Ugh, with all the pain I'm in u would think I would have started GABapentin. However, my husband convinced me that I didn't give nortriptyline a long enough enough try at the dosage the neuro recommended (40, although my pcp said 50 which I did get up to but only stayed on it for one day before dropping to 40). So I went back up to 40 on nortriptiline. I am feeling better pain releif but my twitching and jerking is really ramped up. I'm scared that the nortriptyline will cause this issue to worsen permanently or worse develop into a serious movement disorder. So I want to get off The nortriptiline and stay off for awhile to see if I return My previous levels of twitching and jerking. But I soooo scared of the pain returning cus it's dampened right now. Then I will start gabapentin. I don't know if I can handle that though. Can't go back to the full blown pain, ahh I don't know what to do. I can't figure all this out. I'm scared of staying on and scared to get off.