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Clinically meaningful pain relief moderate or better is significantly more likely with desipramine than with amitriptyline 7.

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Taking of amitriptyline should be phased out, at least 7 weeks prior to delivery to avoid the development of withdrawal syndrome in the newborn.

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The fact that it functions distinctly from other antimigraine interventions including amitriptyline may be favorable for a subset of individuals.

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There is no clear relationship between amitriptyline plasma concentrations and analgesic effect, although concentrations of amitriptyline plus nortriptyline needed to produce a significant analgesic effect appear to be lower than those required for an antidepressant effect.

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