Hi Louise,I hope the Amitrip does the trick for you it's very distressing with the constant pain. I saw my Rheumy on Monday, I've been feeling the same and wanted to try the Gabapentin but he wants to try another increase in the Amitrip, I've been on 50mg for some time but I don't want to take higher dose, I have a terribly dry mouth, my tongue sticks to the roof of my mouth and my teeth are starting to suffer, my dentist says tht it is the dry mouth that is causing it. I'm also taking tramadol 150mg prolonged release twice daily, naproxen 500mg twice daily and paracetamol four times daily. I had surgery last month and I was given a morphine pump, the first time in a long time with out pain, bliss. Glenys.