I have recently (almost 3 months ago) stopped amitriptyline, 70mg which I was taking before bed. I had been on this for years and it was no longer working so the pain clinic suggested that I tried duloxetine. So I started out on 20mg and after two weeks nothing was happening, so I went back to my GP who said try it for at least one month. One month came and still nothing was happening. My GP then increased my dose to 40mg in the evening. I am now on my third week of taking the increased dose and it is still having no effect. Since starting duloxetine, which was supposedly meant to help me sleep, I have been sleeping worse, some nights I have little sleep (40 mins or so) or even nothing at all.
I have been attending the GP regularly for the same problem, sleep, and they are adamant to keep me on the same dose longer to see it has 'any' affect at all. I am beginning to lose all source of functioning during the day due to lack of sleep. Its like one big circle of pain, no sleep, more pain, no sleep, pain worse due to no sleep and then no sleep due to the pain! I am currently taking Gabapentin, Co-codomol 50/500mg, tramadol and severdol for pain relief - which doesn't work much but guess what .. I've to try it for one month!
Does anyone have any idea's of what else I could try or suggest to my GP?