new to this so keep it short, diagnosed with fm 1 1/2 years ago. was on efexor xl(150mg a day)for depression due to pain. on tramadol hy(50mg 8 times/day)for pain. dr changed efexor for amitriptyline= 75mg effexor 1week + 10mg amitriptyline all fine. 2nd week 25mg efexor + 25mg amitriptyline not good by middle of week after 3day migrain ended up in bathroom vomiting+nosebleeds+loss off time and space(if that makes sense?let me know)and loss of bladder control.following day went back on efexor 150mg and stopped anitriptyline.fine again now but it scared me.dr says tramadol would be more effective with amyl(is there a nikname for this)line than efexor for pain relief. but i think(and i know its wrong and stupid)i prefer the pain than loosing control of my body.any advice welcome.