I'm 65 and recently my doc prescribed nortriptyline for nerve pain and irritable bowel resulting from diabetes, and she thought, PTSD from childhood trauma.

It woks some in those areas but for the first time in 50 years I'm not plagued by constant adrenaline dumps. I've never felt depressed but have always felt physically anxious. On top of the pressure to be cool and in control, feeling ready for fight/flight underneath is hard. And yes I did have a somewhat rough paper route.

Anyway, if you feel that unwelcome adrenaline dump regularly and in totally inappropriate situations, perhaps you should talk to your MD. I feel no emotional side effects other than a much appreciated calm and freedom from the unwelcome near-panic. I take 50mg which I understand is a low dose.