I’ve been taking 20mg of amitriptyline nightly for pain relief since June 2007.
In fact my post about it is one of the most visited on my blog so if you’ve landed here looking for info on amitriptyline as pain relief that post is the place to read more.
Since I’ve been noticing pain creeping back in more regularly in recent months I asked my Lovely GP at my last appointment about upping the dose to 30mg.
Originally her intention had been for me to take 30mg. But when I upped the dose from 20mg to 30mg back then a weird thing happened.
The 20mg dose had been fairly effective (and continues to be). It stopped pain to a certain threshold but when I go beyond that, or am particularly poorly, it’s like a switch is flicked off and the meds stop working.
When I went to 30mg it was as if I wasn’t taking any pain control meds at all. The switch was permanently flicked off. I stuck with it the dose a while but couldn’t stand the side effects. So I went back to the comfortable 20mg that gave me sufficient pain relief for average days and topped up with over the counter and migraine meds when needed.
So after more than 2 years I’d thought I maybe didn’t stick with 30mg long enough to get past side effects and feel the benefit. Because even my Lovely GP said “that’s odd”.
I’ve now been on 30mg for 2 weeks and the pain is worse than it was on 20mg. Not crippling pain, but nagging, aching, persistent pain. Enough to make me want to reach for the co-codamol (if my IBS-C wasn’t such a problem)especially first thing and later in the day .
It would seem it’s the same result as before. I am weird.
Is it medically possible I wonder? I suppose that using this sort of medication in low doses for other things like pain control isn’t fully understood, so maybe this isn’t understood either. Certainly not by me.
It would be nice though to have a top up on meds mean a top up on pain relief like is supposed to logically happen!
I’ll stick with the 30mg longer this time, to be sure. And I’ll think about discussing trying upping to 40mg with the doc to see if that makes a difference. I feel a little cautious about taking more as I know it can make you feel pretty spacey. We’ll see how the 30mg goes in another week or so.