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Before you try amitriptyline

For pelvic pain: what to ask first. Free, no account, nothing saved. Takes a minute.

2. Tick what you've already tried

Muscle tone and tension

Inflammation or infection

Nerves (peripheral)

Sympathetic and autonomic nerves

Pain processing

Hormones

Structure

Bladder and bowel function

Sleep and mood

What it means for you

Amitriptyline or nortriptyline is aimed at pain processing and sleep and mood. Low doses turn down pain signalling in the spinal cord and brain, and often help sleep.

  • Nothing you ticked is aimed at pain processing.
  • Nothing you ticked is aimed at sleep and mood.

3 questions worth asking the clinician suggesting it

  1. Nothing aimed at pain processing has had a fair trial yet. What would a fair trial of Amitriptyline or nortriptyline look like: how long, and what result would count?
  2. Nothing aimed at sleep and mood has had a fair trial yet. What would a fair trial of Amitriptyline or nortriptyline look like: how long, and what result would count?
  3. What would tell us Amitriptyline or nortriptyline is working, and when should we stop if it isn't?
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