Hi, cant work out if it the warm weather, or the amitripyline, but i have felt really tired for the last two days... but when i first took them i felt fine... have you ever tried cutting the little blighters in half, every time i try i get a big half and a little half.. but iv not had an awful headache today, if i could call it a headache.. and my ears arnt buzzing.. ... i will try the whole tablet tonight and if i have that awful head tomorrow i will presume its the tablet ... iv not known the vagifem give me an awful headache.. even on every other day.. but yes i think she did originally prescribe the tablets to treat the pain i was in, but now its less im so tempted to reduce them, maybe i would be cutting them off to soon though... as i was supposed to take them for three months.. but im like a lot of people dont like taking tablets, but i guess as we get older we will have to get used to it.. i remember not wanting to use vagifem, and now i would panic if a doctor said, no more vagifem.