ModerateAmitriptyline + Levothyroxine

Can you take Amitriptyline and Levothyroxine together?

This page explains what happens if Amitriptyline and Levothyroxine are taken together, according to official sources.

What happens

Increased risk of cardiac arrhythmias and tachycardia

Concomitant levothyroxine and amitriptyline can heighten cardiac receptor sensitivity, triggering sinus tachycardia and ventricular arrhythmias.

Recommended management

Monitor heart rate, rhythm, and blood pressure carefully, particularly in patients with pre-existing ischemic heart disease.

Clinical references

Last updated: Sep 25, 2026

Before changing or stopping any medicine, ask your doctor or pharmacist. Never stop your medicine on your own.