Hi Friends -- it's Goodscout reporting back. It is now March, 2009 -- 15 months since my injury and 3 months on the Nortripyline. I still have need to be careful around certain aromas that make me sick (coffee, interestingly), and I don't drink alcohol and try to get a decent night's rest. However, the Nortripylne seems to be continuing to work. it took three Neurologists to fiind this answer and so I want to make sure people have this info as a resource. Good luck to everyone out there still stuggling.