If I may ask what medicines has your Dr prescribed and are taking?

My doctor first prescribed amitriptyline but after 3 days of that, my eyes started to twitch so on Friday he presscribed a sister medication to that called apo-nortriptyline. Both were to have a dozy effect however last night I didn't fall asleep until 3:00 a.m. eventhough I took the pill at 8:00 p.m.

From my research and such, amitriptyline and nortriptyline are the most successful at the sleep and head ache issues. The dosage is usually small compared to the normal dose for these drugs, 10 mgs or so.

Ski, Have you had any intense scrutiny of your neck? Especially your upper neck. It is often overlooked. The autonomic nervous system dysfunctions you list (dizziness getting up, often due to low pulse and BP) can be caused by brain stem issues that can be caused by upper neck inflammation. I have had severe low BP and pulse from time to time. I can tie it to my upper neck injury.

The osteopath I sought treatment for my neck was not much help. He had already made up his mind that my symptoms were somatic.

Did you get a CT when you became so symptomatic on the third day. That is the optimum time for CT images to show any bleeds, etc. which would make me think that it is the time for peak effects from such injuries.

3:00 AM getting to sleep is not uncommon for me. Glad to hear you are doing better than I do. Just remembered, I need to go take my bedtime meds. Otherwise, I'll be up until 4:00 AM.

My best to you.

Mark, no I haven't had any problems with my neck other than the whiplash right after my accident which cleared up in a few days. The osteopath I see has been working with me since the beginning and we both have felt improvement in the movement of fluid in my head and body. He's been a great listener to me when I'm having a bad day as well. It really helps to have empathy around during this time. Recently, he was able to get to the area where I hit my head - prior to this there was too much pain so we worked on getting there gradually. It was quite a strange feeling, the closer he got to the spot the more panicky I got.

While I usually feel worse for a few days after the session, I have seen an improvement after that in terms of the duration and strength of my symptoms.

The nortriplyline dosage is 10mg right now - thanks for sharing your research. I do not like taking medications however, it is good to know that there has been some success with this one.

Oh and I had a CT done a few weeks after (for insurance purposes) - everything came back ok.