<s>[INST] I was recently diagnosed with Cystitis after a year long continual bleeding and severe pain. After 2 scopes they found my bladder walls are bleeding; numerous biopsies were all negative, so the final outcome was Cystitis.  However the bleeding, severe pain are still constant.   I've been on Atarax, Vesicare and numerous antibiotics for the past year. I have had no relief of the pain...Any new treatments? [/INST] Hi,I guess you have Interstitial Cystitis.You may try Tab Nortriptylline 25 mg once at bedtime daily after stopping Atarax.Do not take any antimicrobials . </s>