Elavil can indeed provide relief for some people and just a lot of side effects for others. I was the latter. You say .25 mg but that isn't even a homeopathic dose. Did you mean 25 mg? That is conservative but then again its all about individual susceptibility to side effects. If you are nervous about it, split the tablet and take half. If you can use it its a good, cheap medication. Review the side effects so you know what to expect. http://www.rxlist.com/elavil-side-effects-drug-center.htm

Note that there is a big difference between side effects at a low dose and side effects at a higher dose.

Thank you Colleen for making me feel welcome and your suggestions are much appreciated. I am very excited about this site and am still learning how to navigate. I appreciate everyone's responses to my question.<br><br>

Agree with @johnwburns. AS an elderly person, I probably have a decrease in B12 absorption, and when I mentioned I had mild peripheral neuropathy symptoms, my internost obtained a serum B12 level---and it was decreased (I'm 84). I started on sublingual B12 and in a very short time the level was back to normal. Fortunately B12 has no side-effects and is completely safe at almost any dose. And it is stored in the liver; so it may take a while for a deficiency to show up (say, after becoming a vegan, as I did for nearly a year when I was 75). As a gastroenterologist, I am also aware of the many GI causes of B12 deficiency; so the advice to get an evaluation is sound. BTW, the mild peripheral neuropathy (mild numbness in parts of the feet) is still there, but I take the b12 anyway....

Sounds like a happy ending. Good to hear.