Hello @pamelaz, Welcome to Connect. I have no experience with Nortriptyline but @melody12 @patriciao @artscaping @sharonbrenna and @rwinney have posted about it in other discussions and may have some experience to share with you.

Have you been diagnosed with neuropathy? Do you mind sharing a little more about your diagnosis and symptoms?

Good afternoon @pamelaz This is Chris @artscaping. Nortriptyline was the first medication my neurologist prescribed for me when I was diagnosed with SFN. At the time I was frightened and having way too many suicidal thoughts. It was the perfect solution. I began sleeping well which was high on my wish list. And the dangerous thoughts began to dissipate.

I had no side effects and ended up tapering off it two years later when my depression was resolved by knowledge about my condition, meditation, and mindfulness.

Are you also taking some form of Gabapentin?

May you be safe, protected and free of both inner and outer harm?
Chris

Nortriptyline has worked the best for me in controlling nerve pain in my feet. However, I only use it sporadically and mostly rely on a heating pad at night. I couldn't tolerate Lyrica or gabapentin.

Yes, a few years ago, my doctor recommended I try it to help manage my chronic cervical (neck) pain/compressed nerve pain I was suffering from, which since I'm happy to say resolved totally from using a simple traction device I at home that my orthopedic doctor recommended. It worked amazingly! I don't reach for it much now since all that bad pain just disappeared.

The Good: When I took the nortriptyline (for about a year) one benefit was I noticed was my Peripheral Neuropathy (numbness of toes) discomfort during sleep was reduced significantly. And, it helped me sleep more soundly, a great thing.

The Bad: Unfortunately, for me, even at the lowest dosage, I could never cope with the minor sedation effect of taking the nortriptyline
... it impacted my ability to get up out of bed and start my day easily. So I stopped taking the med.

I still have the PN numbness and have had learned to live with it for 14 years by wearing warm (not tight) socks in bed, daily exercise (walking), and the OTC Turmeric I started taking last year that appears to help. I tried Gabapentin after my PN diagnosis, but it did not help.

Yes. I take 40mg. of Nortriptyline at bedtime along with 100mg. of pregabalin, otherwise known as Lyrica, and it works for me. Without it, I would be in pain.