A little background: On 10/22/18 I started 10mg of Amitriptyline, and increased to 20mg on 11/6/18. I had a really difficult time getting on Amitriptyline, but finally after about 6-8 weeks the side effects lessened and my symptoms improved a lot too. I went up to 30mg on 1/6/19 and stayed there until August doing pretty well (I’d say 85-90%) when I slowly started to wean off for a few reasons. Fast forward to March 2020 and my symptoms crept back in with some new ones making an appearance as well! My worst symptoms are a lifty, rocking, unsteady feeling when I walk, which sometimes feels like the floor is going up and down and also gets worse when I try to vacuum or sweep, a ping-pong feeling in my head, and visual vertigo and just feeling really yucky when looking at screens for too long. A weird thing I’m noticing is I feel 100% when I’m driving or a passenger in the car. Strange.
My question: I started 10mg of nortriptyline on 5/18 and increased to 20mg on 5/27. It seems to be helping my visual vertigo with screen use (still have to limit screens but it’s better) and the ping-pong feeling a little, but the other sensation is the same and very frustrating. Should I stay at 20mg for awhile or should I keep increasing since I was on 30mg of Amitriptyline last year?