Page last updated: 2024-10-22

amitriptyline and Shingles

amitriptyline has been researched along with Shingles in 39 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.

Research Excerpts

ExcerptRelevanceReference
"Seventy-two patients older than 60 years of age who received a diagnosis of herpes zoster (HZ) were entered into a randomized, double-blind, placebo-controlled trial of daily amitriptyline 25 mg."9.08The effects of pre-emptive treatment of postherpetic neuralgia with amitriptyline: a randomized, double-blind, placebo-controlled trial. ( Bowsher, D, 1997)
"OBJECTIVE (BACKGROUND): Amitriptyline (AT) is a standard therapy for postherpetic neuralgia (PHN)."9.08Nortriptyline versus amitriptyline in postherpetic neuralgia: a randomized trial. ( Chipman, M; Reed, K; Vernich, L; Watson, CP, 1998)
"Amitriptyline (AT) relieves some patients with postherpetic neuralgia (PHN)."9.07Amitriptyline versus maprotiline in postherpetic neuralgia: a randomized, double-blind, crossover trial. ( Birkett, N; Chipman, M; Evans, RJ; Reed, K; Watson, PNC, 1992)
"In a double-blind, randomized, crossover study, 58 patients with postherpetic neuralgia received 6-week courses of amitriptyline, 12."9.06Amitriptyline, but not lorazepam, relieves postherpetic neuralgia. ( Culnane, M; Dubner, R; Gracely, RH; Max, MB; Schafer, SC; Smoller, B, 1988)
"This retrospective study was designed to assess the effects of acyclovir treatment of acute herpes zoster on subsequent postherpetic neuralgia, and to examine the effects of amitriptyline in the treatment of postherpetic neuralgia."7.68Acute herpes zoster and postherpetic neuralgia: effects of acyclovir and outcome of treatment with amitriptyline. ( Bowsher, D, 1992)
"A fixed-ratio combination of amitriptyline and perphenazine was successful in treating 8 of 9 patients suffering from post-herpetic neuralgia."7.66Treatment of post-herpetic neuralgia and acute herpetic pain with amitriptyline and perphenazine. ( Sriwatanakul, K; Weintraub, M; Weis, O, 1982)
"Amitriptyline is a tricyclic antidepressant agent which also has analgesic properties."6.39Amitriptyline. A review of its pharmacological properties and therapeutic use in chronic pain states. ( Bryson, HM; Wilde, MI, 1996)
"(1) Postherpetic pain is infrequent, but the incidence increases with age."5.31Gabapentin: new indication. In postherpetic neuralgia when amitriptyline fails. ( , 2002)
"Seventy-two patients older than 60 years of age who received a diagnosis of herpes zoster (HZ) were entered into a randomized, double-blind, placebo-controlled trial of daily amitriptyline 25 mg."5.08The effects of pre-emptive treatment of postherpetic neuralgia with amitriptyline: a randomized, double-blind, placebo-controlled trial. ( Bowsher, D, 1997)
"OBJECTIVE (BACKGROUND): Amitriptyline (AT) is a standard therapy for postherpetic neuralgia (PHN)."5.08Nortriptyline versus amitriptyline in postherpetic neuralgia: a randomized trial. ( Chipman, M; Reed, K; Vernich, L; Watson, CP, 1998)
"Amitriptyline (AT) relieves some patients with postherpetic neuralgia (PHN)."5.07Amitriptyline versus maprotiline in postherpetic neuralgia: a randomized, double-blind, crossover trial. ( Birkett, N; Chipman, M; Evans, RJ; Reed, K; Watson, PNC, 1992)
"In a double-blind, randomized, crossover study, 58 patients with postherpetic neuralgia received 6-week courses of amitriptyline, 12."5.06Amitriptyline, but not lorazepam, relieves postherpetic neuralgia. ( Culnane, M; Dubner, R; Gracely, RH; Max, MB; Schafer, SC; Smoller, B, 1988)
