This topic is about using amitriptyline, a medication often prescribed for facial pain, and its potential impact on people with an ileostomy, particularly concerning the risk of constipation. If you're considering or currently taking amitriptyline and have an ileostomy, here are some insights and advice from others who have been in a similar situation:

1. Everyone reacts differently: While constipation or diarrhea are common side effects listed for many antidepressants and anti-anxiety medications, including amitriptyline, the actual effects can vary widely from person to person.

2. No issues with ileostomy output: One person shared their experience of using amitriptyline for pain relief and noted that it did not affect their ileostomy output.

3. Consider a preventative laxative: Another individual mentioned taking a daily dose of Miralax (polyethylene glycol 3350) to prevent constipation caused by medication. This might be a helpful precaution if you're concerned about constipation while on amitriptyline.

4. Double-check with your doctor: It's a good idea to confirm with your healthcare provider that amitriptyline is the right medication for your facial pain, as it is often prescribed for other conditions.

5. Explore alternative medications: If side effects become an issue, remember that there are other options. For instance, one person was initially prescribed escitalopram (Lexapro) for anxiety, and their doctor suggested amitriptyline as an alternative, highlighting that medication choices can be adjusted based on individual needs and side effects.