Hi Scott, @Scottl
This is my first post and I donât know if this is the right place for it, but here goes. I was diagnosed with vestibular migraine or âmigraine variantâ as my neurologist and ENT both called it about a year or so ago. I had VNG, hearing and all the vestibular tests and all were good, hence the diagnosis of VM. I have tried a couple of medications (propranolol, verpamil, Gabapentin, prednisone and either had bad side effects (especially prednisone and verpamil), so I gave up on all meds and tried B and Mg supplements and butterburr for a few months all with no effect.
Over the past 6 months my symptoms of dizziness balance issues and brain fog have continued to get worse. I canât hardly drive or work anymore so my neurologist here at Kaiser in California prescribed me a starter kit (105 10mg capsules) of Nortriptyline. I have been researching the forum for a couple of months and just recently joined. All the information here has been a big help to me and I am thankful to all who post their experiences here.
I have seen a few people posting here (some a long time ago) like @penny and @Nancy_W and @Kathy_G and @larabasini that have had good success with Nort.
Lately I have been reading a few of your posts and I see that you are still posting and that you have also had success with Nortriptyline. I also see that you had a hard time when you started taking it and when raising the dose each time you increased your dosage.
So I had a couple of questions for you and anyone else that could answer my questions and give me some help with Nortriptyline. I just started taking 10mg Nort 6 days ago and I wanted to ask is it normal to feel so crappy and much more dizzy and off balance than I did before I started taking it (and I was already pretty bad)?
Next if it is normal how long did these startup side effects last for you? I was told by my doc it might take a couple of weeks to get used to it, but at 6 days in it isnât getting any better at all.
Also when will I know if these start-up side effects have passed and it is time to raise the dose? As I know 10mg probably isnât going to put a dent in my initial symptoms and I know I will probably have to raise the dose.
How did you know when to raise the dose? I am supposed to raise the dose by 10mg every week or two, but I see when you raised your dose even by 5mg you felt horrible for an additional 2 weeks and it took you a year to get up to 40mg. I think I read that you started to see some relief at 20mg?
Anyway, I would be grateful if you or anyone else could help me to understand Nortriptyline a bit better. I am so happy you (and others) are feeling near 100% on this medication, as it really gives me a lot of hope that I too might beat this beast someday! I am even more hopeful that I can even get off this medication (like others have done and I see you are trying to do now) in the futureâŚ
It is my dream to beat this thing and get my life back, even if that means suffering for a while on Nortriptyline!
Thanks so much for your time,
Ed