# Combo's **URL:** https://mvertigo.org/c/medication/combos/40.md [Latest](https://mvertigo.org/latest.md) · [Categories](https://mvertigo.org/categories.md) · [Tags](https://mvertigo.org/tags.md) --- ## [About the Combo's category](https://mvertigo.org/t/about-the-combos-category/16777)
**Author:** [@turnitaround](https://mvertigo.org/u/turnitaround)\ **Replies:** 0
For when talking specifically about Combo’s of meds. Could be useful to someone. --- ## [Adding Pizotifen to Venlafaxine](https://mvertigo.org/t/adding-pizotifen-to-venlafaxine/26163)
**Author:** [@Lexi](https://mvertigo.org/u/Lexi)\ **Replies:** 5\ **Last updated:** [September 11, 2026, 12:48pm UTC](https://mvertigo.org/t/adding-pizotifen-to-venlafaxine/26163 "2026-09-11T12:48:59Z")
I have been on ven for about ten years and it got me to 90% + baseline. Slight background lightheaded and tinnitus. Also a tight neck. My only flare ups were acting cold or flu related. The anxiety that came with this wa… --- ## [Increase or decrease meds?](https://mvertigo.org/t/increase-or-decrease-meds/25839)
**Author:** [@GBWIFE](https://mvertigo.org/u/GBWIFE)\ **Replies:** 10\ **Last updated:** [November 15, 2025, 6:36pm UTC](https://mvertigo.org/t/increase-or-decrease-meds/25839 "2025-11-15T18:36:16Z")
Hi, my husband has been diagosed with VM for five years. In 2021 he was precribed Topiramate 50mg and Amitriptyline 30mg and has been on it ever since. For the last year and in particular over the past couple of months h… --- ## [Amitriptyline and lexapro](https://mvertigo.org/t/amitriptyline-and-lexapro/23857)
**Author:** [@Lindamarie](https://mvertigo.org/u/Lindamarie)\ **Replies:** 11\ **Last updated:** [November 30, 2024, 3:19pm UTC](https://mvertigo.org/t/amitriptyline-and-lexapro/23857 "2024-11-30T15:19:05Z")
wondering if anyone takes amitriptyline and Lexapro together. The amitriptyline is giving me terrible side effects but as I’m weaning off, I’d like to start on Lexapro has anyone tried this? Thanks --- ## [Amitriptyline and Betahistine](https://mvertigo.org/t/amitriptyline-and-betahistine/22856)
**Author:** [@luke](https://mvertigo.org/u/luke)\ **Replies:** 2\ **Last updated:** [September 10, 2023, 4:05pm UTC](https://mvertigo.org/t/amitriptyline-and-betahistine/22856 "2023-09-10T16:05:08Z")
@CB2006. - I’m curious about taking betahistine and amitriptyline together. My doctor said to stop betahistine when he put me on amitriptyline. Do you have any side effects when taking both? The dizziness did not stop o… --- ## [Pizotifen and gabapentin - amazing!](https://mvertigo.org/t/pizotifen-and-gabapentin-amazing/7730)
**Author:** [@DizzieLizzie1](https://mvertigo.org/u/DizzieLizzie1)\ **Replies:** 14\ **Last updated:** [May 9, 2023, 8:07pm UTC](https://mvertigo.org/t/pizotifen-and-gabapentin-amazing/7730 "2023-05-09T20:07:53Z")
Hey all, just wanted to let u all know that a combo of 1.5mg of pizotifen and 100mg gabapentin has got me to 95% for a good month. It could all get bad again but wow these meds have turned my life around! I’ve been dizzy… --- ## [Hydrochlorothiazide & Betahistine](https://mvertigo.org/t/hydrochlorothiazide-betahistine/21530)
**Author:** [@JonathanT](https://mvertigo.org/u/JonathanT)\ **Replies:** 13\ **Last updated:** [January 10, 2023, 12:01am UTC](https://mvertigo.org/t/hydrochlorothiazide-betahistine/21530 "2023-01-10T00:01:14Z")
Hi All, Currently diagnosed with Meniere’s, or as my doctor says “some degree of vestibular hydrops”. Taking 25mg HCTZ daily for the past 7~ months, and was doing great symptom-wise until a few days ago when I started … --- ## [Nortriptyline and topamax?](https://mvertigo.org/t/nortriptyline-and-topamax/13514)
