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Increases are made preferably in elavil the late afternoon and/or bedtime doses .
A sedative effect may be apparent before the antidepressant effect is noted, but an adequate therapeutic effect may take as long as 30 days An alternate method of initiating therapy in outpatients is to begin with 50 to 100 mg amitriptyline elavil HCl at bedtime .
This may be increased by elavil 25 or 50 mg as necessary in the bedtime dose to a total of 150 mg per day .
Hospitalized patients may require elavil 100 mg a day initially .
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The usual maintenance elavil dosage of amitriptyline HCl is 50 to 100 mg per day .
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It is appropriate to continue maintenance therapy 3 months or longer to elavil lessen the possibility of relapse .
Usage in Pediatric Patients In view of the lack of experience with the use of this drug in elavil pediatric patients, it is not recommended at the present time for patients under 12 years of age .
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