I took the max dose of Elavil for sleep. Unfortunately, it pushed me into hypomania. This is important to mention as I wonder if that is what is happening to you. In addition, Elavil is a tri-cyclic antidepressant. It is considered a weight gainer as most tri-cyclics are.

Good Luck to you. By the way, 220mg of Elavil is a HUGE dose. I think that the max. dose in the USA is 150mg. I am sure that psychiatrists prescribes meds differently in Norway.

Peacemaker