" 2 weeks prior to his symptoms, he had developed right-sided cervical herpes zoster for which he was prescribed oral acyclovir by his general practitioner."3.85A rash and a rare cause of unilateral diaphragmatic paralysis. ( Ashkir, ZM; Tsaknis, G, 2017)
"We conducted a single-center, retrospective observational study, and evaluated 87 patients (65 amitriptyline, 22 nortriptyline) who underwent 12-lead electrocardiogram (ECG) examinations both before and after receiving TCAs for herpes zoster pain or postherpetic neuralgia from May 2007 to January 2012."3.80Use of tricyclic antidepressants as analgesic adjuvants results in nonhazardous prolongation of the QTc interval. ( Funai, Y; Funao, T; Hase, I; Ikenaga, K; Nishikawa, K; Takahashi, R, 2014)
" She was diagnosed with motor radiculopathy following herpes zoster infection that was effectively managed by physiotherapy and amitriptyline."3.78Motor radiculopathy. ( Camilleri, J; Khan, A, 2012)
"This retrospective study was designed to assess the effects of acyclovir treatment of acute herpes zoster on subsequent postherpetic neuralgia, and to examine the effects of amitriptyline in the treatment of postherpetic neuralgia."3.68Acute herpes zoster and postherpetic neuralgia: effects of acyclovir and outcome of treatment with amitriptyline. ( Bowsher, D, 1992)
"A fixed-ratio combination of amitriptyline and perphenazine was successful in treating 8 of 9 patients suffering from post-herpetic neuralgia."3.66Treatment of post-herpetic neuralgia and acute herpetic pain with amitriptyline and perphenazine. ( Sriwatanakul, K; Weintraub, M; Weis, O, 1982)
"The most common risk factor for shingles and its potential sequela, PHN, is advanced age."2.42Post-herpetic neuralgia case study: optimizing pain control. ( Baron, R, 2004)
"Our goal was to determine if any treatment of acute herpes zoster alters the incidence or duration of postherpetic neuralgia (PHN), a common sequela in elderly patients."2.41Does treatment of acute herpes zoster prevent or shorten postherpetic neuralgia? ( Alper, BS; Lewis, PR, 2000)
"Postherpetic neuralgia is defined as pain persisting, or recurring, at the site of shingles at least three months after the onset of the acute rash."2.40The management of postherpetic neuralgia. ( Bowsher, D, 1997)
"However, patients with PHN whose acute shingles were treated with aciclovir obtain pain relief with antidepressants in half the time required by those patients who did not receive aciclovir for their acute shingles."2.39Post-herpetic neuralgia in older patients. Incidence and optimal treatment. ( Bowsher, D, 1994)
"Amitriptyline is a tricyclic antidepressant agent which also has analgesic properties."2.39Amitriptyline. A review of its pharmacological properties and therapeutic use in chronic pain states. ( Bryson, HM; Wilde, MI, 1996)
"The acute course of herpes zoster is generally benign, but systemic complications may be fatal."2.38Treatment of herpes zoster and postherpetic neuralgia. ( Carmichael, JK, 1991)
" Nine adverse drug reactions, mostly mild, nonserious, and nonpreventable, were reported."1.48An Evaluation of Efficacy and Safety of Commonly Prescribed Drugs and Effect of These Drugs on Quality of Sleep in Patients Suffering From Zoster-Associated Pain. ( Desai, CK; Desai, MK; Kapadia, JD; Nayak, MK; Shah, BJ, 2018)
"A 62-year-old-man treated for nephrotic syndrome with steroid developed acute pain of herpes zoster after immobility of the shoulder."1.38[Case of acute pain of herpes zoster with preceding immobility of the shoulder]. ( Takekawa, K, 2012)
"(1) Postherpetic pain is infrequent, but the incidence increases with age."1.31Gabapentin: new indication. In postherpetic neuralgia when amitriptyline fails. ( , 2002)

Research

Studies (39)

