# Adding Pizotifen to Venlafaxine

**URL:** https://mvertigo.org/t/adding-pizotifen-to-venlafaxine/26163
**Category:** Combo's
**Tags:** medication, pizotifen, vertigo, vestibular-migraine, venlafaxine
**Created:** [September 10, 2026, 2:27pm UTC](https://mvertigo.org/t/adding-pizotifen-to-venlafaxine/26163 "2026-09-10T14:27:58Z")
**Posts on this page:** 7
**Page:** 1

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### Author: ![Lexi](https://mvertigo.org/letter_avatar_proxy/v4/letter/l/4491bb/32.png) [@Lexi](https://mvertigo.org/u/Lexi)
#### Post date: [September 10, 2026, 2:27pm UTC](https://mvertigo.org/t/adding-pizotifen-to-venlafaxine/26163/1 "2026-09-10T14:27:58Z")

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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 was off the chart. I constantly work at this with little success. Valium can help to a degree. This year for the first time I’m had a couple of back to back flare ups. I have had some large events such as spinal surgery and the passing of my mum dr S suggesting they’re are responsible for over flowing the jug he describes. Out of my control so who knows he has added pizotifen to the mix. I hear great things and am not worried about the side effects .ven has the same. I have managed these. Ven is 112.5 mg AM and the same PM. Pizotifen I build up slowly. The question I would like to put out there is anyone else on the same combination and if so with what success . The plan is to lower my jug a bit and try and give the residual tinnitus and lightheaded sensation a decent punch!!!

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### Author: ![sfnative](https://mvertigo.org/letter_avatar_proxy/v4/letter/s/7ea924/32.png) [@sfnative](https://mvertigo.org/u/sfnative)
#### Post date: [September 10, 2026, 8:49pm UTC](https://mvertigo.org/t/adding-pizotifen-to-venlafaxine/26163/2 "2026-09-10T20:49:03Z")

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FYI - Pizotifen is not available in the US so many of us do not have any experience to share.

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### Author: ![LucyLabrador](https://mvertigo.org/letter_avatar_proxy/v4/letter/l/ac91a4/32.png) [@LucyLabrador](https://mvertigo.org/u/LucyLabrador)
#### Post date: [September 11, 2026, 8:22am UTC](https://mvertigo.org/t/adding-pizotifen-to-venlafaxine/26163/3 "2026-09-11T08:22:09Z")

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I’ve taken Pizotifen in the past but with Nortriptyline, and found it very helpful 🙂 I’ve recently asked to go back on Pizotifen.

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### Author: ![Lexi](https://mvertigo.org/letter_avatar_proxy/v4/letter/l/4491bb/32.png) [@Lexi](https://mvertigo.org/u/Lexi)
#### Post date: [September 11, 2026, 8:26am UTC](https://mvertigo.org/t/adding-pizotifen-to-venlafaxine/26163/4 "2026-09-11T08:26:42Z")

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Thanks for the response. Why did you come off it? Was it helpful at shifting your symptoms?

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### Author: ![LucyLabrador](https://mvertigo.org/letter_avatar_proxy/v4/letter/l/ac91a4/32.png) [@LucyLabrador](https://mvertigo.org/u/LucyLabrador)
#### Post date: [September 11, 2026, 8:36am UTC](https://mvertigo.org/t/adding-pizotifen-to-venlafaxine/26163/5 "2026-09-11T08:36:09Z")

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I came off it because I had reached full remission of my vestibular symptoms and wanted to try for pregnancy. After a few years and hormonal triggers the symptoms came back.

It was helpful at shifting my symptoms, in addition to Nortriptyline, but I didn’t reach full remission until I added in Aimovig injections. But maybe if I’d waited longer eventually I would have reached remission if I’d stuck to Pizotifen and Nort.

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### Author: ![LucyLabrador](https://mvertigo.org/letter_avatar_proxy/v4/letter/l/ac91a4/32.png) [@LucyLabrador](https://mvertigo.org/u/LucyLabrador)
#### Post date: [September 11, 2026, 12:48pm UTC](https://mvertigo.org/t/adding-pizotifen-to-venlafaxine/26163/7 "2026-09-11T12:48:59Z")

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Yes, I’m back on Nortriptyline, Aimovig and now slowly adding in Pizotifen. Still dizzy 24/7 but feeling less unwell generally and bad patches are becoming shorter.

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### Author: ![turnitaround](https://mvertigo.org/user_avatar/mvertigo.org/turnitaround/32/4441_2.png) [@turnitaround](https://mvertigo.org/u/turnitaround)
#### Post date: [September 11, 2026, 5:44pm UTC](https://mvertigo.org/t/adding-pizotifen-to-venlafaxine/26163/8 "2026-09-11T17:44:27Z")

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A post was merged into an existing topic: [New to site and needing advice on Effexor](https://mvertigo.org/t/new-to-site-and-needing-advice-on-effexor/22218/15)
