Posted by SLS on December 2, 2013, at 14:33:44
In reply to Amitriptyline and Celexa? Migraine relief, posted by pattisun on December 2, 2013, at 11:05:47
> I had a severe reaction to Imitrex and Celexa, causing seritonin syndrome. Since I can no longer take this combintation my doctor is considering low dose Elavil and lowering my Celexa from 60 down to 20.
> Anyone on this combination?
> Anyone with successful migraine treatment who's on an SSRI?What illnesses are you suffering from?
If the dosage of Celexa was titrated properly to the minimum effective dosage, it is my guess that the symptoms of the illness you are using Celexa to treat will recur by lowering the dosage so drastically. I hope I'm wrong.
Have you tried Topamax (topiramate) for treating migraine? Although known for producing cognititive and memory impairments, these can be mitigated by starting at 12.5 mg/day and titrating gradually to 100 mg/day (50 mg b.i.d.). Speaking for myself, I experienced no cognitive side effects at all at a dosage of 200 mg/day.
I don't know of any reason why you can't keep the Celexa at 60 mg/day if it works for you while adding amitriptyline. Nortriptyline, the daughter drug (metabolite), is reported to help with migraines, too, but has a milder set of side effects.
I hope you don't experience too many migraines as you go through your next series of drug trials. I can't imagine the pain you must suffer.
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1055204
URL: http://www.dr-bob.org/babble/20131115/msgs/1055231.html