia, a double-blind placebo-controlled study. ( Boeckxstaens, GE; Braak, B; Klooker, TK; Lei, A; van den Wijngaard, RM; Wouters, MM, 2011)
"To observe the therapeutic effect of low-dose amitriptyline (AMT) on epigastric pain syndrome (EPS) in patients with functional dyspepsia."5.41Effects of Low-Dose Amitriptyline on Epigastric Pain Syndrome in Functional Dyspepsia Patients. ( Jia, L; Jiang, SM; Liu, J; Liu, Y; Xu, J; Zhou, WC, 2021)
"The Functional Dyspepsia Treatment Trial reported that amitriptyline (AMI) was associated with adequate relief of functional dyspepsia (FD) symptoms, but the pharmacogenetics of antidepressant response in FD are not known."5.24Polymorphisms of 5-HTT LPR and GNβ3 825C>T and Response to Antidepressant Treatment in Functional Dyspepsia: A Study from The Functional Dyspepsia Treatment Trial. ( Abraham, BP; Almazar, AE; Bouras, EP; Camilleri, M; DiBaise, JK; El-Serag, HB; Hamilton, FA; Herrick, LM; Howden, CW; Lacy, BE; Locke, GR; Moayyedi, P; Prather, CM; Saito, YA; Schleck, CD; Szarka, LA; Talley, NJ; Tilkes, KE; Zinsmeister, AR, 2017)
"Combined treatment of DG and EA could increase both plasma motilin and electrogastrographic frequencies, promote gastric emptying, alleviate the symptom of dyspepsia so as to increase quality of life, with better safety and long-term effect."5.20Dalitong granule combined with electroacupuncture in the treatment of functional dyspepsia: A randomized controlled trial. ( Guo, LK; Zhang, CX, 2015)
"The Functional Dyspepsia Treatment Trial (FDTT) aims to test whether treatment with an antidepressant (amitriptyline or escitalopram) leads to improvement of symptoms in patients with moderate to severe FD."5.16Functional Dyspepsia Treatment Trial (FDTT): a double-blind, randomized, placebo-controlled trial of antidepressants in functional dyspepsia, evaluating symptoms, psychopathology, pathophysiology and pharmacogenetics. ( Abraham, BP; Bouras, EP; Brenner, DM; DiBaise, JK; El-Serag, HB; Herrick, LM; Howden, CW; Lacy, BE; Locke, GR; Moayyedi, P; Prather, CM; Silvernail, VM; Talley, NJ; Zinsmeister, AR, 2012)
"Patients meeting the Rome III criteria for functional dyspepsia (FD) were invited to participate in a double blind, randomised, placebo-controlled trial and were treated with either amitriptyline (12."5.15Randomised clinical trial: the effects of amitriptyline on drinking capacity and symptoms in patients with functional dyspepsia, a double-blind placebo-controlled study. ( Boeckxstaens, GE; Braak, B; Klooker, TK; Lei, A; van den Wijngaard, RM; Wouters, MM, 2011)
"In this multicenter placebo-controlled trial, children with irritable bowel syndrome, functional abdominal pain, or functional dyspepsia were randomized to 4 weeks of placebo or amitriptyline (10 mg/d, weight <35 kg; 20 mg/d, weight >35 kg)."5.14Multicenter, randomized, placebo-controlled trial of amitriptyline in children with functional gastrointestinal disorders. ( Cocjin, J; Di Lorenzo, C; Hyman, P; Miranda, A; Nurko, S; Saps, M; Youssef, N, 2009)

Research

Studies (22)

TimeframeStudies, this research(%)All Research%
pre-19901 (4.55)18.7374
1990's1 (4.55)18.2507
2000's3 (13.64)29.6817
2010's16 (72.73)24.3611
2020's1 (4.55)2.80

