It is odd that she wants you to dose up to 30mgs of Elavil. The usually dose for PCS is just 10 mgs. The caffeine in the Fiorinal is unusual for a PCS patient. The caffeine is usually considered counter to the brain's needs during recovery. The sedative effects of the Butalbital sounds like it would compound the fatigue-like symptoms of PCS. Maybe the caffeine is to counter those effects.

Did you mean to post 'the Celexa and amitryptiline (Elavil)' rather than 'the Celexa and nortriptyline'?

The research says that mixing Elavil and an SSRI like Celexa causes the Elavil to reach a higher blood concentration likely leading to more side-effects from the Elavil.

Is your neurologist taking you off the Celexa as you dose up with the Elavil?

Sounds like quite a cocktail.

My doctor was quite adamant about not combining sedatives and stimulants.

Let us know how you do with this mix.