Im hoping you can help me. I’ve had MAV/VM for 2.5 yrs now. I started the Nortriptyline about 4 weeks, 10mgs at bedtime. I also have anxiety disorder and take xanax only when needed. I 've found the xanax helps the dizziness some also. I have some different questions regarding this med. When I first started it for 3-4 days I had much increased dizziness, more anxiety, speedy feelings. Within a few days to a week the initial effects slowed down. First I want to know of those taking this med, did you find your sensations got worse when you first started it and when you increased each dosage did they get worse again? I am having a tough time telling if the med is working. I’ve heard it takes months before it really starts to work, is this true? I have noticed some days here and there, not consecutive that I don’t have dizziness then it comes back, but when I do have it it feels as if its worse on some days, the rocking/swaying, moving up and down feeling and when I look at things like standing in my kitchen it appears as if its moving up and down also, or my computer screen moves to, or when I turn my head to look at something its as if the room haS to catch up. How soon after starting the med did you notice more days of not being dizzy, was it after hitting a certain dose? Did you find it did take time to see the difference? I always thought if a med worked you would know within the first 2 weeks. This seems to take months and even taking the med and having days here and there of no dizziness or less dizziness, your still dizzy on the bad days. with each increase did you notice more of the dizzy was going away? Until you finally got the right dose and it was just gone. Somedays I feel better then I don’t. Its so hard to tell if its working. I also take propranolol 20mgs twice a day. I feel as if this feeling of moving and moving in my vision is worse. I see my doc tomorrow so I need to know what I’m looking for in all this. Thanks for any help.