Peripheral neuropathy-like symptoms and a Nortriptyline dilema

[YogiBerra]

I was prescribed Nortriptyline almost 30 years ago for sleep maintenance. In 2019 I stopped taking after reducing it to 10 mg. In a matter a few days I developed tingling in my hands and feet. My primary care physician put me back on it and the symptoms cleared up. Then in 2021 I meticulously titrated it down to 1 mg and I began to have similar symptoms. This second time when I increased the dosage the symptoms did not subside. I have all sorts of tests (blood work and MRIs) and no cause has been determined. My neurologist prescribed Gabapentin which reduced the symptoms a bit. A few months ago he asked me to begin to reduce my Nortriptyline dosage from 25 mg. I am now at 20 mg and plan to go to 15 mg, then 10 mg and report back to the neurologist. Nortriptyline is sometimes prescribed to treat neuropathy. I read "If you were taking it to help with pain, you may notice that the original pain returns and/or worsens upon withdrawal. Even if you were not taking it to treat pain, you may experience some soreness as your body readjusts to functioning without this drug." I'm at a loss as what to do.