Amitriptyline disposition in young and elderly normal men

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Abstract
The disposition of a single parenteral or single oral dose of amitriptyline [an antidepressant] was followed in 7 young (mean age 22 yr, range 21-23) and 5 elderly (mean age 71 yr, range 62-81) healthy men. The mean systemic clearance did not change with age (10.8 .+-. 2.1 ml/min per kg in elderly and 12.5 .+-. 2.3 ml/min per kg in young subjects). Mean t1/2 [half-life] was longer in the older (21.7 .+-. 2.9 h) than in the younger group (16.2 .+-. 6.1 h) as a result of an increase in the volume of distribution (17.1 .+-. 2.4 and 14.1 .+-. 2.0 l/kg). The bioavailability and the fraction of the drug bound to plasma proteims did not change with age. Single doses of amitriptyline were not well tolerated clinically by either elderly or young subjects, which confirms the need for a gradual buildup in the therapeutic regimen and for close clinical surveillance of elderly depressed patients treated with amitriptyline.

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