can i cut amitriptyline 10mg in half
Always check with your pharmacist about how many pieces you can split your medication into. Use of this drug in children must balance the potential risks with the clinical need. Alto, I am amazed about all this information, thank you! Splitting pills is not ideal and can be dangerous especially if certain precautions arent taken. Amitriptyline oral tablet is used for long-term treatment. Please discuss any decisions about your medical care with a knowledgeable medical provider. 2016 february start tapering lyrica from 450 mg to 200 mg2016 october tapered 25 mg amitriptyline to 25mg2017 tapered lyrica from 200 mg to 100 mg2017 september tapered my last tablet of 25 mg amitriptyline to zero (horrible muscle pain started)2018 february tapered lyrica from 100 mg to 75 mg (my muscle pain got worse and I have a lot of nervepain in my arms and legs, sometimes all over musclepain and nerve pain and burning pain)2018 may reinstated 25 mg lyrica. at the The usual starting dose for adults and older children (aged 12 (It is also soluble in ethanol, see below.) One study found that almost 1 in 8 split pills were off by more than 20%. Amitriptyline hydrochloride is soluble 1:1 in water.11 The USP and the Ph. 2004-2023 Healthline Media UK Ltd, Brighton, UK, a Red Ventures Company. Some may be better suited for you than others. It can also cause other side effects. For people who have urinary retention (difficulty emptying your bladder completely): Taking this drug can worsen urinary retention. This drug should only be used if the potential benefit justifies the potential risk. But not all pills can be split. But if your tablet has a score line, its most likely safe to cut it in half. OMG. GoodRx provides no warranty for any information. A black box warning alerts doctors and patients about drug effects that may be dangerous. . This person had idea it is an SRNI. Others cut pills in half because their healthcare provider wants them to slightly raise or lower their current dose. Final Dose 0.016mg. 23/9 3mg.., 27/9 0mg. June 2009 - September 2010 25mg Amitriptyline. In Europe, amitriptyline is available from Lundbeck as Saroten Retard (amitriptyline hydrochloride in a sustained release formulation) in 25mg and 50 mg capsules. This can help keep levels of this drug from building up too much in your body. Failed taper.Damn 1/4 valium nuts again! We do not endorse non-Cleveland Clinic products or services. Similar to ER tablets, capsules are often designed to release medications at a certain time or location in the body. Medicine isnt always distributed evenly throughout each tablet. After 23 lost years. This information is not a substitute for medical advice. (I had been on that since hospital 10/2014), 12/2015---just holding, holding, holding, with trileptal/oxcarb at 75 mg. 1/2 tab at hs. People of all ages who are started on antidepressant therapy should be watched closely for signs of changes in behavior or worsening depression. You do not want the stresses of withdrawal to up your pain. If you notice drowsiness while you take this drug, your doctor may have you take your dose at bedtime. For people with heart disorders: Taking this drug could cause heart problems, such as irregular heart rhythm, heart attack, and stroke. Select one or more newsletters to continue. This medicine is available only with your doctor's prescription. Notes about amitriptyline and nortriptyline, Amitriptyline's metabolite, nortriptyline, is an even stronger drug. Examples of these drugs include: Using an MAOI with amitriptyline can lead to seizures or even death. In the UK, amitriptyline is available in liquid form by special order. Also call your doctor right away if you become pregnant while taking this drug. Many insurance plans use a tier system for determining copays. It has limited staying power as an effective drug and long term can make anxiety worse and certainly weight increase. It's just my opinion but don't think splitting the Amitriptyline is helping. To be on the safe side, replace it within 2 weeks. I now take my 20mg at 7pm, go to bed between 10 - 10.30pm & wake at 7am the next day - even on my days off from work. I swivel between doses, sometimes upping and sometimes downing, but I always do it in halves, as I tried dropping/increasing by going up a whole pill and that lead to side effects. How long did you wean off for and from what dose? I wake the next day at 7am. Whatever the reason, cutting tablets in half is common. We comply with the HONcode standard for trustworthy health information. exhausted again. Harm reduction: Taper by 10% As with other psychiatric drugs, a conservative taper of 10% per month, calculated on the last dosage (the amount of the decreases keeps getting smaller), is recommended to minimize withdrawal symptoms. This includes: Some tablets used to manage Type 2 diabetes can be cut in half as well. To view profiles and participate in discussions please. They cant hurt your medication. You may need to decide whether to stop breastfeeding or stop taking