"i have calf pain (mainly when sitting) due to small fiber neuropathy. i tried neurontin, lyrica, cymbalta...without any luck. tramadol provided limited relief, but not nearly enough. finally i tried pamelor and after a few weeks the calf pain started to dissipate. i take 100mg/day and the side effects have been pretty mild. the drowsiness tapered off after a few days, but the dry mouth and constipation go with the territory. i get occasional tinnitus as well."