Does anyone have any experience with a problem I've been having with my neurologists that can only be described as becoming "stuck" on starting doses of preventative meds?
For instance, my first neurologist put me on a starting dose of Depakote. When I came for a follow up visit and was still having problems, he added Topamax, but did not increase the Depakote. He didn't even suggest it. My PCP finally got so fed up with that that she took me off the Depakote after a year on it and referred me to a second neurologist who is, admittedly, much better at treating migraines. But the new one has done that a little bit too. For instance, she put me on 25 mg of Nortriptyline about
1 year ago and has just held it there ever since, even though I was not getting good migraine management out of my current combo of meds.
So I guess this is my real question . . . I'm *finally* starting to get some good results from my preventative meds. But how do I know if that starting dose of Nortriptyline is actually contributing?
Here is what I'm currently on:
Topamax 100 mg 2 /day
Neurontin (this is new to me, so I can't remember the dosage off the top of my head) 1/day
Nortriptyline 25 mg/day
Skelaxin 800 mg 4/day
Magnesium 500 mg/day
Lexapro 40 mg /day
Toprol 100 mg/day
I'm going back to my current neuro tomorrow. She mentioned taking me off the Nortriptyline when I was there last time, but I get the feeling she wants me to take the lead on that decision. I don't know what to think. I'm fine with taking it if it is actually doing something, but I'm skeptical that it is.
Does anyone have any thoughts? Thanks. :)