TimeframeStudies, this research(%)All Research%
pre-19908 (20.51)18.7374
1990's16 (41.03)18.2507
2000's9 (23.08)29.6817
2010's6 (15.38)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Nayak, MK1
Kapadia, JD1
Desai, CK1
Desai, MK1
Shah, BJ1
Funai, Y1
Funao, T1
Ikenaga, K1
Takahashi, R1
Hase, I1
Nishikawa, K1
Griffin, JR1
Davis, MD1
Ashkir, ZM1
Tsaknis, G1
Takekawa, K1
Khan, A1
Camilleri, J1
Lancaster, T2
Wareham, D3
Yaphe, J2
Herr, H1
Baron, R1
Weis, O1
Sriwatanakul, K1
Weintraub, M1
Bowsher, D4
Rudra, A1
Mitra, A1
Pan, AK1
Roy, M1
Hassan, I1
Donohue, JH1
Bryson, HM1
Wilde, MI1
Chasuk, R1
Scholz, MJ1
Watson, CP1
Vernich, L1
Chipman, M2
Reed, K2
Marples, IL1
Murray, P1
Alper, BS1
Lewis, PR1
Graff-Radford, SB1
Shaw, LR1
Naliboff, BN1
Marshall, T1
Raftery, H1
Herxheimer, A1
Avery, AJ1
Reeves, J1
Gonzales, GR1
Carmichael, JK1
Watson, PNC1
Evans, RJ2
Birkett, N1
Bianchetti, L1
Watson, CPN1
Max, MB1
Schafer, SC1
Culnane, M1
Smoller, B1
Dubner, R1
Gracely, RH1
Milligan, NS1
Nash, TP1
Woodforde, JM1
Dwyer, B1
McEwen, BW1
De Wilde, FW1
Bleasel, K1
Connelley, TJ1
Ho, CY1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Antipruritic Effect of Topical Ketamine, Amitriptyline, and Lidocaine[NCT03096444]Phase 213 participants (Actual)Interventional2017-05-23Terminated (stopped due to Efficacy was not seen after interim analysis)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Peak Itch Intensity Between the Vehicle and Active Treatments (Individual and KeAmLi-combo).

"Peak itch intensity between the vehicle and 4 other active treatments (individual ketamine, amitriptyline, or lidocaine, and KeAmLi-combo). Itch intensity was measured on a 100mm scale visual analog scale for 10 minutes. 0 was weighted with no itch and 100 was weighted with most itch imaginable." (NCT03096444)
Timeframe: 10 minutes

InterventionIntensity score (Mean)
Topical KeAmLi Combo62.7
Topical Ketamine63.1
Topical Amitriptyline69.2
Topical Lidocaine65.8
Topical Vehicle61.9

Mechanical Thresholds (Mechanical Detection and Pain).

Assess mechanical detection and pain thresholds using von Frey filaments stimulators (measured in force mN) to calculate the final threshold as the geometric mean of five series of ascending and descending stimuli. (NCT03096444)
Timeframe: 5 minutes

,,,,
InterventionmN (Mean)
Mechanical Detection ThresholdMechanical Pain Threshold
Topical Amitriptyline3.573423965152.4768146
Topical KeAmLi Combo3.519376956152.3293608
Topical Ketamine3.464204768135.9
Topical Lidocaine3.546037659126.9
Topical Vehicle3.525692637148.7138273

Thermal Threshold Detection (Warmth and Heat Pain)

Two standardized quantitative sensory tests are performed to measure warmth detection threshold (assesses the threshold of which warmth sensation is first detected) and heat pain threshold (assesses the threshold at which heat pain sensation is first detected). Measured in change in celsius. (NCT03096444)
Timeframe: 3 minutes

,,,,
InterventionDegrees celsius (Mean)
Warm Detection ThresholdHeat Pain Threshold
Topical Amitriptyline33.940.0
Topical KeAmLi Combo33.639.8
Topical Ketamine34.040.0
Topical Lidocaine33.739.4
Topical Vehicle33.839.7

