Medication Side Effects Alternatives Amitriptyline

  • Sleepiness
  • Weakness
  • Dizziness when getting up

Non-Medication:
Better sleep habits

Medication:
Melatonin Trazodone

Carisoprodol
Cyclobenzaprine
Metaxalone
Methocarbamol

  • Sleepiness
  • Increased risk of falls and fractures

Baclofen
Tizanidine

Digoxin (daily doses greater than 0.125mg)

  • Dizziness
  • Confusion
  • Vision changes

Adjust other heart failure
medications

Estrogen containing products

  • Increased risk of breast or endometrial cancers

Hot Flashes:
Sertraline
Venlafaxine

Dryness:
Premarin® cream

Bone Health:
Alendronate

Glyburide

  • Low blood sugar

Glimepiride
Glipizide

Nitrofurantoin

  • Lung damage
  • Kidney injury

Sulfamethoxazole/Trimethoprim
Ciprofloxacin
Cephalexin

Zolpidem

  • Sleepiness
  • Confusion

Non-Medication:
Better sleep habits

Zaleplon
Eszopiclone (Greater than 90 day supply total in 1 year)

  • Increased risk of falls and fractures

Medication:
Melatonin
Trazodone