Thank you for that. Been dealing the last 5 years with fibromyalgia and migraines from an initial COVID infection. Beta blockers workers but reduced my function too much. The pizotifen is fantastic, but has made my appetite massive lol.
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Glad to hear the Pizotifen is working! They don't seem to sell it in South Africa so I've had to go on Aimovig since Sibelium was discontinued here and nothing else works.
For Aimovig, not really. You have to watch out for constipation though because it's the main side effect. For Trepiline 25mg, weight gain and daytime sleepiness. Otherwise no significant side effects.
When I was on topiramate I had worse brain fog and pins and needles, and beta blockers made me really fatigued. But the main reason I failed most of the meds is because they wouldn't reduce the migraine frequency by much. Had a 2 month intractable migraine while switching meds
It really is a minefield isn't it? The amount of codeine I'm on around the clock coupled with fibro, basically have brain fog and constipation/heavy fatigue round the clock anyway. I have really felt the increased appetite thought. Trying to get to grips with that.
Have you looked at the potential that you're experiencing rebound headaches? It's possible when you use painkillers daily. The highest risk is opioids, but it also applies to things like naproxen. My neurologist thought that was the case with me (I'm on Naproxen (Vimovo) and Palexia.
It could also be worth looking into an alternative to codeine that has less side effects. Palexia has very few side effects for me (much less than Tramadol), but it's quite strong and you develop a tolerance. I might look into nerve blocks this year to try get my pain more under control.
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