**Author:** [@mellybob](https://mvertigo.org/u/mellybob)\ **Replies:** 7\ **Last updated:** [January 3, 2023, 11:09am UTC](https://mvertigo.org/t/nortriptyline-and-topamax/13514 "2023-01-03T11:09:40Z")
does anyone know if you can take nortriptyline and Topamax together? im on nortriptyline and propranolol at the min but thinking of asking my doctor to add in Topamax if I can, any advice on this would be great! --- ## [Nortriptyline gabapentin and propranolol](https://mvertigo.org/t/nortriptyline-gabapentin-and-propranolol/21536)
**Author:** [@rboro1](https://mvertigo.org/u/rboro1)\ **Replies:** 3\ **Last updated:** [May 25, 2022, 1:42pm UTC](https://mvertigo.org/t/nortriptyline-gabapentin-and-propranolol/21536 "2022-05-25T13:42:12Z")
I’ve been prescribed propranolol for panic attacks but already I’m taking 100mg Nortriptyline and 300mg of gabapentin three times a day. Has anyone here taken 3 meds that prevent migraines? --- ## [Med advice when adding a second to effexor](https://mvertigo.org/t/med-advice-when-adding-a-second-to-effexor/21148)
**Author:** [@adrir](https://mvertigo.org/u/adrir)\ **Replies:** 4\ **Last updated:** [October 8, 2021, 9:02am UTC](https://mvertigo.org/t/med-advice-when-adding-a-second-to-effexor/21148 "2021-10-08T09:02:33Z")
Hey guys, I’m really struggling on what to do because I am in my second week on adding propranolol to my Effexor which helped me for many years but sadly I had a severe flareup at the beginning of the summer that contin… --- ## [Question about Effexor and Verapamil together?](https://mvertigo.org/t/question-about-effexor-and-verapamil-together/20681)
**Author:** [@ElizabethHope18](https://mvertigo.org/u/ElizabethHope18)\ **Replies:** 20\ **Last updated:** [May 23, 2021, 9:59pm UTC](https://mvertigo.org/t/question-about-effexor-and-verapamil-together/20681 "2021-05-23T21:59:16Z")
Hi all, I have been on 120 mg of verapamil for about 5 weeks. It seems to have helped with my daily cluster headaches (which I never had - until MAV showed up last Nov). It has not touched the dizzies and unsteadiness I… --- ## [Stopping Aimovig: will Ami still work?](https://mvertigo.org/t/stopping-aimovig-will-ami-still-work/20567)
**Author:** [@Suffering](https://mvertigo.org/u/Suffering)\ **Replies:** 0\ **Last updated:** [April 2, 2021, 9:19pm UTC](https://mvertigo.org/t/stopping-aimovig-will-ami-still-work/20567 "2021-04-02T21:19:11Z")
Since the neuro is having me do the Aimovig injections along with the Amitriptyline, if I stop the Aimovig and don’t take the next shot, will the Amitriptyline that I am taking still work? How long might it take for Aimo… --- ## [Worse so far with Topomax whilst on Ami ... normal?](https://mvertigo.org/t/worse-so-far-with-topomax-whilst-on-ami-normal/19805)
**Author:** [@fretboarder](https://mvertigo.org/u/fretboarder)\ **Replies:** 5\ **Last updated:** [September 7, 2020, 4:48pm UTC](https://mvertigo.org/t/worse-so-far-with-topomax-whilst-on-ami-normal/19805 "2020-09-07T16:48:33Z")
Having many of my symptoms reduced with amitriptyline, I have been taking topomax for the last 4 weeks - now up to 50mg but due to increase to 75mg and then 100mg while staying on 20mg ami per day. So far I am finding … --- ## [Amitriptyline+ SSRI](https://mvertigo.org/t/amitriptyline-ssri/20252)
**Author:** [@Chelsea](https://mvertigo.org/u/Chelsea)\ **Replies:** 2\ **Last updated:** [January 11, 2021, 12:20am UTC](https://mvertigo.org/t/amitriptyline-ssri/20252 "2021-01-11T00:20:40Z")
Does anyone take Amitriptyline + an SSRI or SNRI? I currently am on 50 mg Amitriptyline and am going to the Mayo Clinic for treatment. The last time I asked for this they were apprehensive because of Serotonin syndrome. … --- ## [Success of Amitriptyline and Gabapentin?](https://mvertigo.org/t/success-of-amitriptyline-and-gabapentin/19625)
**Author:** [@mavmary](https://mvertigo.org/u/mavmary)\ **Replies:** 18\ **Last updated:** [August 3, 2020, 5:46am UTC](https://mvertigo.org/t/success-of-amitriptyline-and-gabapentin/19625 "2020-08-03T05:46:14Z")
Just wondering if anyone has tried successfully a combination of amitriptyline and gabapentin? --- ## [Has anyone combined nortriptyline with an SNRI/SSRI?](https://mvertigo.org/t/has-anyone-combined-nortriptyline-with-an-snri-ssri/19005)
