He didn't rule it out Mrs. D. he just said he didn't want to "chase" after medicines right now. i think they like to keep Medicines in their back pocket so they'll have options long term if you build up a tolerance to certain ones over time. I also have had bad responses to Cymbalta (suicidal thoughts, gastritis) and Lexapro (could not get out of bed) - all very low dose treatments. So, I think they are wary of any antidepressant with me.

I know i saw a clinical study that showed actual nerve regeneration from Elavil (amitriptyline) online. Was wondering why doctors aren't pushing it though? There is also significant evidence of dental damage from the dry mouth issues which concerns me. i try to trust their experience and not be completely anti-doctor. I will bring it up to him again, he has been very open to treatment options as opposed to previous neuros who basically told me to just get lost and go to Mayo clinic.