Can you use amitripyline as and when needed to help with sleep?

That's a good question for your doctor. You are on a low dose & amitriptyline is one of those medications that your body can build up a tolerance to, so not taking it every night might benefit you. It really isn't a sleeping pill it just helps to relax your muscles & w/anxiety. Hope all goes well.

I too would suggest you consult your doctor, but from my experience, you could use it at whatever time of the day of night you want to sleep.
For me, the tablets take between 1-2 hours to kick in so take it in good time, but once it does kick in you will sleep for a good 7-8 hours, so no use taking if you're just going for a nap.

Hope that helps

From what you have described, of course you can't take it on nights you have to work. I would speak to my doctor if I were you and see what he thinks about possibly taking it at a different time on those nights. You have to sleep some time. My question would be is it alright to alter the time to take it on those nights you have to work. It could be that he only wants you to take at night. Best advice I can give is to speak with prescribing doctor and let him know about your schedule. He would know better than anyone. Best of luck, ChelleKay