I have taken these for 6 years
Work great for me
I do know they don’t suit everyone some people find it hard to have a clear head in the mornings .

I take amitriptyline i take them at night with co co dermol couldn't sleep without them !

Never heard of the Pamelor but my experience with Elavil was terrible. It made me stupid. I could ask a question 3 times in a row and still not remember the answer. My mind was fried.