[QUOTE=Dr. Smith;1018727]In that case, why not skip the first two and just go for the gold?


Hi Doc
Does the Amitriptyline your taking help with neuropathic pain? Or do you take it only for sleeping and depression?
I take 300 mgs of Lyrica for SFN , it doesn't do much (as far as I know), I still have bad pain and unpleasant symptoms. My Neurologist recently added 10 mgs. of Amitriptyline. I started very slowly taking 5 mgs (split pill), so far it helps me to sleep. I'm hoping I will get some pain relief with only 10 mgs like you. I do get some "angina-like" pains in my chest and arm, but my cardiologist said it was ok for me to take it. (I have micro-vascular angina, its the tiny vessels that constrict and cause me pain, my large arteries are clear). I'm a bit concerned (alto the Doc said it was OK) about increasing it (Ami) , due to "heart -related" problems I've often read about. Do you get skipped beats on Ami? I hope this note finds you well. Thanks
Marie