Pins and needles sensations in my arms. Is this a cause for concern? Would it be okay if I adjusted my dose by 1/2? My doctor prescribed this medication for chronic pain for which it does help some. Thank you.
You obviously have a Doctor who believes in the "old school" drug therapy. You have fibromyalgia, is that the case? What else are you taking, if i may ask, for this? I am not a fan of Amitriptyline, for one thing, it's a very potent drug that, if you take at night, which is how it's usually prescribed, will help you to sleep, but after taking it for some time, you won't be able to sleep w/out it. With all of the new drugs out there for Fibromyalgia, I am just curious as to why he would prescribe this one for your pain. It does help w/neuropathy, which is part of fibromyalgia, but so do alot of the new drugs that are out there now for pain. Is it that you have tried some things and gotten no relief? Anything that happens to you that varies from the "norm" whatever your normal might be, and begins when you start a different drug is cause for concern. I wouldn't bother to adjust your dose on your own, I would imagine he is probably planning on upping your dosage at a later date when you've gotten used to this. I would simply make an appt. and ask him why he prescribed this drug, which is essentially, an anti-depressant that has been around for many years and is also used for other things, and see if he is not willing to give you something that will not effect your sleep pattern in the future, ie. something you won't HAVE to take in order to sleep and that will also help your chronic pain. I certainly understand when a physician does not want to give someone a narcotic pain reliever that will be addicting, but unfortunately, the amitriptyline is addicting also, in that you will become used to taking it for sleep and will not be able to get to sleep without it. So ask him about something else, do a little research on the newer drugs and side effects of those and decide what you might think would work for you and ask for it. We have to be our own advocates when it comes to our bodies and if something doesn't feel right, and 2 weeks is enough time to have any side effects wear off, then you need to speak up and tell the Dr. you are not happy with that particular medication. Let me know what he says and please don't change your dose on your own, make an appt. and see the Dr. and go from there. Good luck.
Some people need less a dose and some need more for pain. I was started on 10 mg of amtriptiyline... raising it by 10 mg every few days until the desired dose was acheived for me. I felt my best at 30 mg... if I want higher I had major brain fog which I hate.
Maybe 25 mg is too much for you... some people manage well on 10 mg for pain. Everyone is different.
- Amitriptyline Information for Consumers
- Amitriptyline Information for Healthcare Professionals (includes dosage details)
- Side Effects of Amitriptyline (detailed)
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