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to Scott-Amitriptyline and Celexa? Migraine relief

Posted by pattisun on December 2, 2013, at 15:32:10

In reply to Re: Amitriptyline and Celexa? Migraine relief » pattisun, posted by SLS on December 2, 2013, at 14:33:44

Thanks for the replies.

Dear Scott:
>
> What illnesses are you suffering from?
(severe anxiety disorder, spinal stenosis w/nerve impingement, arthritis, pesky auto immune disorders)..I take Celexa, klonopin, hormone replacements, Fentanyl patches and Norco. I cant take any NSAIDs, thus deal with the narcotics. (yuck)
>
> 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. I TEND TO AGREE
>
> 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.
>
>
> - Scott

Hi Scott,

Thanks for the answers. First, I'm being treated by an Internist who hates to refer me to specialist so I appreciate the feedback.

I have a friend who's achieved NO migraines after amitriptyline. I am just concerned that I will be combining 2 antidepressants and may run into too much seratonin again.

Topamax side effects lists scares me!! I have a gazillion pesky medical problems and tend to always suffer side effects (like Congestive Heart failure from Vioxx--went away after discontinuing the med)

I've decreased my Celexa down to 40 mg without too many side effects, just a little moody so I can live with that dosage. Agree that I may not do well at 20 mg.

Thanks for your help!

Patti

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URL: http://www.dr-bob.org/babble/20131115/msgs/1055234.html