Posted by ed_uk2010 on December 2, 2013, at 12:29:18
In reply to Amitriptyline and Celexa? Migraine relief, posted by pattisun on December 2, 2013, at 11:05:47
I do not personally suffer from migraine, but there are several preventive meds and symptom relief meds which can be combined with Celexa.
1. Amitrip and Celexa can be combined, but the dose of both should be kept low. Of course, doses should normally be adjusted gradually, not abruptly. Amitrip can help to prevent migraine, but tends to cause drowsiness, dry mouth and weight gain. It does not relieve the acute attack.
2. Unless you are asthmatic or have some other contraindication, the beta-blocker propranolol (Inderal) can be used in combination with SSRIs to prevent migraine.
3. Topiramate (Topamax) is now a well-established migraine preventive. The dose needs to be increased very slowly. Side effects may include slowness of thinking/word finding, tingling lips and extremities, strange taste (especially of soda water) and weight loss.
4. Another anticonvulsant, Depakote, can prevent migraine. Like Topamax, low doses are used and the side effects are therefore less than in epilepsy. Depakote can cause stomach upsets, weight gain and slight hair thinning.
To relieve acute migraine attacks, high dose ibuprofen (assuming you can tolerate it) + an anti-sickness drug can work very well (eg. metoclopramide, Reglan). You can also take a dose of Tylenol in combination with ibuprofen.
poster:ed_uk2010
thread:1055204
URL: http://www.dr-bob.org/babble/20131115/msgs/1055220.html