Hi, i've been on it or some form of it for 5 years, first I was on Limbitrol a combo of Amitriptiline and Librium it worked wonders, then all of a sudden it stopped working, i was then put on nortriptiline and it didn't work and the back to regular old Elavil <amitriptiline> 50mg at night it worked well for awhile. Not it has stopped working and i have increased it and increased it. I plan on talking to my Doc about other options and trcylics.Anyway the sleepiness goes away after awhile, you do gain some weight in my case that was good, i was way to skinny, there is breast enlargement in men and women <i didnt mind in that case either> craving for carbs and sweets, which i think attributes to the weight gain, nightmares or weird dreams or vivid dreams. Im trying to think of something else, i think my hands did tingle for a little bit there but i thought it was just because my hands are always cold. Oh yeah, your blood pressure could be extremely low because of the Elavil and if you take extremely high doses likw 175mg a day you could get an arrhythmia.-Cadia