Hey Driz...I've been on Elavil (Amitriptyline) for about six years now. It's worked pretty well for me. But to give some guidance to your question. My doc once told me that if i was feeling especially horrid, or if my stomach was acting up, to go ahead and take an extra pill. Now granted I'm only on 10mg, but we're on relatively low doses of the drug as it is used for IBS. For it's actual anti-depresent use it's something crazy like 200mg. So I don't think it would hurt you to take an extra one. Definetely might suck the energy right out of you though. Of course, I'm not a doctor, so this is just a suggestion, you might want to check with your doc first as everyone's situation is different. Goodluck!