ENT Manifestations of Migraine 28: Lifelong Headache and Dizziness

This patient has a lifelong history of headache and dizziness from childhood. Symptoms became continuous decades ago but received little attention from physicians. She has had a dramatic response to low-dose nortriptyline. Tricyclic antidepressants have many possible mechanisms of action in migraine patients; they are serotonergic, are medium potency calcium and sodium channel blockers, are mildly antihistaminic and are anticholinergic. They are also very well tolerated in seniors when used at low doses.

[Marvi]

Nortriptoline worked for me at 10mg once a day before bedtime. Life changing medicine

[manybookslittletime]

Oh, how I wish that that was all I needed! I've been tried on so many meds that didn't work, including nortriptyline. I do appreciate these videos because my neurologist and I might find a solution that we've never tried.

[Jim-pnsc]

This worked you me 20 mg .. life changing medication

[michaelruiz]

I have dealt with migraine and vertigo for years. Terrible daily vertigo episodes. I was put on nortriptyline and instantly was relieved of the vertigo. 2 years later still no vertigo episodes. I am on 40 mg. daily. Still some moderate headaches, but tolerable. The downside for me personally, is I was affected by a side effect of constipation from the meds slowing my nervous system down.