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Luis

Nortryptiline

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So I went to my neurologist, and he prescribed nortryptiline as a preventative. Has anyone tried it??? I am still taking d3. 

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You need a more knowledgeable neurologist.  That was a punt, next....patient.  There is zero evidence that tricyclic antidepressants effectively help clusters or migraines  for that matter.  Your poor excuse for a neurologists wanted to do something to get you out of the office so placated you with a prescription.  An great example of someone who goes the extra distance to be intellectually lazy.

Edited by Pebblesthecorgi
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antidepressant medication, rather bust with MM. just saying.

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Im am quite scared of it too since I know clusters are triggered by a low serotonin. So I really don’t want to mess with my serotonin levels but I am not sure if it’s going to help me. I got him to prescribe oxygen, but that was more of me saying “hey I need the oxygen.” 
 

well I can’t take psychedelics. So that is out of the question. Unfortunately. I may end up switching neurologist. 

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I'm not sure its fair to attribute clusters to serotonin level drops.  While serotonin levels have many effects throughout the body its never really been established what is happening in a cluster attack at a neurochemical level.  Tricyclics change serotonin levels via a different mechanism than modern SSRI.  Tricyclics have a pretty narrow therapeutic index and can reach toxicity pretty quickly.  Tricyclics  are of limited use for other headache syndromes but not clusters.   

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