Authors

AuthorsStudies
Liu, J1
Jia, L1
Jiang, SM1
Zhou, WC1
Liu, Y1
Xu, J1
Caviglia, GP1
Sguazzini, C1
Cisarò, F1
Ribaldone, DG1
Rosso, C1
Fagoonee, S1
Smedile, A1
Saracco, GM1
Astegiano, M1
Pellicano, R1
Cooper, TE1
Heathcote, LC1
Clinch, J1
Gold, JI1
Howard, R1
Lord, SM1
Schechter, N1
Wood, C1
Wiffen, PJ1
Herrick, LM5
Camilleri, M4
Schleck, CD3
Zinsmeister, AR5
Saito, YA4
Talley, NJ7
Lacy, BE4
Bouras, E1
DiBaise, JK4
Szarka, LA3
Tilkes, K1
Ding, Z1
Xu, X1
Ke, M1
Locke, GR4
Almazar, AE2
Bouras, EP3
Howden, CW3
Prather, CM3
Abraham, BP3
El-Serag, HB3
Moayyedi, P3
Hamilton, FA2
Tilkes, KE2
Hasler, WL1
Koch, KL1
Zhang, CX1
Guo, LK1
Naumann, J1
Saito, Y1
Zinsmeister, A1
Jo, Y1
Saps, M1
Youssef, N1
Miranda, A1
Nurko, S1
Hyman, P1
Cocjin, J1
Di Lorenzo, C1
Benninga, MA1
Mayer, EA2
Herrick, L1
Braak, B1
Klooker, TK1
Wouters, MM1
Lei, A1
van den Wijngaard, RM1
Boeckxstaens, GE1
Teitelbaum, JE1
Arora, R1
Silvernail, VM1
Brenner, DM1
Otaka, M1
Jin, M1
Odashima, M1
Matsuhashi, T1
Wada, I1
Horikawa, Y1
Komatsu, K1
Ohba, R1
Oyake, J1
Hatakeyama, N1
Watanabe, S1
Mertz, H1
Fass, R1
Kodner, A1
Yan-Go, F1
Fullerton, S1
Vrazda, L1
Langos, J1
Blazícek, P1
Vencel, P1
Pekár, S1

Clinical Trials (5)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Antidepressant Therapy for Functional Dyspepsia[NCT00248651]Phase 2/Phase 3292 participants (Actual)Interventional2006-10-31Completed
A Prospective, Randomized, Investigator Blinded, Controlled Trial to Evaluate the Effectiveness of Dietary Modification in Patients With Functional Dyspepsia[NCT02863822]0 participants (Actual)Interventional2016-09-30Withdrawn (stopped due to no patients enrolled)
Efficacy of Combination Therapy vs Placebo for Pediatric Functional Abdominal Pain[NCT01269671]Phase 10 participants (Actual)Interventional2011-01-31Withdrawn (stopped due to PI has left institution)
Effect and Mechanism of Acupuncture on Patients With Functional Dyspepsia: a Protocol for a Randomized, Assessor-blind, Sham-controlled Trial[NCT02358486]70 participants (Anticipated)Interventional2015-01-31Recruiting
Effect of Nortriptyline on Abdominal Pain/Discomfort and Quality of Life in Patients With Nonulcer Dyspepsia[NCT00547703]5 participants (Actual)Interventional2008-02-29Terminated (stopped due to Not enough participants - only 5 since the study started)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Gastric Emptying Half-Time (T1/2)

The time for half of the ingested solids or liquids to leave the stomach. (NCT00248651)
Timeframe: 12 weeks

Interventionminutes (Mean)
Amitriptyline117
Escitalopram108
Placebo115

Maximum Tolerated Volume by Nutrient Drink Test

The nutrient drink test for meal-induced satiety had subjects drink 120 ml of ENSURE every four minutes. Satiety scores were measured on a scale graded 0-5 (1, no symptoms; 5, maximum satiety). When a score of 5 was reached, the maximum tolerated volume intake was measured. Abnormal satiety was defined as inability to consume > 800 ml of Ensure. (NCT00248651)
Timeframe: 12 weeks

Interventionml (Mean)
Amitriptyline764
Escitalopram823
Placebo839

Self-Report of Adequate Relief of Dyspepsia (Yes/No) For at Least 50% of Weeks 3 -12 of Treatment

The first two weeks of treatment were excluded to allow for establishment of steady state drug levels. (NCT00248651)
Timeframe: 3 weeks through 12 weeks

Interventionpercentage of participants (Number)
Amitriptyline53
Escitalopram38
Placebo40

Dyspepsia-Specific Quality of Life

The Nepean Dyspepsia Index (NDI) assessed quality of life. NDI scores are summarized into overall quality of life and 5 subscales: Interference, Knowledge/Control, Eating/Drinking, Sleep Disturbance, Work/Study. The scale consists of 25 items, yielding 5 sub-scales. Range 0-100, higher numbers indicate a greater quality of life. (NCT00248651)
Timeframe: 12 Weeks

,,
Interventionunits on a scale (Mean)
Overall Quality of LifeInterference SubscaleKnowledge/Control SubscaleEat/Drink SubscaleSleep Disturbance SubscaleWork/Study Subscale
Amitriptyline80.683.278.272.486.386.9
Escitalopram82.882.876.270.680.887.2
Placebo73.576.272.964.876.479.7

Question on Whether Patient Has Had Adequate Relief of Abdominal Pain or Discomfort Reported by a Simple Yes or no Answer.

