Bear in mind the tricyclics at least (Ami, Nori), have a therapeutic "window" in that they are effective from a certain dose and below a certain dose. You won't get much benefit from them unless you are within your therapeutic window. For me that's > 15 mg and less than 30mg.
Also, I re-iterate, don't fall foul of confirmation bias, there are a broad range of 'MAV' symptoms and on top that you can get health anxiety and its symptoms (I once couldn't swallow I was so anxious, another time I came out in a flush all over), so be careful not to blame the symptoms on the meds especially where its not a typical med side effect. MAV symptoms can vary so much even within one week let alone a month, so its extremely hard to connect cause and effect sometimes. Anxiety of trying a med alone could set off a set of symptoms you don't normally get.
e.g. Ear pressure, fullness and tinnitus are all classic ear trouble issues regardless of whether you are on meds or not. In fact Amitriptyline has done nothing to improve ear pressure or tinnitus for me, at least not in the short term.
Not only that some of the side effects wear off pretty quickly, and for those that hang around if you just accept them it will make you less anxious about them and they will be much more bearable.
On Ami I had terrible dry mouth to begin with, but that's almost completely vanished now. Drowsiness was pretty bad to begin with,but now I can stay up til 1am without issue whilst on it. Constipation is the only annoying one, but even that's now tolerable.
It really is up to you,of course, and everyone is different, but these meds can dramatically improve your overall quality of life and facilitate normality. I could not use a computer without Ami. That's huge right there. It rules out work for a start. And using this website!
On top of the meds controlling the primary symptoms, this has a positive knock-on effect on your psychology and anxiety. I am almost completely free of anxiety these days. That is HUGE! And this helps to create a virtuous cycle. Once your anxiety falls I'm absolutely sure this puts less pressure on your ears. Before MAV hit me fully, stress would give me a few seconds of dizziness on occasion. Incredible.
One more point before I close: MAV symptoms fluctuate wildly. I am much better these days but have spent a year where symptoms would escalate to significant levels of discomfort even whilst on the drug. This fluctuation has dropped over time, but just to say that no med will protect you fully from this helta-skelta.
Best of luck. Off my soap box now