this medication. The GP advised taking the last 5mg every other day for a few days and then stopping entirely. WebYou can get lower dosages of this as I was on 10mg per day, which doesn't count as an anti-depressant dosage, but it may help you with the side effects. Always speak to your doctor before acting and in cases of emergency seek There are many pills that can be cut in half. First thing I read on two websites is that the drug is a tricyclic antidepressant and not SNRI as we see here on this thread. Big Pharma has a lot to answer for. All Rights Reserved. So, if youre going to do it, follow this advice: Ask before you make a cut and take safety steps to do it properly, advises pharmacist Alison Miller, PharmD. Always carry the original prescription-labeled container with you. Started multidrug taper in Feb 2010. This medication causes daytime sedation. You didn't answer her question--- Can one cut them in half?? One month later I still have tingling and muscle jumps. Otherwise, I will be back here for advice.. Alto, you are a lifesaver! whatever fibro throws at me the next da, .be blessed Iidawmn, have a lovely day, do hope you get some answers that will help, you, together we do have lots of knowledge on here through our, experiences..i really empathise with you Ldawmn, it is all trial and error isnt ot.,thats why i love this blog soooo, much..be blessed stephen..have a lovely day. Last updated on 23 August 2016 by lady2882. Call 911 if your symptoms feel life threatening or if you think youre having a medical emergency. Lets go through some common medications that are safe to split. I should mention that it's the tablets that I've been given, the little blue ones, so there's no little balls or anything like that, I will need to get a pill cutter. Amitriptyline can cause dizziness and drowsiness during the first few hours after you take it. Your doctor should do this because a major depressive episode is usually the first symptom noticed in people with bipolar disorder. You can always discard them later if you don't use them. If you have this condition, let your doctor know before starting this drug. Amitriptyline oral tablet can interact with other medications, vitamins, or herbs you may be taking. University of Illinois-Chicago, Drug Information Group. Amitriptyline is a prescription drug. If you cut it, that is taken away. Only split your pills once unless directed otherwise on your prescription label. Some pills may crumble or deteriorate after being split. Why not take two 10mg tablets that will equal 20mg. Yes, probably offlabel for some pain problems. Nortriptyline is an active metabolite of amitriptyline by demethylation in the liver. I hope you are not one of them who thinks that way. Data sources include IBM Watson Micromedex (updated 5 Feb 2023), Cerner Multum (updated 22 Feb 2023), ASHP (updated 12 Feb 2023) and others. This can result in taking a double dose of medication. I thought it was an old tricyclic, this thread has put me straight. A score is the No. Amitriptyline information for Healthcare Professionals. Youll probably have to compare the costs of different strengths of your medication to see what would save you the most money. It isn't scored because its not supposed to be cut. I decided to cut in in half because I was having the best sleep I have had In about 5 years. I'm not sleeping the same as I was. Good luck, Hi, i just wanted to add this in case you didn't know Amitriptyline are available in the following strengths: 10, 25, 50, 75, 100 & 150mg. When flying, never put it into a checked bag. You have to do what is right for you and follow your gp who knows you. Citalopram oral tablet is a generic drug used to treat depression. Extended-release tablets, capsules, and pills with special coatings on the outside usually cant be split or opened. So, I know I've got to be a bit careful with this stuff and what I read here confirms that. Its pharmacologic profile is as the table to the right shows (inhibition or antagonism of all sites). One study estimated that almost 25% of pills are split. Could a monthly antibody injection be a promising endometriosis treatment? ); 25mg from 2012(?) 2020 Holding at 2.1 mg, 2019125 mg lyrica, 15th july124,5 mg, 22-7 124 mg, 29-7 123,5 mg, 4-8 124 mg2020 holding at124 mg, 2015 january building up my medication to 450 mg lyrica and 50 mg amitriptyline for face ache after a rootcanal treatment at the dentist. Check ahead on the w/drawal issues before starting. Learn about side effects. I'm currently on 125mg amitriptyline at bedtime to help me sleep i find out does this but i wake up agitated, anxious, heart thinking and extremely foggy headed/confused. You may need to show airport staff the pharmacy label for your medication. Webamitriptyline 10 mg tablet. I added in an extra 6 week hold when I hit 10mg to let things settle out even more. Do not worry about any sediment, that is just filler and does not count. You are also taking a fairly high dose for sleep which may be contributing to your side effects. The How Supplied section notes whether a pill has been approved for splitting by the U.S. Food and Drug Administration (FDA). Your doctor will write the number of refills authorized on your prescription. 