Stopping this medication suddenly could cause you to have withdrawal symptoms such as nausea, headache, insomnia, fatigue, and sweating. It is best to taper the dose of medication over a period of at least a few weeks to prevent withdrawal. It may take up to four weeks for amitriptyline to start working.
Many consider fall to be the best time to cruise to Hawaii because summer crowds are starting to die down and prices are reasonable. You won't get the same rock-bottom prices found during the winter months, but you will enjoy a calmer sea.
The Big Island is far less crowded during the low season, and you will often find way better rates on your flights (100âs of US Dollars!), accommodation and activities. In our opinion, the sweet spot to visit Hawaii is between mid-April and May, and in September and October.