Especially when your MRI scans look completely normal. Since you have been taking Tryptomer (amitriptyline) 10 mg for three months without relief, it is time for a medical review. This is a very low starting dose, and your doctor may need to adjust it or explore other options. I highly recommend consulting a neurologist or a pain management specialist. They are experts in chronic and nerve-related pain and can help tailor a personalized treatment plan to help you find relief.

Your headaches, especially worsening during squats, sound like exertional headaches, which are often triggered by physical strain. The accompanying daytime sleepiness suggests your sleep quality might be poor, or an underlying sleep issue is contributing to both symptoms. Since amitriptyline (Tryptomer) has not helped after a few months, it is highly recommended to discuss these exertion triggers and your sleep patterns with your doctor. They can evaluate you for sleep disorders or exertional headaches and safely adjust your treatment plan to help you find relief.

Taking Tryptomer (amitriptyline) daily under medical supervision is a common and safe way to prevent headaches. However, taking Aceflam (aceclofenac) on a long-term, daily basis is not recommended, as frequent pain reliever use can actually trigger headaches and irritate your stomach. For lasting relief, focus on lifestyle adjustments like maintaining a regular sleep schedule, staying hydrated, and practicing stress-reduction techniques like deep breathing or gentle yoga. Please consult your doctor to create a safe plan tailored for you.

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.

Your MRIs are clear and medications like Lyrica and Tryptomer haven't helped. Since these treatments haven't provided relief, I highly recommend consulting a Pain Management Specialist or a Physical Medicine and Rehabilitation (PM&R) doctor. They can offer targeted options like specialized physical therapy, myofascial release, or localized nerve blocks for your meralgia paresthetica. Please don't lose heart; finding the right combination of therapies takes time, and there are still many effective pathways.

Yes, Tryptomer (amitriptyline), even at a low dose of 10mg, can occasionally cause mild, temporary increases in SGPT and SGOT levels. To help lower them, the most important step is to speak with your doctor, who may suggest safely tapering off this medication or switching to an alternative. Additionally, avoiding alcohol, eating a balanced diet, staying hydrated, and avoiding unnecessary over-the-counter pain relievers can support your liver health. Please do not stop your medication abruptly without your doctor's guidance.