So far Elavil does not help with the pain I am on 50mg a night. Once I see the doctor next month ill see if I can go up to 75mg. I have been on tramadol before but this was before I had Neuropathy. It helps with minor pain. I did not have any issues with it. I was given Elavil at first to help me sleep at night combined with a max dose of Neurontin. Seems almost as of lately as if things are getting worse and not better with my neuropathy, can it actually get worse or am I just starting to go crazy? I have been having the electric pain in my left side and left leg most of today.