Patient would answer yes or no to a simple question asking whether they had adequate relief of abdominal pain or discomfort. This was measured at weeks 2,4 and 8 of the study but only week 8 was reported. What is being reported is the number of participants who answered yes. (NCT00547703)
Timeframe: 8 weeks

Interventionparticipants (Number)
Nortriptyline2
Placebo1

Reviews

1 review available for amitriptyline and Dyspepsia

ArticleYear
Antidepressants for chronic non-cancer pain in children and adolescents.
    The Cochrane database of systematic reviews, 2017, 08-05, Volume: 8

    Topics: Abdominal Pain; Adolescent; Amines; Amitriptyline; Analgesics; Antidepressive Agents; Child; Chronic

2017

Trials

12 trials available for amitriptyline and Dyspepsia

ArticleYear
Effects of Low-Dose Amitriptyline on Epigastric Pain Syndrome in Functional Dyspepsia Patients.
    Digestive diseases and sciences, 2021, Volume: 66, Issue:2

    Topics: Abdominal Pain; Adult; Amitriptyline; Analgesics, Non-Narcotic; Dose-Response Relationship, Drug; Dy

2021
Effects of Amitriptyline and Escitalopram on Sleep and Mood in Patients With Functional Dyspepsia.
    Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association, 2018, Volume: 16, Issue:3

    Topics: Adult; Affect; Amitriptyline; Antidepressive Agents; Citalopram; Dyspepsia; Female; Humans; Male; Ne

2018
Effects of Antidepressants on Gastric Function in Patients with Functional Dyspepsia.
    The American journal of gastroenterology, 2018, Volume: 113, Issue:2

    Topics: Adult; Amitriptyline; Antidepressive Agents; Citalopram; Dyspepsia; Female; Gastric Emptying; Gastro

2018
Effect of Amitriptyline and Escitalopram on Functional Dyspepsia: A Multicenter, Randomized Controlled Study.
    Gastroenterology, 2015, Volume: 149, Issue:2

    Topics: Adult; Amitriptyline; Antidepressive Agents, Tricyclic; Citalopram; Double-Blind Method; Drinking; D

2015
Effect of Amitriptyline and Escitalopram on Functional Dyspepsia: A Multicenter, Randomized Controlled Study.
    Gastroenterology, 2015, Volume: 149, Issue:2

    Topics: Adult; Amitriptyline; Antidepressive Agents, Tricyclic; Citalopram; Double-Blind Method; Drinking; D

2015
Effect of Amitriptyline and Escitalopram on Functional Dyspepsia: A Multicenter, Randomized Controlled Study.
    Gastroenterology, 2015, Volume: 149, Issue:2

    Topics: Adult; Amitriptyline; Antidepressive Agents, Tricyclic; Citalopram; Double-Blind Method; Drinking; D

2015
Effect of Amitriptyline and Escitalopram on Functional Dyspepsia: A Multicenter, Randomized Controlled Study.
    Gastroenterology, 2015, Volume: 149, Issue:2

    Topics: Adult; Amitriptyline; Antidepressive Agents, Tricyclic; Citalopram; Double-Blind Method; Drinking; D

2015
Dalitong granule combined with electroacupuncture in the treatment of functional dyspepsia: A randomized controlled trial.
    Chinese journal of integrative medicine, 2015, Volume: 21, Issue:10

    Topics: Adult; Amitriptyline; Benzamides; Combined Modality Therapy; Drugs, Chinese Herbal; Dyspepsia; Elect

2015
Polymorphisms of 5-HTT LPR and GNβ3 825C>T and Response to Antidepressant Treatment in Functional Dyspepsia: A Study from The Functional Dyspepsia Treatment Trial.
    The American journal of gastroenterology, 2017, Volume: 112, Issue:6

    Topics: Adult; Amitriptyline; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricyclic; Bi

2017
Multicenter, randomized, placebo-controlled trial of amitriptyline in children with functional gastrointestinal disorders.
    Gastroenterology, 2009, Volume: 137, Issue:4

    Topics: Abdominal Pain; Activities of Daily Living; Adolescent; Amitriptyline; Analgesics, Non-Narcotic; Anx

2009
Randomised clinical trial: the effects of amitriptyline on drinking capacity and symptoms in patients with functional dyspepsia, a double-blind placebo-controlled study.
    Alimentary pharmacology & therapeutics, 2011, Volume: 34, Issue:6

    Topics: Adolescent; Adrenergic Uptake Inhibitors; Adult; Aged; Amitriptyline; Double-Blind Method; Drinking;

2011
Functional Dyspepsia Treatment Trial (FDTT): a double-blind, randomized, placebo-controlled trial of antidepressants in functional dyspepsia, evaluating symptoms, psychopathology, pathophysiology and pharmacogenetics.
    Contemporary clinical trials, 2012, Volume: 33, Issue:3

    Topics: Amitriptyline; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricyclic; Citalopra

2012
Functional Dyspepsia Treatment Trial (FDTT): a double-blind, randomized, placebo-controlled trial of antidepressants in functional dyspepsia, evaluating symptoms, psychopathology, pathophysiology and pharmacogenetics.
    Contemporary clinical trials, 2012, Volume: 33, Issue:3

