Hi, Ron...I think you can get those in 25 mg, if you don't want to cut them in 
half. I have had a quad gut from the start... my doctors said most all quads 
will have that no matter what, because we have no stomach or muscle controll to 
hold guts back. There are a few rare exceptions-------most were the thin type 
anyway, and just never gain much weight.......doctors told me I could lose 100 
pounds and be a skinny man but still have the so called QUAD GUT. Some try to 
hide it or hold it back with binders. Medications can make changes in our 
bodies thats for sure--anyway good luck,    Danny H. ----- PS--- I GO TO SEE 
DR. NEIL WRIGHT NOVEMBER 5TH.




________________________________
From: RONALD L PRACHT <[email protected]>
To: Lori Michaelson <[email protected]>; [email protected]
Sent: Wednesday, October 28, 2009 5:50:16 PM
Subject: Re: [QUAD-L] Amytriptyline


    Well To answer your question Im on Amytriptyline due to cramping and 
burning pain in stomach and back due to a syrinx. I cut a 50 mg pill in half 
and take it at bedtime. Ive been taking it for over four years and my gut has 
expanded, which at this point isnt a big problem, but it could be in the 
future. Im almost at the 12 yr point of my injury and my health has help out 
well except for the syrinx and pain from it. I think its comical how these docs 
prescribe us all these medications and act like they dont know about the side 
effects like weight gain. I understand that side affects differ from person to 
person but over and over you find that the amy causes weight gain. Instead of 
getting us accustomed to a medication that blows us up like a blimp, why cant 
they steer us towards a med that is known to cause weight loss or nothing in 
most? I know....that would be to easy.........make the paralyzed person find 
out for themselves, lol..

ron c7 

--- On Wed, 10/28/09, Lori Michaelson <[email protected]> wrote:


>From: Lori Michaelson <[email protected]>
>Subject: Re: [QUAD-L] Amytriptyline
>To: "RONALD L PRACHT" <[email protected]>
>Date: Wednesday, October 28, 2009, 1:31 PM
>
>
>I have been on Amitryptiline (50 mg at bedtime) since the summer of 1995. I 
>did not notice any significant weight gain but, without changing anything, 
>over two years later I began having a bloating period - thus looking fat all 
>over. Chubby face, thick neck, and really bad swelling. 
> 
>That lasted about 3 years but it happened so gradually that people I saw every 
>day never noticed. In fact, *I* did not even notice until we moved out here to 
>Arizona and I started losing weight after being in bed with a severe wound for 
>six months. Then, looking back at photographs of me - I looked like a 
>different person! 
> 
>I could not figure out why I always lose weight when I am in bed month after 
>month (since that's happened to me 3 times now in 9 years) and shortly after 
>we moved to Arizona I got a very very very bad wound (initiated or originally 
>caused by yeast) and was bedridden the first six months we were here.  And I 
>never got that "bloated" look back. Thank God! 
> 
>Anyway, semi-recently I mentioned (to my current home health agency nurse) how 
>I always lose weight when I am bedridden for months - she mentioned that 
>wounds burn calories.  I will buy some of that statement.  
> 
>And, in sum, I weigh a little bit more than I would like to but that is a 
>female thing and I am staying at a pretty good weight for my height and having 
>to sit all the time. I have always been "hippy" but got more so in my 30s and 
>40s. I am now 45 and I would prefer not to have a quad belly and hips that 
>hang over the side of the chair just a little bit - but not much I can do 
>because I eat so very little, etc and my hips are actually bony enough to get 
>red if I am on my side too long.
> 
>I used to be on a list for those people who have the congenital form of 
>syringomyelia and probably at least 90% of them are on Amitriptyline (Elavil) 
>and practically all of them complained about significant weight gain.  So, it 
>certainly is or has been renowned for contributing to weight gain directly.
> 
>I have tried to get off of it but have noticed my pain worsened and my sleep 
>interrupted - both of those badly.  Because of that I am still on 50mg at 
>bedtime.  At one point I dropped down to 25 mg (early 1997) and did not notice 
>any difference but that is not the case now.  :-(   I may try again in the 
>future though.  Trying to tackle one problem at a time here now. 
> 
>You did not mention what you were taking Amitrip for to offer alternatives?  
>Pain?  I was originally put on it for pain and spasticity and then just stayed 
>on it.
> 
>Lori
> 
> 
>On Mon, Oct 26, 2009 at 3:53 PM, RONALD L PRACHT <[email protected]> 
>wrote:
>
>If Im on 25 mg of Amytriptyline at night is that enough for significant weight 
>gain? Does anyone know any alternatives to this drug that doesnt have the 
>weight gain effect? What about topamax?
>> 
>> 
>>                                                               ron pracht c7 
>
>
>-- 
>Lori 
>Age - 45
>C4/5 complete quad, nearly 30 years post
>Tucson, AZ
> 

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