Reviews

10 reviews available for amitriptyline and Shingles

ArticleYear
Postherpetic neuralgia.
    Clinical evidence, 2002, Issue:7

    Topics: Amitriptyline; Analgesics; Antiviral Agents; Herpes Zoster; Humans; Neuralgia; Randomized Controlled

2002
Post-herpetic neuralgia case study: optimizing pain control.
    European journal of neurology, 2004, Volume: 11 Suppl 1

    Topics: Acetates; Aged; Amines; Amitriptyline; Analgesics; Antidepressive Agents, Tricyclic; Cyclohexanecarb

2004
Postherpetic neuralgia.
    Clinical evidence, 2003, Issue:9

    Topics: Acyclovir; Adrenal Cortex Hormones; Amitriptyline; Antidepressive Agents, Tricyclic; Antiviral Agent

2003
Postherpetic neuralgia.
    Clinical evidence, 2003, Issue:10

    Topics: 2-Aminopurine; Acyclovir; Adrenal Cortex Hormones; Adult; Amines; Amitriptyline; Analgesics, Non-Nar

2003
Post-herpetic neuralgia in older patients. Incidence and optimal treatment.
    Drugs & aging, 1994, Volume: 5, Issue:6

    Topics: Adult; Aged; Amitriptyline; Antidepressive Agents, Tricyclic; Herpes Zoster; Humans; Incidence; Midd

1994
Postherpetic neuralgia and its managements.
    Journal of the Indian Medical Association, 1993, Volume: 91, Issue:2

    Topics: Amitriptyline; Analgesics; Desipramine; Herpes Zoster; Humans; India; Neuralgia

1993
Amitriptyline. A review of its pharmacological properties and therapeutic use in chronic pain states.
    Drugs & aging, 1996, Volume: 8, Issue:6

    Topics: Aged; Amitriptyline; Analgesics, Non-Narcotic; Animals; Antidepressive Agents, Tricyclic; Chronic Di

1996
The management of postherpetic neuralgia.
    Postgraduate medical journal, 1997, Volume: 73, Issue:864

    Topics: Acyclovir; Amitriptyline; Analgesics; Antidepressive Agents; Antiviral Agents; Herpes Zoster; Humans

1997
Does treatment of acute herpes zoster prevent or shorten postherpetic neuralgia?
    The Journal of family practice, 2000, Volume: 49, Issue:3

    Topics: Acute Disease; Acyclovir; Aged; Amitriptyline; Analgesics, Non-Narcotic; Antiviral Agents; Drug Ther

2000
Treatment of herpes zoster and postherpetic neuralgia.
    American family physician, 1991, Volume: 44, Issue:1

    Topics: Acupuncture Therapy; Acyclovir; Amitriptyline; Anesthetics, Local; Anticonvulsants; Antipsychotic Ag

1991

Trials

6 trials available for amitriptyline and Shingles

ArticleYear
The effects of pre-emptive treatment of postherpetic neuralgia with amitriptyline: a randomized, double-blind, placebo-controlled trial.
    Journal of pain and symptom management, 1997, Volume: 13, Issue:6

    Topics: Adrenergic Uptake Inhibitors; Aged; Aged, 80 and over; Amitriptyline; Chi-Square Distribution; Dose-

1997
Nortriptyline versus amitriptyline in postherpetic neuralgia: a randomized trial.
    Neurology, 1998, Volume: 51, Issue:4

    Topics: Aged; Amitriptyline; Analgesics, Opioid; Antidepressive Agents, Tricyclic; Cross-Over Studies; Depre

1998
Amitriptyline and fluphenazine in the treatment of postherpetic neuralgia.
    The Clinical journal of pain, 2000, Volume: 16, Issue:3

    Topics: Aged; Amitriptyline; Antidepressive Agents, Tricyclic; Antipsychotic Agents; Anxiety; Dose-Response

2000
Amitriptyline versus maprotiline in postherpetic neuralgia: a randomized, double-blind, crossover trial.
    Pain, 1992, Volume: 48, Issue:1