**Author:** [@Mflor](https://mvertigo.org/u/Mflor)\ **Replies:** 9\ **Last updated:** [February 8, 2020, 10:06am UTC](https://mvertigo.org/t/has-anyone-combined-nortriptyline-with-an-snri-ssri/19005 "2020-02-08T10:06:10Z")
Has anyone combined nortriptyline with an SNRI/SSRI? Just wondering if it’s ever an option, haven’t met with my doctor yet to discuss. --- ## [Aimovig and Trokendi together](https://mvertigo.org/t/aimovig-and-trokendi-together/18585)
**Author:** [@thapoonam](https://mvertigo.org/u/thapoonam)\ **Replies:** 6\ **Last updated:** [October 31, 2019, 10:12am UTC](https://mvertigo.org/t/aimovig-and-trokendi-together/18585 "2019-10-31T10:12:12Z")
Hi There, I am new here! I developed vestibular migraine in January of this year, it was very bad in the beginning. 8-10 hour severe vertigo and dizziness every 3rd day for the first 3 months, it took another month and… --- ## [I just received Botox Injections & Started Venlafaxine](https://mvertigo.org/t/i-just-received-botox-injections-started-venlafaxine/17806)
**Author:** [@d.powell](https://mvertigo.org/u/d.powell)\ **Replies:** 49\ **Last updated:** [August 17, 2019, 8:21am UTC](https://mvertigo.org/t/i-just-received-botox-injections-started-venlafaxine/17806 "2019-08-17T08:21:26Z")
Hello everyone. I just got back from the Neuro, and we decided that the plan going forward would be a) botox injections, and b) the introduction of effexor. The botox was essentially painless, so don’t let fear of botox… --- ## [Verapamil and nortriptyline](https://mvertigo.org/t/verapamil-and-nortriptyline/7398)
**Author:** [@Becky2013](https://mvertigo.org/u/Becky2013)\ **Replies:** 4\ **Last updated:** [August 12, 2019, 5:27pm UTC](https://mvertigo.org/t/verapamil-and-nortriptyline/7398 "2019-08-12T17:27:36Z")
Anyone taken both of these at the same time? --- ## [Pristiq and Topamax together?](https://mvertigo.org/t/pristiq-and-topamax-together/18297)
**Author:** [@Ally](https://mvertigo.org/u/Ally)\ **Replies:** 1\ **Last updated:** [July 30, 2019, 8:58am UTC](https://mvertigo.org/t/pristiq-and-topamax-together/18297 "2019-07-30T08:58:08Z")
Hi - is anyone using pristiq and topamax together? I’m currently on Topamax (100mg daily) but need to add in an antidepressant, but scared to go off topamax right now as it has me relatively under control. appreciate a… --- ## [Combinations: how do you take ’em?](https://mvertigo.org/t/combinations-how-do-you-take-em/18288)
**Author:** [@nin](https://mvertigo.org/u/nin)\ **Replies:** 5\ **Last updated:** [July 29, 2019, 1:13pm UTC](https://mvertigo.org/t/combinations-how-do-you-take-em/18288 "2019-07-29T13:13:54Z")
Hi, for those of you taking 2 medications or more in the morning, do you throw both tabs back together or do you space them out a little? Thanks x --- ## [Nortriptyline and Propranolol](https://mvertigo.org/t/nortriptyline-and-propranolol/18033)
**Author:** [@Ladoren](https://mvertigo.org/u/Ladoren)\ **Replies:** 23\ **Last updated:** [June 14, 2019, 7:38pm UTC](https://mvertigo.org/t/nortriptyline-and-propranolol/18033 "2019-06-14T19:38:44Z")
Hello everyone This is my first time posting. I have been a MAV sufferer for 25 years. That said however in and out of remission many times. Until 3 months ago I was nearly migraine and dizzy and off balance free for… --- ## [Been good on pizotifen but lately been so tired](https://mvertigo.org/t/been-good-on-pizotifen-but-lately-been-so-tired/17422)
