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Hi list friends, I have been mostly lurking, but have a situation I would like some comment on. I have had a tremor for two years now and am taking no pd medications, but I have had long term problems with poor quality of sleep. Maybe of course caused by the oncomming pd. It got so bad I told my neuro about it and he prescribed Elavil 10 mg. That helped a lot for two weeks, then the DR put me on 25mg, That helped a lot for 2 months but is not helping much now, I know he will increase the dose again, but how much further can I ;go, The dose now is causing two side effects,, blurred vision and constipation. So now I have three problems If I continue increasing the dose, won't I just continue to have more severe side effects Lanier Maddux Chattanooga, Tn. ([log in to unmask]).