Amitriptyline works and stops working with each increase and i am very tired on it, after 1 week on each dose increase, from 5mg to now 20mg and i have lower abdominal burning/ibs. what medications besides nortriptyline should i ask my doctor about?

There are several drugs in this category(called TCAs) and as a class these drugs(Amitriptyline, Imipramine and Nortriptyline) are sometimes used as antidepressants. But these are old drugs and do not work well compared to more modern antidepressants. So you have 2 choices either to change over to another sister TCA drug or us one of the newer SSRIs. But you need to tell us why you are taking Amitr

Not feasible to provide advice if we are not clear as to why it was started initially, and what symptoms need to be addressed. If you have to ask your doctor about specific medications for your condition, any shared decision making will be coming from you. Consider a virtual consult here at HT, where we can be more thorough and address your needs. (www.connect@healthtap.com)