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Elavil vs Voltaren: side-by-side comparison

Elavil (Amitriptyline) 10mg tablet
Elavil
vs
Voltaren (Diclofenac) 25mg tablet
Voltaren

Elavil (Anti-Depressants) and Voltaren (Pain Relief Medications) belong to different therapeutic classes and are rarely interchangeable. This page compares the medications' purposes, mechanisms and the situations where each is used.

Property Elavil Voltaren
Active ingredient Amitriptyline Diclofenac
Manufacturer Various generics Novartis
Class Anti-Depressants Pain Relief Medications
Strengths 10mg, 25mg, 50mg, 75mg, 100mg 25mg, 50mg, 75mg, 100mg
Forms tablet tablet, delayed-release tablet, topical gel, suppository

What's the same

Elavil and Voltaren are used in very different patients, and the points in common are limited. The main shared element is that both meet regulatory standards for efficacy and safety and benefit from pharmacist oversight.

Key differences

Elavil belongs to Anti-Depressants while Voltaren belongs to Pain Relief Medications. Indications, mechanisms and target populations differ. The comparison is most useful when a clinician has mentioned both medications and the patient wants to understand where each fits.

Mechanism and action

Elavil: Amitriptyline inhibits reuptake of serotonin and noradrenaline at central synapses. Voltaren: Diclofenac reversibly inhibits cyclooxygenase enzymes COX-1 and COX-2, with somewhat greater selectivity for COX-2 than ibuprofen and naproxen.

When Elavil is preferred

Amitriptyline is approved for major depressive disorder, but contemporary use is dominated by low-dose off-label indications: neuropathic pain, fibromyalgia, chronic tension headache, migraine prevention, irritable bowel syndrome, nocturnal enuresis, and insomnia.

When Voltaren is preferred

Voltaren is approved in adults for the treatment of osteoarthritis, rheumatoid arthritis, ankylosing spondylitis, acute musculoskeletal pain, post-surgical pain, primary dysmenorrhoea, acute migraine and ureteric colic.

Frequently asked questions

Is Elavil or Voltaren better?

Elavil and Voltaren are not interchangeable — they treat different conditions. Asking which is "better" is meaningful only when a clinician has weighed both for the same specific clinical scenario.

Can I switch from Elavil to Voltaren?

Switching between Elavil and Voltaren is rarely an appropriate decision since they belong to different classes and treat different conditions. The real question is usually whether the diagnosis calls for one medication or the other — which the prescriber resolves.

Do Elavil and Voltaren have the same side effects?

No — they belong to different classes and have distinct side-effect profiles. Each medication has its own prescribing information.

More Elavil comparisons

The information on this website is provided for reference and educational purposes only. It does not replace consultation with a qualified healthcare professional.