I've been on a dose of 200mg of amitriptyline for a very long time (originally prescribed for depression). Now that I'm older I need to reduce the dosage. The problem is that I now cannot sleep without Amitriptyline. My doctor has lowered the dosage to 50mg and has me on 100mg trazodone. It's been a disaster. I don't sleep for days at a time and when I do the sleep quality is very poor. I'm now worried about the effects the lack of sleep will have on my health. Has anyone had success for treatment for insomnia with some other medication? Please don't say Melatonin, since as far as I'm concerned is just a placebo. My problem is way too severe for a placebo.