My reply is below.
Thank you for posting your query.
I agree with you that your daughter's symptoms are related to side effects of amitriptyline
as well as Prozac
). This is because there are significant drug interactions between the two.
Fluoxetine reduces the metabolism
of amitriptyline, so, it remains in the body for longer time. This can cause more drowsiness
, imbalance, falls, etc. So, the dose of amitriptyline should be reduced when it is taken along with Prozac.
Prozac can cause tremors and shivering.
Please discuss these issues with her doctor.
I hope my reply has helped you.
I would be pleased to answer, if you have any follow up queries or if you require any further information.
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/