I recently started taking 25 mg of amitriptyline at bedtime with the idea of increasing the dosage to 100 mg over a period of time. The NS is giving me this for pain management. He told me to stop taking vicodin. However, the pain is almost unbearable during the transition period. My pharmacist said there is no problem medically in taking vicodin at the same time as amitriptyline. I had a micro foramenectomy 8 weeks ago and apparantly I have a nerve that is causing my extended problems. Is anyone else combining these drugs?