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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Nortriptyline be taken for migraine?

Answered by
Dr.
Dr. Neeraj Kumar

Neurologist

Practicing since :2006

Answered : 2263 Questions

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Posted on Fri, 26 Aug 2016 in Headache and Migraines
Question: I take 40mg X 2 or verampil for vestibular migarine. not really helping. doc gave me 10 mg of nortriptyline to add in. says this is a good medication for migranes. what are your thoughts? are there bad side effects at this dose? It's either that or topomax and I really have heard allot of bad things about dopomax. I can't try a beta blocker because I exercise allot and my resting HR is too low. Running out of options this vestibular migarine is hard to treat. they gave me klonopin for dizzy episodes but I don't really feel comfortable taking that type of drug.
doctor
Answered by Dr. Neeraj Kumar 46 minutes later
Brief Answer:
Take precautions and treatment as advised

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Vestibular migraine can be treated by drugs like Divalproate, Topiramate, Flunarizine, Propranolol, Amitryptiline.

First step is to follow precautions and prevention.
Avoid any type of fasting, excessive tea or coffee and chocolates.
Take timely meals proper rest and night sleep.
Avoid any other triggers if identified.

Flunarizine and Amitryptiline will be good options.
Divalproate can also be taken with some side effects of weight gain.
Amitryptiline at 10 mg is not having side effect like sedation, dry mouth.

Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by : Dr. Arnab Banerjee
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