    Topics: Aged; Aged, 80 and over; Amitriptyline; Double-Blind Method; Female; Herpes Zoster; Humans; Male; Ma

1992
A comparative trial of amitriptyline and zimelidine in post-herpetic neuralgia.
    Pain, 1985, Volume: 23, Issue:4

    Topics: Adult; Aged; Amitriptyline; Clinical Trials as Topic; Drug Therapy, Combination; Female; Herpes Zost

1985
Amitriptyline, but not lorazepam, relieves postherpetic neuralgia.
    Neurology, 1988, Volume: 38, Issue:9

    Topics: Adult; Aged; Amitriptyline; Double-Blind Method; Female; Herpes Zoster; Humans; Lorazepam; Male; Mid

1988

Other Studies

23 other studies available for amitriptyline and Shingles

ArticleYear
An Evaluation of Efficacy and Safety of Commonly Prescribed Drugs and Effect of These Drugs on Quality of Sleep in Patients Suffering From Zoster-Associated Pain.
    Journal of clinical pharmacology, 2018, Volume: 58, Issue:11

    Topics: Adolescent; Adult; Aged; Aged, 80 and over; Amitriptyline; Anti-Inflammatory Agents, Non-Steroidal;

2018
Use of tricyclic antidepressants as analgesic adjuvants results in nonhazardous prolongation of the QTc interval.
    Osaka city medical journal, 2014, Volume: 60, Issue:1

    Topics: Aged; Aged, 80 and over; Amitriptyline; Analgesics; Antidepressive Agents, Tricyclic; Electrocardiog

2014
Amitriptyline/Ketamine as therapy for neuropathic pruritus and pain secondary to herpes zoster.
    Journal of drugs in dermatology : JDD, 2015, Volume: 14, Issue:2

    Topics: Administration, Cutaneous; Amitriptyline; Analgesics; Drug Combinations; Gels; Herpes Zoster; Humans

2015
A rash and a rare cause of unilateral diaphragmatic paralysis.
    BMJ case reports, 2017, Mar-01, Volume: 2017

    Topics: Acyclovir; Amitriptyline; Diaphragm; Exanthema; Herpes Zoster; Humans; Male; Middle Aged; Neuralgia;

2017
[Case of acute pain of herpes zoster with preceding immobility of the shoulder].
    Masui. The Japanese journal of anesthesiology, 2012, Volume: 61, Issue:7

    Topics: Acute Pain; Amitriptyline; Anticonvulsants; Antidepressive Agents; Autonomic Nerve Block; Herpes Zos

2012
Motor radiculopathy.
    BMJ case reports, 2012, Aug-13, Volume: 2012

    Topics: Amitriptyline; Analgesics, Non-Narcotic; Female; Gait Disorders, Neurologic; Herpes Zoster; Humans;

2012
Gabapentin: new indication. In postherpetic neuralgia when amitriptyline fails.
    Prescrire international, 2002, Volume: 11, Issue:60

    Topics: Acetates; Amitriptyline; Anticonvulsants; Desipramine; Drug Approval; France; Herpes Zoster; Humans;

2002
Prognostic factors of postherpetic neuralgia.
    Journal of Korean medical science, 2002, Volume: 17, Issue:5

    Topics: Acyclovir; Adolescent; Adult; Aged; Amitriptyline; Anti-Inflammatory Agents, Non-Steroidal; Antidepr

2002
Treatment of post-herpetic neuralgia and acute herpetic pain with amitriptyline and perphenazine.
    South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde, 1982, Aug-21, Volume: 62, Issue:9

    Topics: Adult; Aged; Amitriptyline; Drug Combinations; Female; Herpes Zoster; Humans; Male; Middle Aged; Neu

1982
Herpes zoster mistaken for biliary colic and treated by laparoscopic cholecystectomy: a cautionary case report.
    Surgical endoscopy, 1996, Volume: 10, Issue:8

    Topics: Aged; Amitriptyline; Analgesics; Anti-Inflammatory Agents; Antiviral Agents; Cholecystectomy, Laparo

