Is there a tricyclic antidepressant anyone is using that works for pain like Elavil but doesn't last as long?
I'm getting good pain relief for back muscle spasms and other pain at night with Elavil 5 mg (amitriptyline), a very tiny dose. The problem is it lasts about 12 hours for me, which means waking up with a hangover and tiredness until the morning tramadol kicks in. Hangover's not too bad if I take Elavil at 5PM, but pain relief wears off about 3AM.
There are no muscle relaxants I can take. Either they don't work or they give me bad side effects. I've been trying everything over 3-4 years. My TENS unit doesn't stop the spasms anymore. I'm back to Elavil in desperation. Yesterday I had to stop driving 3 times because the pain was just too bad to get home from the oncologist's office. I had the TENS on and was crying with the pain. My back brace helps with spine pain but does nothing for muscle spasms. Vicodin and Percocet don't work at all. I take tramadol during the day for fibro, torn rotator cuff, spine pain, but it doesn't stop back muscle spasms. I can't take it at night because it wakes me up.
The only other solutions I have come up with are cutting the Elavil down more, which will probably cut down effectiveness. I have to babysit for 3 (5,4,2) today and the spasms are already hitting above hip level. I don't have time to lie around on the heating pad.