A common first line treatment plan is the diet and behavioral modifications listed on the website, plus a low dose of amitriptyline 10mg X 7 days then 25mg and increase slowly to tolerance. For patients in an IC flare there is a bladder instillation of
buffered lidocaine, a local anesthetic, than can help relieve symptoms immediately. Its injected into the bladder thru a catheter in the doctor's office by a nurse. There are a number of treatment options for you.