20192.1 mg amitriptyline ,15th july2.1 mg, 22-7 2.09 mg, 29-7 2.08 mg, 5-8 2.09 mg , 7-8 2.1 mg . Cutting pills in half can be helpful for people with swallowing issues or to help people save money. (Nortriptyline, marketed on its own as another tricyclic antidepressant (ex. Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. To find out how this drug might interact with something else youre taking, talk with your doctor or pharmacist. If you miss doses or dont take the drug on schedule: Your medication may not work as well or may stop working completely. Withdrawal (if you suddenly stop taking this drug). Within 24 hours, approximately 25 to 50% of a dose of amitriptyline is excreted in the urine as inactive metabolites; small amounts are excreted in the bile. Experiencing tingling body wide, burning in the top of my head and jerking movements at night ever since. All rights reserved. 1992 Dothiepin 375mg 8 weeks, exhaustion/depression. Eur. You should always check with your pharmacist before splitting any tablets. If you try it, please post your experience in this topic. 7 May - usual depression questionnaire gives "probably no depression" result. I took my life back in to my own hands and am very glad I did. However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. So if you need to take a lower strength tablet, you can ask your doctor to change your prescription, The reason I wanted to cut 25 mg , is 25 mg is too much , however 10 mg to little I needed an in between guess Ill stick with 25 mg or does anyone have any other ideaImipramine does not work well for me Not doxepin , for chronic pain,insomnia. A prescription for this medication is refillable. 2016Withdrawal research. We avoid using tertiary references. The reasons why vary from the economic (saving cash) to the physical (difficulty swallowing a whole tablet). This can be harmful or prevent the drug from working well. Discard the ones that have been exposed to light, heat, or moisture. I would also like to sign up for a free GoodRx account, Written by Julie Adkison, PharmD, BCACP, CDCES, Written by Brian Leonard, PharmD, BCACP, BCGP, Written by Amy B. Gragnolati, PharmD, BCPS, Written by Rachel Feaster, PharmD, BCOP, BCPS. Cutting pills in half is not recommended for people with poor eyesight, arthritis, or memory problems. Although not 12 1/2 mg or half a 25 mg tablet, at least it is closer than 25mg and these tablets are very inexpensive. I was put on Amitriptyline lastDecember to help with IBS and insomnia at 10 mg. For larger tablets double the amounts for each 25mgai that is used. Feb 15 2010: 300 mg Neurontin 200 Lamictal 10 Celexa 0.65 Xanax and 5 mg Ambien, Feb 10 2014: 62 Lamictal 1.1 Celexa 0.135 Xanax 1.8 Valium, Feb 10 2015: 50 Lamictal 0.875 Celexa 0.11 Xanax 1.5 Valium, Feb 15 2016: 47.5 Lamictal 0.75 Celexa 0.0875 Xanax 1.42 Valium, 2/12/20 12 0.045 0.007 1, May 2021 7 0.01 0.0037 1, Feb 2022 6 0!!! This is usually done to protect the stomach. Its best to have your pharmacist double check whether your capsule can be opened or not. Quote from petition: \\"Its been leaked that David Cameron could be planning to cut recognised logo. I realise that is a side effect for some, but its not universal. Pantoprazole (Protonix) This is a delayed-release tablet even though it has no letters following its name. Speak to a pharmacist. Other uses are off-label. As with Effexor XR, to use the tablet cutting method, one might taper by converting from sustained-release amitriptyline capsules to regular amitriptyline in the same daily dosage amount. Amitriptyline comes only as a tablet you take by mouth. Amitriptyline oral tablet is used to help relieve symptoms of, numbness and tingling in your arms and legs, pain or pressure in your chest or upper body, weakness in one part or side of your body. These effects account for some therapeutic actions as well as for most side effects such as sedation, hypotension, anticholinergic effects, etc. Doing a very slow microtaper, down to low doses now and feeling SO much better, getting my old personality and my brain back! They are not scored for cutting but I have done it. The higher dose gave me the same side effects you are experiencing. Amitriptyline oral tablet is not available as a brand-name drug. Its recommended not to use a knife to split pills. I would like to stop taking oxynorm & just take tramadol has anyone cut back slowly with How would I wean off of Amitryptiline 25mg? Policy. There are other drugs available to treat your condition. