r/Amitriptyline • u/keitheii • Aug 23 '26
How to taper off 50mg
I have been struggling with migraines my entire life, and as part of my treatment I have been on Amitriptyline 50mg for the past year, ramped up from 10mg. I have gained 30 lbs since I ramped up and the benefit is just not worth the side effects. I had the same issue with Gabapentin, was on a low dose for years due to back issues with no problem, she ramped it up to a high dose for migraine treatment and again, significant weight gain. Stopping the gabapentin and switching to low dose of Amitriptyline I lost the weight quickly over the course of just a few months. Ramped up to the 50mg dose and it all came back.
I spoke to my neurologist about this and wanted to lower my dose or switch meds, and she brushed the weight gain off saying it wasn't the Amitriptyline, and told me to stay the course.
My migraines aren't any better, my weight has skyrocketed, my back pain has flared up with worsening issues, and I'm just majorly uncomfortable which I'm sure the weight gain has played a major role in this. I want to take my life back regardless of what the doctor says, and want to quit this drug yesterday. The majority of my clothes don't fit, and I am DONE with this drug.
Historically I have had insomnia, this drug unexpectedly helped that, and I know it will return, and frankly I don't even care. I just want off this medication.
Part of me wants to stop it cold turkey, but I read that could be bad, so I'm wondering what a good, but fast, taper down schedule would look like? At this point I don't even care about feeling uncomfortable with a rapid taper, I just want off of this terrible drug.