I’ve been on relatively low doses of nortriptyline and propranolol for a while. I titrated up my nortriptyline to 50mg before calling it a bust. I’m keeping my propranolol at 15-20mg to isolate the factors I’m changing. After about 6 weeks on 50mg of nort, and not feeling better, I started weaning off. I lower my dose by 5mg every 3 days. I’m down to 10mg. In looking back at my symptom diary, I notice that I felt better during the weeks when I was taking 15-20mg of nortriptyline. This could very well be coincidence, as there are SO MANY factors here I can’t control (sleep, hormones, weather, etc). But is it even possible to feel better whilst taking a low dose of the medication, and then resume your same symptoms when you take more of that same medicine? That doesn’t make sense to me.