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Compare Elavil vs. Imitrex

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Amitriptyline (formerly branded as Elavil) and sumatriptan (Imitrex) are both prescription medications, but they are used for different purposes and belong to different drug classes. Amitriptyline is a tricyclic antidepressant (TCA) primarily used to treat depression, though it is also used off-label for nerve pain and migraine prevention. On the other hand, sumatriptan (Imitrex) is a triptan used to treat acute migraine attacks with or without aura in adults. Amitriptyline works by increasing levels of serotonin and norepinephrine in the brain to improve mood, while sumatriptan (Imitrex) works by activating serotonin receptors to tighten blood vessels and reduce inflammation and pain. Amitriptyline is taken daily, whereas sumatriptan is taken as needed for migraines, with a maximum of two doses in 24 hours. Common side effects of amitriptyline include sleepiness and weight gain, while sumatriptan can cause tingling, numbness, and fatigue. Both medications are available in generic forms, making them more affordable options.

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