Hi,
This can depend on the dosage.
Are you on 10 mg, 25, 50 or 100 mg. Ten may not helpm
your doc may need to up the dosage.
Same with the Pamelor, which is very much like the amitryp...aka elavil.
There are supposed to be less side effects with the Pamelor.

I take Trazodone. It is given instead of what you take. It helps me sleep,
it is cheap and it has pain relieving qualities.

So check with your doc. Hope this helps;
blessings,
hope