Dear Sir, Hi & Welcome.
I can understand your concerns regarding the safety of the prescribed medication Amitryptiline for
occipital neuralgia.
Based on the history given you seem to have developed side effects of Amitryptiline like dizziness, excessive sleep, and
blurred vision. It may also cause dry mouth, constipation, weight gain, retention of urine,
sexual dysfunction, increase heart beats, confusion and hallucination.
I would suggest Gabpentin or
Carbamazepine along with Methycobalmine which are alternate effective medications & which do not cause the above side effects.
If there is no improvement with the above medications your treating doctor may advise occipital nerve block using an injection of a local anesthetic & a steroid drug. These are often quite successful in relieving the pain for several weeks or months at a time.
When combined with
physical therapy, daily stretching and strengthening exercises, and other conservative measures, you can do well for many weeks or months at a time.
Hope the advice given above would be useful in getting relief from the pain.
Kindly rate the answers if you are convinced.