I take a fairly high dose of amittripyline and it seems to have helped, but then again I also take gabepentin and trilipetal. and have had acupuncture treatments. So I really don't know what has been working for me and too scared to try to find out. I'm on fairly high dose of amitripyline, so I split dosage to before bedtime and in the morning. Sometimes it takes a few weeks for side effects to fade (Ha, still waiting on the weight gain part to fade), so maybe, unless they are unbearable, it might be worthwhile top try to power through them.
I've been on Nortriptyline and it works great. It doesn't have the cognitive side effects that antiseizure meds do. But the weight gain is a problem. I have carbohydrate cravings like crazy. But not everyone has that side effect. At least I'm functional. I'm going to add topomax to see if it can offset the weight gain aspect. I'll stay on nortrip until it stops working or if I develop health problems from the weight gain. I've been on it about a year now.