Topic Explanation
The discussion centers around a user who has been prescribed Amitriptyline for facial pain and is concerned about its potential side effect of constipation, especially given their ileostomy. The user is seeking advice from others who might have experience with this medication and condition.

Advice and Insights
1. General Experience with Amitriptyline and Ileostomy:
- One user reported taking Amitriptyline for pain relief without it affecting their ileostomy.

2. Managing Constipation:
- It is suggested to take a dose of Miralax in the morning to help manage constipation, especially if taking other pain medications that may contribute to this side effect.

3. Medication Effects Vary:
- Another user mentioned that most antidepressants and anxiety medications, including Amitriptyline, can have side effects like constipation or diarrhea, but these effects can vary from person to person.

4. Alternative Medications:
- One user shared their experience with escitalopram for anxiety, noting side effects and the possibility of switching to Amitriptyline if the current medication is not tolerated. They also mentioned that firmer stools might be a welcome change.

5. Verification of Medication Use:
- It was advised to verify that Amitriptyline is being prescribed for the correct use, as one user had taken it in the past for a different purpose.