**Author:** [@Clara](https://mvertigo.org/u/Clara)\ **Replies:** 4\ **Last updated:** [March 12, 2019, 2:06pm UTC](https://mvertigo.org/t/been-good-on-pizotifen-but-lately-been-so-tired/17422 "2019-03-12T14:06:06Z")
Been good on pizotifen but lately been so tired, head fog and feel like weight is slowly creaping on. Been on it since 2016. Helped a lot, I can function with it but lately feel as though it’s not being as effective. I w… --- ## [Nortriptyline and Topamax together?](https://mvertigo.org/t/nortriptyline-and-topamax-together/6421)
**Author:** [@Line](https://mvertigo.org/u/Line)\ **Replies:** 9\ **Last updated:** [February 22, 2013, 7:22am UTC](https://mvertigo.org/t/nortriptyline-and-topamax-together/6421 "2013-02-22T07:22:05Z")
I am om 17.5 mg. Nort and I feel so much better. I know its a low dose, but if I go up, I get to many sideeffekts. I would really like to try Topamax, as I am not near the 100%. And I have gained so much weigt on the Nor… --- ## [Propranolol and Venlafaxine together](https://mvertigo.org/t/propranolol-and-venlafaxine-together/13838)
**Author:** [@Sarah356](https://mvertigo.org/u/Sarah356)\ **Replies:** 0\ **Last updated:** [May 9, 2017, 1:17pm UTC](https://mvertigo.org/t/propranolol-and-venlafaxine-together/13838 "2017-05-09T13:17:23Z")
Has anyone heard of Propranolol and Venlafaxine causing breathing difficulties when taken together? I currently take only 20mgs of Propranolol a day. And I tried adding Venlafaxine, first night 1/4 tablet, second night (… --- ## [Weight gain..pizotifen and propranolol](https://mvertigo.org/t/weight-gain-pizotifen-and-propranolol/13292)
**Author:** [@danni1979](https://mvertigo.org/u/danni1979)\ **Replies:** 4\ **Last updated:** [December 10, 2016, 7:29pm UTC](https://mvertigo.org/t/weight-gain-pizotifen-and-propranolol/13292 "2016-12-10T19:29:28Z")
I have gained so much weight since starting these 2 med in april,5 stone to be exact!!! I could cry..docs want neurology to deal with meds so been referred and its a 13 week weight.nothing i mean NOTHING stops this ridic… --- ## [Do Amitriptyline and topamax interact with each other?](https://mvertigo.org/t/do-amitriptyline-and-topamax-interact-with-each-other/7461)
**Author:** [@methanol](https://mvertigo.org/u/methanol)\ **Replies:** 2\ **Last updated:** [November 1, 2013, 12:18pm UTC](https://mvertigo.org/t/do-amitriptyline-and-topamax-interact-with-each-other/7461 "2013-11-01T12:18:47Z")
Can I take them together? --- ## [Topamax + Gabapentin?](https://mvertigo.org/t/topamax-gabapentin/6881)
**Author:** [@Barb](https://mvertigo.org/u/Barb)\ **Replies:** 4\ **Last updated:** [May 24, 2013, 4:28am UTC](https://mvertigo.org/t/topamax-gabapentin/6881 "2013-05-24T04:28:40Z")
Hi Guys Has anyone taken these two meds together? I’m also taking Dothep (a tricyclic) which has stopped headaches & Topamax (87.5mg) to control balance, motion/visual vertigo issues. Although the Topa has helped cons… --- ## [On 75mg Nortriptyline, adding Gabapentin](https://mvertigo.org/t/on-75mg-nortriptyline-adding-gabapentin/6631)
**Author:** [@ichbindarren](https://mvertigo.org/u/ichbindarren)\ **Replies:** 6\ **Last updated:** [April 8, 2013, 9:06pm UTC](https://mvertigo.org/t/on-75mg-nortriptyline-adding-gabapentin/6631 "2013-04-08T21:06:14Z")
Ive been on nori for a total of 3 or 4 months now. I dont think it has done much, if anything. I thought there was some benefit at first, but I think that was just the waxing and waning of the problem. Im adding Gabap… --- ## [Combination of Topamax & Sandomigran](https://mvertigo.org/t/combination-of-topamax-sandomigran/6561)
**Author:** [@clarityseeker](https://mvertigo.org/u/clarityseeker)\ **Replies:** 0\ **Last updated:** [March 25, 2013, 9:30am UTC](https://mvertigo.org/t/combination-of-topamax-sandomigran/6561 "2013-03-25T09:30:48Z")
Hi, I’m new to the forum - I wanted to know if anyone else has taken a combination of Topamax and Sandomigran?? and if it has or has not been a good combination for them. I have been on Sandomigran for around 11 mths, I… [Next page](https://mvertigo.org/c/medication/combos/40.md?page=1)