My np recommends tcas for chronic abdominal pain in non-diabetic patients with chronic constipation,but it seems tca use has been mostly discontinued?

Possible answer: TCAs at low doses have been used successfully in some people to treat chronic pain. Usually start at low dose and titrate up the dose until pain is under control or until the medication side effects become too unpleasant. Good luck!

TCAs: I think their use in psychiatric disorders may have decreased over the years since Prozac, Effexor, (venlafaxine) Zoloft and other drugs have come out. TCAs still have their use and are quite effective as adjunctive treatment for chronic pain issues.