Conversation: The conversation between human and AI assistant.
[|Human|] i have be taking amitriptyline 25 mg 2 to 3 tablets at night for nerve pain, i have been having nightmares , and waking up every two hours , the last 3 days i have tingling in booth (like a thousand needles} feet and also in my hands not as often in the hands, i also take 500 mg naproxen morning and night, also my freinds say i have been irratable and more aggressive is this a normal reaction, i have had a shoulder , left knee, carpel tunnel release, my eye dr told me 2 years ago i was just under the pressure level for gluacoma , and i have had cateracts in booth eyes, (this year he told me everything is normal} is there anything i should be worried about are these normal side effects, my neck pops between when i turn it and i am getting headaches, also seems my joints seem to hurt more, i have fought fire thirty years am 49 years old
[|AI|]  Hi, The location and movement of a pain gives clues as to what is going on. But one can have multiple causes producing multiple pains. Neck orthopedic issues often radiate to the back of the head and down the shoulders. Amitriptyline IS actually the most common medicine to cause nightmares in my experience. There are alternatives, but they usually are not quite as good. A minor shift to NORTRIPTYLINE is one option. Hope I have answered your question. Let me know if I can assist you further.