Raising my hand -- Me too
I've done a lot of research on this; This drug has an effect on neuropathy pain (nerve pain). It helps the body relax so sleep is improved. And if you are sleeping well your ability to handle the chronic pain improves. Ideally your doctor would start you on a lower dosage and increase slowly until the optimum benefit is attained. This is one of the first medication recommended for chronic pain.
I was started on it about 2 1/2 years ago at 10mg per day. It helped a bit for the chronic pain but slowly we have had to increase it. Over the last 16 months my dose has been increased to 100 MG per day. I just finished a couple of months on at 150mg but I started having other problems what outweighed the reduction in pain. So I am back to 100mg
Also don't be surprised if you are put on acetaminophen. it seems to boost the effect of the amitriptyline.
Part of my problem has been that they don't know what is causing the pain - been through just about every test they can think of and they still can't find anything wrong. I was put on anti-inflammatories to deal with the swelling but over time we discovered they had a reverse effect of causing more swelling so I am off those now.
The worst side effect I had was dry mouth - well more like a bad taste in my mouth. That I can deal with if it lessens the pain. I haven't experienced any other side effects until I got to the 150mg dose (the maximum dosage is 250mg/day but then the dosage is split morning and night). On the 150mg dosage I started experiencing severe drowsiness, and urinary retention (feeling like I had to go but hardly anything happening) Getting up 5 times a night to go to the bathroom was defeating the purpose of trying to get a good night's sleep.
The other benefit of using an anti-depressant is that chronic pain gets depressing sometimes. The antidepressant give that a little nudge into the coping better side of life