I have anxiety, migraines, and chronic pain from a variety of injuries (which started with a broken femur in 2000). I have tried Lexapro, Zoloft, and Cymbalta, each of which had some effect on my issues but were ultimately outweighed by unwanted side effects. ELAVIL stood out because the initial side effects were minimal, and I did experience a reduction in pain. After a few months, however, the weight gain was noticeable and significant. I have gained about 25-30 lbs (with no signs of stoppin... g), which on a small-framed person is a lot, especially the breast enlargement. I am 5'3" and healthy-looking at 140 lbs. I already have large breasts, normally a D cup, and on Elavil, they are back to how big they were when I was nursing (DD,E). My anxiety is only minimally reduced, and I have some forgetfulness and although my pain (knees, leg, back) is improved, it is not enough to eliminate needing supplemental pain medication. I had already decided to wean off the drug, when I went on a road trip and forgot the meds (accidentally on purpose?). The on call doc refused to call in a lower dose for me, so now I am on day three of coming off 75 mg cold turkey. It is predictably unpleasant: I am anxious, weepy, have difficulty sleeping, and the pain is returning. On day two was nauseous to the point of vomiting, and my appetite is significantly reduced. On Elavil I experienced a marked urge to eat sugary things, which is not typical for me. I also felt a dampening of all emotions, both good and bad, and I just dont feel like myself. Read More Read Less