Thanks Nick, actually my GI doctor prescribed Lexapro, as I was having colon spasms and he told me about the GI nerve-brain interaction and wanted to try Lexapro. i have had success on it for my IBS and spasms, haven't had any since. But my Neuro and PCP want me to try the Elavil for the nerve pain. I took it for the first time last night and didn't have problems, just slept like a log. I usually get up at 5:30, slept until 8:30. Thank you for your reply. I am hoping the Elavil works for the nerve pain.