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Migraine Prophylaxis when on Lithium

Posted by fattoush on January 8, 2010, at 7:04:26

I am bipolar II and take 600 mgs of Lithium and that's all on that front. I take Synthroid for Hashimoto (100 mgs) which makes my sleeping tricky. I have been on amitriptyline 50 mgs for a month for headache prevention and I saw no improvement at all. I have three questions. First, I gained a lot of weight since I started the TCA. However, that's also when I went from 450 mgs to 600 mgs of Lithium, same day. Who's the likely culprit? Second, could my taking a lot of pain killers when I have migraines, including narcs, have defeated the prophylactic power of the TCA? I really can't tolerate pain and need a prophy that make me not have to resort to thinking of pain killers. Third, I am now contemplating Topamax for the migraine prophylaxis. I'd like to try and stay at a low dose, as I heard it worked for some people at as low as 25 mgs. How long should I wait at 25 mgs to gauge if the prophylactic qualities should have kicked in?


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poster:fattoush thread:932903
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