"after years and years of self medicating and over medicating on co- codamol. chewing ibupufren, even nasal surgery to relieve severe sinus pain i was prescribed amatriptyline 10mg at night. immediately, or at least the next morning, after the best nights sleep i&#039;d had in years, the pain was gone !! it became apparent, though, after a few weeks that my sex drive had also gone!! what a dilemma for a 45 yr old, normally virile bloke. if i&#039;m honest, after all the years of pain and worry i&#039;d had over taking so many pain killers, it was a small sacrifice to make. unfortunately, my partner didn&#039;t see it in the same light, understandably...oh well ?"