I am 77 years old, and I hardly have the energy to look after myself. Between the age of 40 and 60 I took between 25 and 75mg of amitryptilin ( Ativan ) every day and did exceptionally well. When I moved to Vancouver, doctors told me repeatedly to get off amitryptilin . Neither Trazodon nor luvox were of any benefit to me. One doctor told me, that amitryptilin is one of the safest meds around. I d lke to take it again, but haven t been able to convince any doc to prescribe for me, as my quality of life without adequate energy is very frustrating. Thank you. I am basically a healthy person, bp is a little high ( 150/78 )