Originally Posted by sylviegirl
We are not experiencing cookie cutter symptoms here and we are becoming frustrated.
I can relate to that. Early on in my migraine journey, my PCP had to enter something in his computer as to the type of migraines I had. He apologized for being slow about it (not that I even noticed), remarking, "They have 22 different classifications of migraine in here, and none for 'other' and that's what you have. ...Oh, there it is."
My gut is telling me the amitriptyline is not giving him relief and not knowing if the amitriptyline is actually helping, or not, we are struggling with upping the dose, or weaning. We started with 10 mg and increased by that amount until we reached at 50 mg. He never actually had relief until the cyproheptadine was added, but then it was stopped fairly soon and the headaches returned. They now want to increase the amitriptyline to 75 mg.
Googling: amitriptyline migraine dosage
and a study indicating increasing dosages may not be more effective
, and more. I did not spend a lot of time perusing but it appears there are some worthwhile articles in that search.
The high doses of amitriptyline surprised me. In my own experiences with it, 10 mg is enough to lay me out for a day and a half. I may have an unusual sensitivity to this medication.
Personally, I'm not keen on using it for an adolescent for any
reason because of the black box warning
and associated side effects. OTOH, no parent wants to see their offspring suffer these blasted things.
I hope you have better success with the headache specialist.
Not for nothing, but how is your son's posture? Does he spend a lot of time at a computer?