Sorry to be a buzzkill, but there is no definitive answer to who-is-the-most-reactive-element-amongst-all, because it takes two to tango. One could ask which element is the most reactive with Sodium? The answer then is Fluorine, not Caesium. Or, perhaps you want to know which element is the most reactive with Nitrogen. Its Lithium! Shocker!
1 Day 1: reduce dosage of amitriptyline to 75 mg/day. 2  Day 8: reduce dosage of amitriptyline to 50 mg/day. 3  Day 15: reduce dosage of amitriptyline to 25 mg/day. 4  Day 22: reduce dosage of amitriptyline to 10 mg/day. Day 8: reduce dosage of amitriptyline to 50 mg/day. 2  Day 15: reduce dosage of amitriptyline to 25 mg/day. 3  Day 22: reduce dosage of amitriptyline to 10 mg/day. 4  Day 29: stop administration of amitriptyline.
Article. AMITRIPTYLINE reduces pain in patients with painful diabetic neuropathy or other neuropathic pain syndromes, 1 2 3 but treatment is often compromised by the sedation, urinary retention, or orthostatic hypotension caused by the drug.n patients with painful diabetic neuropathy we compared the proved effective treatments, amitriptyline and desipramine, to determine whether desipramine might replace amitriptyline as the drug of choice.