Amitriptyline To Nortriptyline - Sleep Problems


Feb 12, 2015

I've been taking a low level of amitriptyline (10 - 20mg daily) for chronic pelvic pain for about 5 years (possibly longer).  Recently, my specialist suggested I change to Nortriptyline (10mg daily) as it has less side effects - particularly the 'foggy-head' feeling in the morning that I often experienced.

I spoke at length to my GP about this and they assured me that I could just switch from one to the other, which I have done.  Whilst I am definitely feeling less zombie-like in the morning, I find I can't sleep at night.  With the ami, I zonked out quite easily, but with the nor, every night since I switched, I haven't slept properly at all.  I'm quite run down at the moment so I'm a bit concerned that I'm going to make myself ill if I'm not sleeping.

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Pain Management :: Amitriptyline Vs Nortriptyline

I have suspected Piriformis Syndrome & SI Joint Dysfunction also causing sciatica, have also had some nerve pain in the back of my thigh, occasional calf cramps, foot cramps, and foot pain. Since my last Cortisol injection into my SI joint it has made everything horribly worse, I cannot sit now for very long without severe left foot pain that makes me feel nauseous it's so horrible. I have informed the consultant of this and am on a waiting list to go back and see him, this is the 2nd time the injections have caused me extra pain so have now lost faith in these and want to try alternatives.

My consultant previously wanted to put me on Amitriptyline but I have been on this before and was taken off it due to serious sedative side effects (even fell asleep eating in a restaurant) was on a small dose and still didn't improve with time. So I've read that Nortriptyline is an alternative with less side effects, can anyone advise if they have had less sedative side effects with this than Amitriptyline please?

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I know it can have side effects that take a while to wear off and that it might not become effective for several weeks. But honestly, it's making me feel much worse already. I wake up every morning with a pounding head as if I'd drank a bottle of vodka, which is worse than the cannonball-head feeling I had already. Plus, I think it's making me woozier and dizzier than before (which was already so bad I've been off work for 3 months).

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I have MAV, and recently tried amitriptyline and had increasing anxiety on it, so the ENT took me off of it. He said the nortriptyline is in the same family as the ami but has less side effects.

I am afraid to try it, I don't do well on meds have lots of side effects. I've tried many SSRI's but cant take any of them.

I wondered if any of you have been on the nortriptyline and how you did, did it help the dizziness and anxiety? When you stopped using it was it hard to stop? Did you have side effects and which ones?

The Ent says the only way to know if its MAV is to try the meds. The ami stopped the dizziness and my tension headache but boy it activated some awful anxiety. So he said yes you have MAV coz the med stopped the dizziness.

My symptoms are, started out with this awaul rocking and swaying sensation that lasted for months, I've had this for a year in July, dizziness of course, falling feeling, I get slight dizziness that is preceded by either headache with neck pain or dizzy with upper shoulder pain and tightness, vision is off at times, when sitting feel like I'm moving and that goes thru my entire body, fear and worry, legs ache sometimes from having to stabilize my balance, off balance when walking, feels like the floor is going up and down, when I bend forward in the shower or vacuuming or mopping I get bad dizziness that will last for hours to days, just showering make me dizzy when washing my hair, I don't even have to put my head back just moving my hands up and down on my scalp will do it, doing dishes the looking down can cause it, looking down to write will do it, sinking feeling when sitting and more but thats enough I think. Do any of you have these?

Does your dizziness go on all day and sometimes on and off? Do you have anxiety with it? Gosh I had awful anxiety for months I just couldn't get use to the thought of having this forever. But my ENT and VRT therapist say it will go away.

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I have just been put on nortriptyline for my pain has anyone else had this and did it work was there any side effects.

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My ENT gave this to me today because I had worsening anxiety on the ami. He said this has less side effects. I'm wanted to know if anyone took ami and had to switch to nortriptyline and how did you do? Did it help your dizziness and or headaches? Did you have anxiety done fire taking it and did it affect it?

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Weaning Off Nortriptyline After 4 Years

So i've been on nortriptyline for over 4 years for chronic migraine. I'm 25 and have had migraines for years, they used to be constant everyday, when i waken up etc, my neurologist had me try all medication but i had no luck with beta blockers, topamax etc and my last chance was nortriptyline and if it didn't work, the next option was an injection into the base of my skull (which i didn't want) luckily the nortriptyline at 75 mg decreased the severity and frequency of my chronic daily migraines.. now i have other health problem undiagnosed yet, and very bad constipation problems and fluid in my abdomen with bad distention, i never thought until recently that the nortriptyline could have been causing this but from reading on the internet its possible.

So im considering weaning off to see if my bowel problems go away and the fluid water retention, has anyone any suggestions on how to wean off this?

Withdrawal symptoms?

I know its possible that my terrible migraines could come back but i want to take a chance.

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