Amitriptyline
"My 11.5yr old is on 20mg of amitriptyline at bedtime for peripheral neuropathic pain in the ball of her foot.  We started on 10mg and had no effect after 1month on sleep or pain levels.  20mg has reduced pain by 15% and increased her sleep. (only waking once a night instead of 3 times).  Pain levels are still at 6.5/10 on her scale (we she has a high pain threshold as she has broken her wrist a couple of times).  She is a well build 11yrs old and not experiencing any side effects.  Our consultants are anti-medication so not keen on her taking any dose. Does anyone have any guidance on dose rate - From what I have read, we could easily up her to 25/30mg and see whether this has any further effect....clearly the 20mg is doing something?"