Should I follow my psychiatrist's advice to taper off amitriptyline and switch to sertraline 50mg and Ativan 1mg, or can I safely stick with my current amitriptyline 50mg and chlordiazepoxide 10mg routine since it is already successfully treating my headaches, trouble sleeping, and feeling down?
It is completely understandable to feel hesitant about changing a medication routine that is currently helping your headaches, sleep, and mood. Your psychiatrist's recommendation to transition to sertraline and lorazepam (Ativan) is likely aimed at providing a safer, more effective long-term treatment plan. Daily use of chlordiazepoxide carries risks of tolerance and dependence over time. However, because amitriptyline has been managing your headaches so well, it is incredibly important to share these specific concerns with your doctor before starting the taper. Together, you can design a gradual, safe transition plan that keeps your pain and sleep fully managed. Your comfort and safety are the top priorities.