Effect of low dosage Elavil for pain perception.

I have been diagnosed with severe cardiac microvascular dysfunction with vasopasm (visualized on test) of LAD and cardiac arrest. I am nitro dependent wearing two 0.6mg patches 24/7, supplemented with nitro spray 0.4mg prn chest tightness, pain or spasm. I take 5 mg Elavil HS QD to reduce my perception of pain. I am a 63 yo female with no other health issues, no MI and clear coronary arteries ( 3 cardiac caths over 2.5 years). I would really like to d/c this elavil as I feel that pain is my first sign to take further nitro. What do you think?  

[Cleveland Clinic]

I would recommend against that.  Think of is as a domino effect.  When the pain first starts your catecholamines rise causing you to have more pain and it takes off from there.    So the best way to treat your condition is to minimize the pain any way you can.  I would keep taking the elavil.

[joanincarolina]

Dear Doctor; thanks so much for your response to my d/c Elavil question. I understand the catechoalamine reaction and that was the missing science piece I needed to understand and manage this microvascular endothelial dysfunction. To see my medical journey to this diagnosis read my short journal here at 'joanincarolina'. Best wishes to ALL the dedicated medical and research people out there working on this medical problem. Thanks again.