A member asked:

What is the best or most common tca or ssri for persistent headaches? feels like i have a bad ache on right side of my head months. mri/mrv all fine.

A doctor has provided 1 answer

Amitriptyline: Hi Victor, TCAs are great choices for migraine prevention. SSRIs generally are not and in my experience as a headache specialist, can make them worse. My favorite TCA is amitriptyline, starting at a low dose and building up to 25-50mg at bedtime. If this causes too much sedation or dry mouth, you can try nortriptyline instead. Good luck. -Dr Safdieh

Answered 2/11/2015

3.3k views

Thank

Related Questions

Sponsored Content
HealthTap Medical Group does not endorse products or services. Sponsored content revenues support our mission to make health information free and accessible to all.Learn more