Amitriptyline or Duloxetine
Hey guys, so. I am deciding between these two drugs. My pain started in my urethra but now it has gone to bladder/ pelvis and I actually have nerve pain in my belly arms and legs - a general pain disorder. They call it central sensitization.
The rheumatologist and pelvic pain specialists I saw recommended and SNRI like Duloxetine or a tricyclic antidepressant amitriptyline. I am already on gabapentin which does help.
I started amitriptyline two days ago because I already have a bottle, but I feel unsure, because I like the idea of a mood benefit from the SNRI, and I feel like I see more about it being effective for generalized nerve pain, and less about it causing memory issues. So far no effect at all from the Ami.
Any advice? ❤️