I've been taking 3 weeks 25 mg elavil for nerve pain & it helps wonderfully. however, my mind isn't like it use to be. i feel blah.. i wasn't depressed before taking it, but since taking it, my mind isn't at peace like before. can elavil cause this?

Yes, Elavil can cause cognitive side effects such as confusion, memory problems, and difficulty concentrating. These side effects are more common in elderly patients and may be exacerbated by higher doses or prolonged use of the medication. It is important to discuss any concerning symptoms with a healthcare provider to determine if a medication adjustment or alternative treatment option is needed

Elavil is a rather old drug and is used infrequently in the elderly due to potential adverse effects, especially anticholinergic issues. A number of nerve pain suppressant drugs are available, and would have as good or better effects and fewer side effects. Switch to an alternative approach.