Yes, both of your new medications, Tryptomer (amitriptyline) and Desval ER (divalproex sodium), can cause hand tremors as a side effect. It is a known and manageable reaction. Please do not stop or change your doses suddenly, as this can worsen your anxiety. Instead, contact your doctor soon. They can easily evaluate this, adjust your dosage, or discuss alternative treatments to safely manage both your anxiety and this side effect.

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.

Combining fluoxetine and amitriptyline requires caution and close medical supervision. Fluoxetine can increase the levels of amitriptyline in your body, which may intensify side effects like drowsiness, dry mouth, blurred vision, and dizziness. There is also a small risk of a rare condition called serotonin syndrome, which can cause sweating, confusion, or a fast heartbeat. However, doctors sometimes prescribe these medications together at specific, carefully managed doses. If your doctor has prescribed this combination, it is safe to take it under their guidance. Please do not alter your doses on your own, and consult your doctor if you experience any bothersome side effects.

An overactive thyroid can indeed cause a fast heart rate, along with anxiety, weight loss, and feeling unusually warm. Your doctor prescribed Norton (propranolol) to help calm your heart rate, and Tryptomer (amitriptyline) to manage related symptoms. While these medications are highly effective at managing your symptoms, a simple blood test can easily check your thyroid hormone levels to see if that is the underlying cause. I highly recommend discussing this with your doctor.

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.

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.