[wardaddy]

Elavil is a tri-cyclic antidepressant like Triavil etc is it not?

That would not entail analgesic properties on it's on. You are saying it has synergistic effects when combined with narcotics much like many docs prescribe promethiazine(phenergan) as an anti-emetic and kicker when prescribing percocet or lortab etc. Mepergan which is primarily Demerol also has promethiazine added from the getgo and is a fav of oral surgeons.

I have known folks to take Elavil as strictly psychological treatment a lot....usually if something like Wellbutrin is ineffective. I guess the serotonin reuptake inhibitors have hurt the tri-cyclic market a bit.

[stands2reason]

You're right, tri-cyclics and MAO inhibitors have way fewer side effects than the SSRI's.