Posted by Sad Panda on October 19, 2004, at 10:38:45
In reply to Re: Effexor and Migraines » sundancer, posted by King Vultan on October 18, 2004, at 14:18:51
> I would suggest trying a tricyclic AD such as nortriptyline, which has utility in chronic pain situations and in preventing headaches and migraines. Because it is a tricyclic, you may notice some side effects such as dry mouth and constipation, but nortriptyline is relatively mild as far as these effects go. Having used both Effexor and nortriptyline (for depression; I also have chronic non-migraine headaches), I cannot imagine prescribing Effexor just for migraines. IMO, it has too many severe side effects, insufficient efficacy, and the possibility of suffering withdrawal symptoms if one tries to go off it after having been on it for an extended period. I would rather take my chances with a tricyclic AD, or at least try one of those first.
>
> Todd
>
>I'd agree with Todd, a TCA like Nortriptyline is much more likely to provide migraine prophylaxis. If you don't have depression or anxiety, I would try meds like Cyproheptadine, Pizotifen or Methysergide first. Asprin is worth trying too.
Cheers,
Paul.
poster:Sad Panda
thread:404286
URL: http://www.dr-bob.org/babble/20041018/msgs/404697.html