Brief Answer: Continue for a while, then discontinue+therapy Detailed Answer: Hello ma'am and welcome. Thank you for writing to us. Tryptomer is a good medication, especially as your problem is stress-related migraine headaches. But you are right when you said that is medication is habit forming and should not be taken for a long duration of time, and recommendation is to shift a patient to oral therapy as soon as possible and wean off tryptomer simultaneously. So speak to your doctor about finding a safe substitute once you feel better. As for the weight gain; weight gain is not a side effect of tryptomer ma'am. I suspect two possibilities that could have caused the weight gain: 1. As you are happier while on the medication, and do not get stressed often. The happy enzyme is at a higher level in your body, which can trigger an increased appetite and result in mild weight gain. This is not considered a problem and all you need to do is control your intake or exercise a little more 2. There is a side effect of tryptomer which results in swelling of the breasts. Have you noticed an increase in size of your breasts? If so, this could be the cause for the weight gain. Speak to your doctor about this side effect if it is present. Other than this, we cannot attribute weight gain to tryptomer. But on a general note, I feel you should continue tryptomer for a while, till it makes you feel better. But once you feel better start weaning off tryptomer and simultaneously initiate other treatment options like counseling, etc; to help deal with your presentation and completely avoid it in the future. I hope you find my response helpful ma'am. Please feel free to write back to me for any further clarifications, I would be more than happy to help you. Best wishes ma'am.

---