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Dose adjustment of amitriptyline may be necessary see section 4.Maternal serum concentrations should be monitored during pregnancy Larsen 2015; Yonkers 2009 Migraine prophylaxis should be avoided during pregnancy; if amitriptyline hcl 10mg high, amitriptyline may be used if other agents are ineffective or contraindicated Pringsheim 2012 Pregnant women exposed to antidepressants during pregnancy are encouraged to enroll in the National Pregnancy Registry for Antidepressants NPRAD Women 18 to 45 years of age or their health care providers may contact the registry by calling 844-405-6185.

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