I just started on Pamelor - 10 mg at night 2 days ago. My neuro says if I don't see an improvement in 2 weeks I am to increase it to 20 mg. I currently take 200 mg of Topomax also. I go back to see my neuro in 6 weeks. The topomax which I have been on for several years definitely helped lower the severity of my migraines and for quite a while it also decreased the frequency. However in the past few months the frequency of my migraines has increased again. I am getting a moderate migraine almost every day or every other day that lasts 3 or 4 hours. Tripans (Maxalt) work to take it away immediately but it will still come back the next day and I certainly do not have enough Maxalt to take one every day so I try to save my Maxalt for the occasional severe migraine that does happen about
twice a month or so. I am a 51 y/o female and have been suffering with migraines for 30 years. If you are taking Pamelor what dosage are you taking? What side effects? I am concerned about
possible weight gain because that is a constant battle I struggle with anyways. Has it worked for anyone out there? Do you take it with any other preventive? Anything you can add or tell me I would greatly appreciate. Thanks.