    Topics: Amitriptyline; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricyclic; Citalopra

2012
Functional Dyspepsia Treatment Trial (FDTT): a double-blind, randomized, placebo-controlled trial of antidepressants in functional dyspepsia, evaluating symptoms, psychopathology, pathophysiology and pharmacogenetics.
    Contemporary clinical trials, 2012, Volume: 33, Issue:3

    Topics: Amitriptyline; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricyclic; Citalopra

2012
Functional Dyspepsia Treatment Trial (FDTT): a double-blind, randomized, placebo-controlled trial of antidepressants in functional dyspepsia, evaluating symptoms, psychopathology, pathophysiology and pharmacogenetics.
    Contemporary clinical trials, 2012, Volume: 33, Issue:3

    Topics: Amitriptyline; Antidepressive Agents, Second-Generation; Antidepressive Agents, Tricyclic; Citalopra

2012
New strategy of therapy for functional dyspepsia using famotidine, mosapride and amitriptyline.
    Alimentary pharmacology & therapeutics, 2005, Volume: 21 Suppl 2

    Topics: Aged; Amitriptyline; Antidepressive Agents, Tricyclic; Benzamides; Drug Therapy, Combination; Dyspep

2005
Effect of amitriptyline on symptoms, sleep, and visceral perception in patients with functional dyspepsia.
    The American journal of gastroenterology, 1998, Volume: 93, Issue:2

    Topics: Adult; Aged; Amitriptyline; Antidepressive Agents, Tricyclic; Dilatation; Double-Blind Method; Dyspe

1998
Comparison of a combination nortriptyline-amitriptyline and placebo on gastrointestinal diseases in a controlled clinical study.
    Activitas nervosa superior, 1973, Volume: 15, Issue:2

    Topics: Adolescent; Adult; Amitriptyline; Clinical Trials as Topic; Drug Therapy, Combination; Dyspepsia; Hu

1973

Other Studies

9 other studies available for amitriptyline and Dyspepsia

ArticleYear
Gastric emptying and related symptoms in patients treated with buspirone, amitriptyline or clebopride: a "real world" study by 13C-octanoic Acid Breath Test.
    Minerva medica, 2017, Volume: 108, Issue:6

    Topics: Adult; Amitriptyline; Benzamides; Breath Tests; Buspirone; Caprylates; Domperidone; Drug Evaluation;

2017
[Current status and recommendations for pediatric clinical trials in functional gastrointestinal disorders].
    Zhonghua er ke za zhi = Chinese journal of pediatrics, 2014, Volume: 52, Issue:8

    Topics: Amitriptyline; Child; Constipation; Dyspepsia; Gastrointestinal Agents; Gastrointestinal Diseases; H

2014
Amitriptyline for Functional Dyspepsia: Importance of Symptom Profile and Making a Case for Gastric Emptying Testing.
    Gastroenterology, 2015, Volume: 149, Issue:2

    Topics: Amitriptyline; Antidepressive Agents, Tricyclic; Citalopram; Dyspepsia; Female; Humans; Male; Qualit

2015
Effect of Amitriptyline and Escitalopram on Functional Dyspepsia.
    Gastroenterology, 2016, Volume: 150, Issue:2

    Topics: Amitriptyline; Antidepressive Agents, Tricyclic; Citalopram; Dyspepsia; Female; Humans; Male; Qualit

2016
Reply.
    Gastroenterology, 2016, Volume: 150, Issue:2

    Topics: Amitriptyline; Antidepressive Agents, Tricyclic; Citalopram; Dyspepsia; Female; Humans; Male; Qualit

2016
[Effect of Amitriptyline in Patients with Functional Dyspepsia].
    The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi, 2015, Volume: 66, Issue:4

    Topics: Amitriptyline; Antidepressive Agents, Tricyclic; Citalopram; Dyspepsia; Female; Humans; Male; Qualit

2015
The power of placebo in pediatric functional gastrointestinal disease.
    Gastroenterology, 2009, Volume: 137, Issue:4

    Topics: Abdominal Pain; Adolescent; Amitriptyline; Analgesics, Non-Narcotic; Child; Dyspepsia; Gastrointesti

2009
Antidepressants in functional dyspepsia.
    Expert review of gastroenterology & hepatology, 2010, Volume: 4, Issue:1

    Topics: Amitriptyline; Antidepressive Agents; Antidepressive Agents, Tricyclic; Citalopram; Dyspepsia; Human

2010
Long-term efficacy of low-dose tricyclic antidepressants for children with functional gastrointestinal disorders.
    Journal of pediatric gastroenterology and nutrition, 2011, Volume: 53, Issue:3

    Topics: Abdominal Pain; Adolescent; Amitriptyline; Antidepressive Agents, Tricyclic; Child; Child, Preschool

2011