Compare Elavil vs. Neurontin

Head-to-head comparisons of medication uses, side effects, ratings, and more.

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Elavil (amitriptyline)

Prescription only

Neurontin (gabapentin)

Prescription only
Improves mood.

Elavil (amitriptyline) regulates mood and treats nerve pain, but has more side effects than alternatives.

3.3/ 5 average rating with 134 reviewsforElavil
Treats tingling and burning nerve pain.

Neurontin (gabapentin) is an old seizure disorder medicine that is now used to treat nerve-related pain caused by different conditions.

3.4/ 5 average rating with 620 reviewsforNeurontin
Upsides
  • Elavil (amitriptyline) works well to treat nerve pain and is non-habit forming.
  • Originally used to treat epilepsy (partial seizures), but now it primarily treats neuropathic pain that's caused by nerve stimulation or damage.
  • Studies show it's most effective for nerve pain from diabetes, shingles, and fibromyalgia (a painful muscle condition).
  • It's available as a generic, so it's less expensive than similar medications.
Downsides
  • Elavil (amitriptyline) has more bothersome side effects than other antidepressants.
  • Neurontin (gabapentin) can cause some side effects, including memory problems, drowsiness, dizziness, or confusion. There is a higher risk for these side effects if you drink alcohol, so it might not be the best medication for heavy drinkers.
  • You can't skip or miss doses since suddenly stopping Neurontin (gabapentin) can cause seizures.
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Used for
Dosage forms
  • Pill
  • Pill
  • Oral solution
  • Extended release
Price
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Reviews
134 reviews so far
53%
saidit'sworth it
36%
saiditworked well
25%
saidit'sa big hassle

Have you used Elavil (amitriptyline)?

Leave a review
620 reviews so far
57%
saidit'sworth it
40%
saiditworked well
19%
saidit'sa big hassle

Have you used Neurontin (gabapentin)?

Leave a review
Side effects
The Elavil (amitriptyline) FDA package insert doesn’t have numbers about how common side effects are.
20possible side effects
  • Dizziness
    28%
  • Drowsiness
    21%
  • Swelling in the limbs
    8%
  • Abnormal physical weakness
    6%
  • Diarrhea
    6%
  • Infection
    5%
  • Dry mouth
    5%
  • Constipation
    4%
  • Nausea
    4%
  • Headache
    3%
  • Accidental injury
    3%
  • Stomach pain
    3%
  • Vomiting
    3%
  • Worse coordination
    3%
  • Thinking abnormal
    3%
  • Decreased vision
    3%
  • Gas
    2%
  • Weight gain
    2%
  • Abnormal gait
    2%
  • Lack of coordination
    2%
See more detailed side effects
Risks and risk factors
  • Suicidal thoughts or behavior
    • Age 24 years or younger
  • Mania
    • History of bipolar disorder
    • At risk for bipolar disorder
  • Heart problems
    • History of cardiovascular disease
  • Dizziness and falls
    • Age 65 years or older
    • Taking medicines to control blood pressure
  • Dehydration
    • Age 65 years or older
See more detailed risks and warnings
  • Suicidal thoughts or behavior
  • Neurologic and psychiatric side effects (children)
    • Children ages 3 to 12
  • Serious allergic reaction and multiple organ problems
  • Driving impairment
    • Taking Neurontin (gabapentin) with alcohol
    • Taking other medicines that cause dizziness and/or drowsiness
  • Withdrawal seizures
    • Stopping Neurontin (gabapentin) suddenly
See more detailed risks and warnings