well i asked my new gp ( old one who was good moved to colorado last year, next one didnt work out and now this one) to start me on amitriptylene for the increased pain in my feet ( throbbing, stabbing)i have been having at night and resultant loss of sleep since i got a steroid shot in my cervical spine last may and was told i would have to get that from the neurologist since there could be interactions with current medications i am taking for asthma (COPD). Isnt that what a GP is suppossed to do manage the overall picture and keep track of the specialists? I also had an ear infection and the doctor wanted me to go to an ENT i said no you treat it and if it persists ill go. I get so tired of doctors. Now its a big deal to ask for a 50 year old anti depressant? This doctor is a new doctor, seems like they are teaching them in medical school to refer everything out.