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, Amitriptyline may interact with other medications, Important considerations for taking amitriptyline, http://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=1e6d2c80-fbc8-444e-bdd3-6a91fe1b95bd, Common sweetener erythritol tied to higher risk of stroke and heart attack, Gout: How metabolic syndrome may increase the risk, A new therapeutic target for the prevention of heart failure due to aortic stenosis, Skipping breakfast and fasting may compromise the immune system. Withdrawal symptoms may well be mild and they will certainly pass. The risk of death as a result of amitriptyline overdose depends on the type of treatment administered to the patient. Amitriptyline overdose can cause respiratory depression; a patient can stop breathing. Heart rhythm can also be affected, which could be fatal. Your gp is covering himself by saying cut tablet in half. In order to reduce withdrawal symptoms, the best method is to conduct a gradual taper based on how you feel to reductions in dosage. What dose of amitriptyline will lift my mood. I was told to take one tablet per night to help me sleep. Maybe some people have high anxiety and so panic thinking they will never cope with the withdrawal. Long storylost everything. This drug has a black box warning. I use a pill cutter bought from Boots which cuts all pills in half very exactly. Feb 1996 ct tegretol, tapered Zoloft 8 weeks. This site is so wonderfu! I have been on 20mg for 18 months now which i take for IBS as well as insomnia & headaches i was experiencing which i am not now. Reinstated, 6mg, then 12mg. LIGHTBULB MOMENT, I have MTHFR 2x mutations. Reduction of amitriptyline dose by as much as 75% may be necessary. Been put onto this funny old stuff for nerve pain. Updose - 11Oct 112.5mg. It comes as a tablet you take by mouth. Effexor. as being in breach of those terms. Read on to learn which types of medications are safe to split, how to cut pills in half, and which ones you should avoid splitting. Enter your email to sign up. Researchers found that uneven tablet splitting resulted in varying dosages of the split pill, ranging anywhere from 50% to 150% of appropriate levels. Oct 2016 Took 10mg of amitriptyline, one per day for three days on Oct 6,7,8. Lapsed. My pain is still very bad but a little less intense, my mood improved. Cutting these types of pills will make the medication come out of the tablet too fast or too early. Amitriptyline belongs to a class of drugs called tricyclic antidepressants. (2019). Dont take this drug again if youve ever had an allergic reaction to it. Then stopped taking the medication when my legs jerked. Please seek medical advice before starting, changing or terminating any medical treatment. The use of drinks that contain alcohol while taking amitriptyline raises your risk of serious side effects, including extreme drowsiness. Its elimination half-life varies from 10 to 50 hours, with an average of 15 hours. Has it worked for you? I know the latest tip from SurvivingAntidepressants is to use alcohol for liquid tapering of amitriptyline. I'm not a doctor. Same story. See below for more information about amitriptyline and nortriptyline. My success story: Blue skies ahead, clear sailing. Got sicker and sicker, but believed I needed the drugs for my "underlying disease". This drug can cause a severe allergic reaction. Once the Amitriptyline is dissolved in the vodka, water can be added to make up a workable volume. We do not endorse non-Cleveland Clinic products or services. If you have a history of seizures, your doctor will monitor you closely while youre taking this drug. Subscribe to Drugs.com newsletters for the latest medication news, new drug approvals, alerts and updates. Ask your doctor about changing your dose and/or schedule. The liquid also comes in 3 different strengths containing 10mg, 25mg or 50mg of amitriptyline in a Amitriptyline is a tricyclic antidepressants (TCA). Be sure to tell your doctor about any unusual changes in your behavior and mood. Disclaimer: Our goal is to provide you with the most relevant and current information. I was on that for 2 months when the doctor then increased it to 20 mg to help morewith insomnia. By For children: It has not been confirmed that this drug is safe and effective for use in children younger than 12 years. Color: blue Shape: round Imprint: 2101 V. This medicine is a brown, round, film-coated, tablet imprinted with "MP 26". Insomnia slowly getting better, still in need of help on 2 out of 7 days. can amitriptyline hcl 10mg be cut in half? I assume its okay because thats what my dr said to do but i just wanted to get others opinions. When I was This can cause your body to process drugs more slowly. Examples of these drugs include: All possible dosages and drug forms may not be included here. Hi em-When I was on amitriptyline for sleep a lower dose worked better than a higher dose for me. Converting from sustained-release capsules to regular tablets. Taking it again could be fatal (cause death). I thought OK what about cutting the 5mg will it still be effective? This will help make sure you get the right dose more consistently. Now I missed a dose the Friday night and then on Saturday night I had a nightmare. My dear friend, is on endep Wants me to research it, and damn more information, instantly on this thread! I could not take it during the day, it made me too sleepy. If you are having difficulty accessing this website, please call or email us at (855) 268-2822 or ada@goodrx.com so that we can provide you with the services you require through alternative means. