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I've started on 25mg and steadily increased. Now I'm taking 200mg every night! It does nothing for my pain, or anxiety and barely touches my insomnia. I wake up 3-4 times every night with night terrors. I think next Drs. appointment she will increase my dosage even more. I have extreme post traumatic stress disorder and have several fractures in my spine. All I know is my dosage is already higher than most of the comments I've read. And my wife is on an even higher dose than me.

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I rated this medicine a 10 because I suffered from migraines for about 5 yrs and really didn't know what they were till one day I finally saw a neurologist, he prescribed me amitriptyline, it worked immediately. I started out at 10mg nightly, it was a God send, a miracle medicine. I was completely migraine free for approximately 2 1/2 yrs while taking this medicine, I had no side effects really, maybe gained a few pounds maybe 4 or 5 during this 2 year stretch, then all of a sudden the migraines started back again about 1 month age. I went back to the neurologist, he increased my dosage to 30 mg. I haven't really seen any improvement, have been on this for about 3 days now, was initially increased to 20 mg for 5 days previously. I wonder what's going on.

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