kate,

Could the amytriptiline be the cause of your day time fatigue? I tried stimulants (caffeine) to overcome the fatigue during the day. When I told my doctor, he read me the riot act.

I have since found that I do better taking a short nap during the day. I have read that some doctors recommend a regimen of short naps through out the day. The theory is that if the brain is fatigued, give it a bit of rest to recover. Keeping it awake does not accommodate the brain's need for rest.

I am struggling to understand the conundrum of insomnia at night but sleepiness during the day. I would think that if I can easily fall asleep in the day, I should also be able to fall asleep at night. If I fall asleep at night, I should feel rested during the day.

It appears that I do best with multiple shorter sleep periods. Too bad our society does not a Siesta time like in Spain and some parts of Mexico.