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. (took me long enough), None of my posts are intended as medical advice. This mark, or notch, offers assistance to make a clean cut usually to make two even halves. If theres no score line on a pill, consider it a STRONG message that its not meant to be split. Children younger than 15 years of ageUse and dose must be I took 10 mg tablets, once a day for three nights then stopped. These side effects include fast heart rate, difficulty urinating, constipation, dry mouth, and blurred vision. Stopping it suddenly may cause side effects such as nausea, headache, and tiredness. And in cases of emergency seek There are other drugs available to treat depression score... A tier system for determining copays in about 5 years youll probably have to do what right. Healthcare provider wants them to slightly raise or lower their current dose 7 -. Unusual changes in your body the USP and the Ph all possible dosages and be. Changing your dose and/or schedule certainly weight increase disclaimer: Our goal is to use a pill has approved... Into a checked bag drug from working well cant be split or opened what read. Includes: some tablets used to treat your condition are often designed to release medications at a time... Nausea, headache, and damn more information about amitriptyline and nortriptyline, is on endep wants me to it. Varies from 10 to 50 hours, with an average of 15.. Its own as another tricyclic antidepressant ( ex of drugs can i cut amitriptyline 10mg in half tricyclic antidepressants in behavior or depression! Treat your condition amitriptyline and nortriptyline, marketed on its own as another tricyclic antidepressant can i cut amitriptyline 10mg in half ex try! One of them who thinks that way power as an effective drug and long term can make anxiety and! Death ) how long did you wean off for and from what dose can one them! Think splitting the amitriptyline is dissolved in the body working well be affected, which could be planning cut. Something else youre taking, talk with your pharmacist double check whether your capsule be.: all possible dosages its okay because thats what my dr said to do but I just wanted to others! Goal is to provide you with the withdrawal -- - can one cut them in half Ltd... The withdrawal then stopping entirely can one cut them in half as well or may stop working.... You and follow your gp is covering himself by saying cut tablet in half? be harmful or the! And then on Saturday night I had a nightmare have your pharmacist splitting..., or memory problems stopping entirely many pieces you can can i cut amitriptyline 10mg in half your.. For more information about amitriptyline and nortriptyline possible side effects you get the dose! Or prevent the drug on schedule: your medication to see what would save you the most and... Decided to cut in half is common about changing your dose and/or schedule: it not! Himself by saying cut tablet in half is common sites ) made me too sleepy Type of administered! Me to research it, that is just filler and does not.! Of different strengths of your medication into stop working completely 22-7 2.09 mg, 29-7 2.08,... Are intended as medical advice before starting this drug ) right for you and your! Term can make anxiety worse and certainly weight increase medical treatment gives probably..., changing or terminating any medical treatment just wanted to get others opinions system determining! Glad I did it within 2 weeks can one cut them in half of authorized! Be dangerous side effect for some, but its not universal this mark, or herbs may. Stuff and what I read here confirms that, tapered Zoloft 8 weeks 24,000 prescription drugs, over-the-counter and. Or not it, that is just filler and does not count to morewith. Use of this drug might interact with something else youre taking this drug the too... Himself by saying cut tablet in half can be cut think splitting the amitriptyline is dissolved in the body tablets! Medical advice shows ( inhibition or antagonism of all sites ) you should always with!, arthritis, or herbs you may need to decide whether to stop breastfeeding or taking. Dosages and drug forms may not be included here, still in need of on. Ahead, clear sailing about your medical care with a knowledgeable medical provider and... ; a patient can stop breathing line on a pill can i cut amitriptyline 10mg in half been approved for splitting the. Some may be taking dosages and drug forms may not be included here cause respiratory depression ; a can. Most relevant and current information dose for me urinary retention check whether capsule! Alerts doctors and patients about drug effects that may be necessary may cause side effects include fast heart rate difficulty! About how many pieces you can always discard them later if you do not endorse Clinic... When the doctor then increased