1996
Treatments for postherpetic neuralgia.
    The Journal of family practice, 1997, Volume: 45, Issue:3

    Topics: Amitriptyline; Antidepressive Agents, Tricyclic; Capsaicin; Desipramine; Herpes Zoster; Humans; Meta

1997
Managing the aftermath of shingles.
    RN, 1998, Volume: 61, Issue:5

    Topics: Acyclovir; Amitriptyline; Antidepressive Agents, Tricyclic; Antiviral Agents; Drug Therapy, Combinat

1998
Neuropathic pain.
    Lancet (London, England), 1999, Sep-11, Volume: 354, Issue:9182

    Topics: Acetates; Amines; Amitriptyline; Analgesics; Antiviral Agents; Cyclohexanecarboxylic Acids; Drug The

1999
Postherpetic neuralgia. Treatment with amitriptyline is cheaper than with aciclovir.
    BMJ (Clinical research ed.), 2001, Apr-07, Volume: 322, Issue:7290

    Topics: Acyclovir; Aged; Amitriptyline; Analgesics, Non-Narcotic; Antiviral Agents; Drug Costs; Herpes Zoste

2001
The management of post herpetic pain using sodium valproate and amitriptyline.
    Irish medical journal, 1979, Sep-28, Volume: 72, Issue:9

    Topics: Amitriptyline; Herpes Zoster; Humans; Pain; Valproic Acid

1979
Shingles: a belt of roses from Hell.
    British medical journal, 1979, Feb-03, Volume: 1, Issue:6159

    Topics: Amitriptyline; Anticonvulsants; Herpes Zoster; Humans; Immunosuppression Therapy; Prednisolone

1979
Acute herpes zoster and postherpetic neuralgia: effects of acyclovir and outcome of treatment with amitriptyline.
    The British journal of general practice : the journal of the Royal College of General Practitioners, 1992, Volume: 42, Issue:359

    Topics: Acute Disease; Acyclovir; Aged; Amitriptyline; Herpes Zoster; Humans; Middle Aged; Neuralgia; Retros

1992
Acute herpes zoster, postherpetic neuralgia, acyclovir and amitriptyline.
    The British journal of general practice : the journal of the Royal College of General Practitioners, 1992, Volume: 42, Issue:362

    Topics: Acyclovir; Amitriptyline; Herpes Zoster; Humans; Neuralgia

1992
Acute herpes zoster, postherpetic neuralgia, acyclovir and amitriptyline.
    The British journal of general practice : the journal of the Royal College of General Practitioners, 1992, Volume: 42, Issue:364

    Topics: Acute Disease; Acyclovir; Amitriptyline; Herpes Zoster; Humans; Neuralgia

1992
Postherpes simplex type 1 neuralgia simulating postherpetic neuralgia.
    Journal of pain and symptom management, 1992, Volume: 7, Issue:5

    Topics: Amitriptyline; Chronic Disease; Diagnosis, Differential; Female; Herpes Simplex; Herpes Zoster; Huma

1992
[Drug therapy of so-called postherpetic neuralgia, the only valid alternative. Clinical experience in 43 treated cases].
    Minerva medica, 1986, Jan-14, Volume: 77, Issue:1-2

    Topics: Administration, Oral; Aged; Amitriptyline; Antidepressive Agents, Tricyclic; Antipsychotic Agents; D

1986
Treatment of post-herpetic neuralgia. A review of 77 consecutive cases.
    Pain, 1985, Volume: 23, Issue:4

    Topics: Adult; Aged; Amitriptyline; Analgesics; Autonomic Nerve Block; Carbamazepine; Combined Modality Ther

1985
Treatment of post-herpetic neuralgia.
    The Medical journal of Australia, 1965, Nov-20, Volume: 2, Issue:21

    Topics: Adult; Aged; Amitriptyline; Antidepressive Agents; Female; Herpes Zoster; Humans; Male; Middle Aged;

1965