From the Research
Elavil (amitriptyline) is not typically given specifically for concussions, and its use should be considered only for managing specific symptoms such as persistent headaches or sleep disturbances under direct medical supervision. The primary treatment for concussions involves physical and cognitive rest, followed by a gradual return to normal activities, as emphasized in recent studies 1, 2. Medications are generally used only to manage specific symptoms that may occur after a concussion, such as headaches, sleep disturbances, or mood changes. If persistent post-concussion headaches develop, a healthcare provider might consider prescribing amitriptyline at a low dose (typically starting at 10-25 mg at bedtime) as it can help with certain types of headache pain and improve sleep quality, as suggested by research on post-concussion syndrome 3. However, this medication has potential side effects including drowsiness, dry mouth, and constipation, and may not be appropriate for everyone. Any medication for concussion symptoms should only be taken under direct medical supervision, as improper treatment could potentially delay recovery. The most important aspects of concussion management remain proper rest, gradual return to activities, and close monitoring of symptoms rather than medication, highlighting the need for a tailored approach to each individual's recovery 4, 5.
Some key points to consider in concussion management include:
- Physical and cognitive rest as the initial step in recovery
- Gradual return to normal activities to avoid exacerbating symptoms
- Management of specific symptoms such as headaches or sleep disturbances with medication under medical supervision
- Close monitoring of symptoms to adjust the treatment plan as necessary
- Avoidance of activities that worsen symptoms during the recovery period
Given the most recent and highest quality study available 1, the focus should remain on symptomatic treatment and supportive care rather than medication as the primary approach to managing concussions.