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.
If you have major health issues, you may find no ideal time to sail from Ensenada to Hawaii given the number of days at sea. Most cruise companies spend no less than five consecutive days crossing the vast Pacific Ocean.