A member asked:

I have vestibular migraines/chronic daily headache and have found venlafaxine er to exacerbate it. i'm considering cross taper to a tca, any thoughts?

2 doctors weighed in across 2 answers
Dr. Andrew Germanovich answered

Specializes in Pain Management

Venlafaxine: Is a serotonin and norepinephrine reuptake inhibitor. Works well for some. Talk to your doctor about other options like Amitriptyline or Topiramate. You have a complex problem, best solved at your doctors office.

Answered 2/6/2015

3.8k views

Thank
Dr. Natalie Sieb answered

Specializes in Family Medicine

May be great change: Actually, with certain headaches like chronic migraines and chronic daily headaches like yours, one of the long term prophylactic treatments IS putting the patient on a TCA, so that might be exactly what you need anyways. Venlafaxine is notorious for either causing or exacerbating already existing headaches so I would certainly recommend getting off that. Trying the TCA is a great next step.

Answered 2/6/2015

3.8k views

Thank

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