INITIATE MEDICAL THERAPY
Tricyclic agents (amitriptyline [Elavil], imipramine [Tofranil] or desipramine [Norpramin]) have been successful in the treatment of vulvodynia. A recommended regimen begins with 10 mg daily, gradually increasing to 40 to 60 mg daily. Patients should continue taking the highest tolerable dosage that gives symptom relief for four to six months and then gradually decrease the dosage to the minimum amount required to control symptoms. Many patients benefit from referral to a group that provides information and emotional support.
Sarah J. Thompson, MD
Online Diagnosis of Symptoms and Medical Diseases Online Diagnosis of Psychiatric Disorders
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