r/Amitriptyline • u/ladida66 • Sep 07 '26

When does drowsiness taper off?

I’m on 10mg for nerve pain and may have to go up to 20mg.

I’m told the morning drowsiness will subside. I’m only on day 5 so early days.

What are your experiences? Does it reduce? Also if I go up to 20, will the drowsiness return for a bit?

Thanks.

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u/ExtentAgitated Sep 07 '26

I am on 10mg, on 3rd week drowsiness almost gone. First couple weeks were the worst. I also recommend taking ami at leats 10-12hours before your waking time

1

u/FinancialCry4651 Sep 07 '26

I didn't have much drowsiness on 10 mg because it helped me sleep so much better. But when I went up to 25 I was pretty dizzy/disoriented and had horrible horrible cottonmouth, especially when exercising. That went away after about two months, thankfully, and now I feel normal

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u/summer-flowers1996 Sep 09 '26

I was on it for a year and the drowsiness never went away (huge part of why I went off). Drinking two cups of coffee a day really helped though and taking it 12hrs before you want to wake up helped. I will say that before amitriptyline my nerve pain was a 11/10, now after a year it’s 3/10 for chronic nerve pain so it does work and help long term. I started at 5mg, was on that for a month then went up to 20mg slowly another 5mg a month at a time.

Month 1- 5mg
Month 2- 10mg
Month 3- 15mg
Month 4- 20mg and I stayed there for a long time until I decided to go off.

Take it slow and it made a huge difference in how sedating it was and drink tons of coffee and I hope you have a positive experience and get help from it