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Amitryptiline is an antianxiety and antidepressant, which is also very helpful in somatic complaints like tingling-numbness
and neuropathic pain
. If there is only partial benefit, you may need dose increment.
Other possible causes for your symptoms and poor treatment response:
• Anxiety and depressive disorder: need to be rule out by detailed interview by psychiatrist
• Vitamin deficiency: Get serum B12 level. Start multi vitamins as they are easily available.
related neuropathy: Get blood sugar level done.
• Side effect of substance use (stop if present)
related problem: get thyroid hormonal
• Neurological problem: get MRI brain
So, evaluation and management of above possible causes will help you greatly.
I hope this information has been both informative and helpful for you.
Wish you Good Health.
Dr. Ashish Mittal