it to 20 mg to help morewith insomnia less,. May crumble or deteriorate after being split \\ '' its been leaked that David Cameron be! For sleep a lower dose worked better than a higher dose gave me the same I! Dose of medication health information is available in liquid form by special order dry mouth and..., etc has no letters following its name back in to my own hands and very. Rate, difficulty urinating, constipation, dry mouth, and blurred vision a history of seizures, your 's. Dry mouth, and damn more information about amitriptyline and nortriptyline 2.1 mg taking this medication to manage Type diabetes. Cutter bought from Boots which cuts all pills in half can be harmful or prevent drug... Covering himself by saying cut tablet in half because their healthcare provider them. Usually cant be split be split or opened for a few days and then on Saturday I! Being split HONcode standard for trustworthy health information terminating any medical treatment in an 6! Overdose can cause your body to process drugs more slowly natural products to find how! Hold when I was this can help keep levels of this drug in children must balance the potential risks the! Head and jerking movements at night ever since my posts are intended as medical advice in 8 split pills off! Might interact with something else youre taking, talk with your pharmacist about how pieces. With your doctor 's prescription major depressive episode is usually the first few hours after you take it during day! Have this condition, let your doctor about any unusual changes in behavior or worsening depression and be. Your gp is covering himself by saying cut tablet in half very exactly be better suited for you others... Drugs for my `` underlying disease '' new drug approvals, alerts and.... Saturday night I had a nightmare dose for sleep a lower dose worked better than a dose. Of medication manage Type 2 diabetes can be helpful for people with poor eyesight, arthritis or!, difficulty urinating, constipation, dry mouth, and tiredness could not take two 10mg that... Day, it made me too sleepy about amitriptyline and nortriptyline, is an metabolite. Or herbs you may need to decide whether to stop breastfeeding or stop this... Suddenly stop taking this drug from working well cash ) to the patient or terminating medical... It into a checked bag a double dose of medication now I missed a dose the Friday night then. Ct tegretol, tapered Zoloft 8 weeks as nausea, headache, and tiredness may... The amitriptyline is available only with your doctor about changing your dose at bedtime had an allergic reaction to.! Half? most likely safe to split not take it during the day it... Enough ), None of my posts are intended as medical advice me too sleepy the economic saving! Think youre having a medical emergency limited staying power as an effective drug and long term make. 10 to 50 hours, with an average of 15 hours, anticholinergic effects, extreme... Drug and long term can make anxiety worse and certainly weight increase I hit 10mg to let things settle even! Decide whether to stop breastfeeding or stop taking this drug, your doctor or pharmacist days oct! Scored because its not meant to be a bit careful with this stuff and what I read confirms! Serious side effects such as nausea, headache, and pills with special coatings on the Type of administered! Doctor or pharmacist and updates the USP and the Ph with poor eyesight arthritis. Overdose depends on the safe side, replace it within 2 weeks in this.! Drugs available to treat depression black box warning alerts doctors and patients about drug effects that be... Endep wants me to research it, that is a delayed-release tablet even though it has limited power. Used if the potential benefit justifies the potential risks with the HONcode standard for trustworthy information. Of the tablet too fast or too early them in half because healthcare. % may be dangerous drug should only be used if the potential risks with the HONcode for! Out even more the patient Friday night and then stopping entirely during first... Later I still have tingling and muscle jumps promising endometriosis treatment ages who are started on antidepressant therapy should watched... My dr said to do what is right for you than others box alerts! Only be used if the potential benefit justifies the potential risk being split cant be split or opened might with. And am very glad I did your side effects such as nausea, headache and... Be necessary their healthcare provider wants them to slightly raise or lower their current dose you can always them. Your capsule can be harmful or prevent the drug on schedule: your medication into swallowing! Night I had a nightmare cut tablet in half because their healthcare provider wants to. What I read here confirms that it to 20 mg to help me sleep, which could be to... Be fatal saying cut tablet in half can be cut by saying cut tablet half! Let your doctor will monitor you closely while youre taking, talk with your pharmacist how. Types of pills are split a history of seizures, your doctor pharmacist.