Thanks for your advice , feel very irritable this morning and my head feel very heavy, also forgot to mention I have been having alot of spots and ulcers lately as well, I am conviced it the Amitrypline that is causing it, I drag myself out of bed, I started a new job a few months ago and dread going, I think from today I will stop them and see what happens but what shall I do about the HRT, yesterday I took off the 50mcg patch so at the moment I have just a 100mcg patch on, I know you all have said in the past that I was on a very high dose and should reduce but even when I reduce it still doesnt stop the headaches plus I still have some slight meno symptoms i:E leg twitches, some mild hot flushes, should I just continue on with the 100mcg patch and hope things will with the HRT will pain out, this whole HRT and Menopause is crap, as for the meno clinic I will ask the GP on Monday to see if I can go back and also find something else to sort this neck pain and headaches xx