While Amitone (amitriptyline) can help with sleep and is sometimes used for bladder issues, it is important not to restart it without consulting your doctor first. Frequent nighttime urination can stem from various causes, like a urinary tract infection, which require specific treatment. Since this medication was prescribed to you previously, please reach out to your doctor. They can safely evaluate the root cause of your frequent urination and determine if restarting Amitone is the best and safest option for you.

Amitone Plus (which contains amitriptyline and chlordiazepoxide) and etizolam both work by calming your nervous system. Taking them together can sometimes double up this relaxing effect, which might make you feel a bit foggy, sleepy, or notice some temporary forgetfulness. Please be reassured that this is a common, reversible side effect of these combined medications, not a permanent change. I gently recommend speaking with your doctor about this; they can easily adjust your doses to help you feel your best and keep your memory sharp.

Since Amitone (amitriptyline) is not providing relief, and you have idiopathic diabetes insipidus, it is very important to contact your prescribing doctor or endocrinologist promptly. Your symptoms of feeling unusually cold and having frequent urination could point to a urinary tract infection, a thyroid issue, or a change in your body's fluid balance related to your diabetes insipidus medication. Please do not adjust your doses on your own. Your doctor can safely investigate these symptoms and explore more effective options for your foot pain.

The numbness in your leg and thigh is likely a long-term sensory effect of your 2024 stroke. While reversing numbness completely can be challenging, certain medications can help manage associated nerve sensations. Doctors commonly prescribe gabapentinoids, such as gabapentin or pregabalin, which help calm overactive nerve signals. Certain antidepressants, like duloxetine or amitriptyline, are also highly effective for nerve-related symptoms. Because these are prescription medications, it is very important to consult your neurologist or primary care doctor. They can evaluate your overall health, ensure there are no drug interactions, and safely prescribe the most appropriate option and dosage for you.

Since cold air triggers your symptoms and blocked ears, this might be related to Eustachian tube dysfunction or temperature sensitivity affecting your inner ear. It could also point toward a vestibular migraine. Since medications like amitriptyline (Amitone), escitalopram (Stalopam), betahistine (Vertin), and prochlorperazine (Stemitil) are no longer helping, I gently encourage you to consult an Ear, Nose, and Throat (ENT) specialist or a neurologist. They can safely evaluate these physical triggers to find an effective solution for you.

Since standard treatments haven't worked, your chronic heel pain might involve sensitized nerves. For your next pharmaceutical options, a physician may consider neuropathic pain medications such as gabapentin or pregabalin to calm overactive pain pathways. Low-dose tricyclic antidepressants, like amitriptyline, are also highly effective for chronic nerve-related pain. Additionally, topical compounded creams containing ketamine or diclofenac can target the area directly with fewer systemic side effects. Please consult a pain specialist or neurologist to evaluate for conditions like nerve entrapment and to safely discuss these prescription options. There are still excellent avenues available to help you find relief.