Greetings @alfer. As @johnbishop mentioned, nortryptyline was the first medication my neurologist prescribed in hope that I would be able to sleep at night. Pain and fear were keeping me awake. It was very helpful and I continued taking it for a couple of years until I found how helpful medical cannabis could also be. To this day, my nighttime medication is a 2:1 CBD/THC tincture. My original dosage has been increased as the SFN (small fiber neuropathy) symptoms increased.

The mornings were a problem for me also. As the pain ranked up in the morning I was quite frustrated by noon. So.....we tried Duloxetine for anxiety and I still take it to this day, having increased the dosage from 30 mg to 120 mg. It helps the pain by controlling the anxiety.

Good luck with your medication decisions. Just don't make any changes without discussing them first with your doctor.

What else are you using to control the effects of neuropathy?

May you be free of suffering and the causes of suffering.
Chris