migraine prevention
"Have had migraines off/on since my teens in varying degrees. Within the last few years they have become more regular and with a vengeance. Tried various meds with my GP, finally started Nortriptyline, 10 mg for a week, then up to 20, etc. until no headaches. I went up to 40 mg. but experienced frequent night terrors and was scared down to back to 30 mg. (for 18mo which is still effective and reduced night terrors.  No heart palpitations, but do experience dry mouth. Recently, I thought I would titrate down to 20 mg. BAD mistake, I experienced the famous ice pick headache for two days. I am now back on my lovely 30 mg. I have to be careful to make sure I am going to get at least 7 hrs sleep or I am very groggy next am for a few hrs"