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