How much elavil?

     When I was first dx'd with fibromyalgia a couple of months ago, my dr. prescribed Elavil 10 mg.  He said I could start out taking 1 tablet at night and then begin to increase the dosage to 5 tablets a night.  I am now up to 4 per night and I haven't really noticed much difference in my symptoms so I called the dr. today and asked how I would know whether I was taking enough.  Instead of answering that question, his nurse called me back and just said that I should increase my dose to 100 mg. per night.  That sounds like SO MUCH to me - it would mean I'd be taking 10 of the tablets at a time.  Is that a normal amount for those of you that take it?  Are there any side effects that you've had that I should watch out for?  I'd appreciate your input because I'm nervous about taking so much.  The nurse did say that the dr. would call in a new RX for me for 25 mg. tabs so that I wouldn't have to take so many pills at a time, but I'm still wondering if that's too much. 

     Thanks!!  Nancy 

I tried cutting back on it in May and ended up in the worse flare ever. Don't know if it was just a coincidence or not. My pain level has gone up over the years but not to the degree some have pain. I can get by with 4000 mg tylenol most days.

luv and hugs

Marlee