Yes, these symptoms could be side effects of your medication. Tryptomer (amitriptyline), even at a low 10 mg dose, is known to cause fatigue and can sometimes cause heart rhythm changes or an irregular heartbeat. Nervijen (Vitamin B12) is unlikely to cause these symptoms. You should not take any new medicine to treat these symptoms yourself. An irregular heartbeat requires immediate medical attention. Please consult your doctor or visit a clinic promptly for an ECG (heart trace) to evaluate your heart rhythm. Your doctor may need to adjust your Tryptomer dose or switch you to a safer alternative for migraine prevention.

Since your infection has cleared, this ongoing pain is often related to pelvic floor muscle tension or nerve sensitivity triggered by the initial UTI, sometimes called chronic pelvic pain syndrome. Because the muscles in your pelvis can tense up in response to infection, pelvic floor physical therapy can be highly effective. I recommend discussing this possibility with a urologist or a pelvic health specialist to help you find relief.

Stopping Sove (zolpidem) and Tryptomer (amitriptyline) too quickly can cause uncomfortable withdrawal symptoms like shaking and trouble sleeping. While cutting doses in half is a common step, the safest way to discontinue these medications is through a personalized, gradual tapering schedule designed by your doctor. They will help you slowly and safely reduce the doses to keep you comfortable. Please consult your prescribing doctor before making any changes to ensure your transition is smooth and safe.

Since your pain specifically affects one side of your body, including your shoulder, hip, and fingers, it is important to discuss this specific pattern with your doctor. I suggest asking about a comprehensive neurological exam, blood tests to check for inflammation, and possibly imaging like an MRI of your brain or spine to rule out nerve issues. Your doctor can also evaluate if your current medications, T-migrest and Tryptomer, are still the most effective choices for you.

It is best to take Tryptomer (amitriptyline) about 1 to 2 hours before bedtime. This helps it work when you are ready for sleep and reduces next-day grogginess. As your body adjusts, you might experience mild, common side effects like a dry mouth, drowsiness, or slight dizziness when standing up. These are typically temporary and manageable. Please take it exactly as prescribed by your doctor, and let them know if you have any concerns.

The tingling you feel in your hands and legs is due to nerve irritation, which can become more noticeable when lying down as your body rests. Even without pain, low doses of amitriptyline are highly effective at calming and stabilizing overactive nerve pathways to relieve these uncomfortable sensations. It is a very common and safe approach for these symptoms. Please continue your medication as prescribed, and do share any updates with your doctor.