"this is an update to my previous post, about 4 months ago.  now, through close monitoring and guidance by my doctor, i am taking 40 mg of the amitriptyline around 10am and 20 mg around 10pm.  side effects at this dosage are insignificant (dry mouth, bitter taste, sometimes sleepy 3 hours after morning dose) considering i am getting much relief from the constant pushing/pulling.  i rated 8 this time because this amount seems the most i can take.  i&#039;m so grateful for having about 15 days and evenings where i can sit normally to watch t.v or read, not having to have to be lying down.  so i encourage any people with transformed migraines to ask your doctor about trying it. i forgot to mention that i can finally get rem sleep now. no more ambien."