I don’t want to speak too soon, but I wanted to share in case this is helpful for anyone else with a similar situation.
My MAV symptoms started after I’d weaned myself (VERY slowly over 8-9 months) off of Celexa, which I’d been taking for almost 3 years (I started it for anxiety/panic attacks, not anything migraine related). This summer I tried propranolol and then Topamax, and couldn’t tolerate either one. I kept having this nagging feeling that maybe I should try going back on the Celexa. So I met with my neurologist 3 weeks ago, and he was very supportive of me doing that. I am titrating up to a 20 mg dose but have been at 15 mg for the past week. I am feeling SO much better than I have for the past 5 months, I can hardly believe it. I have had no dizziness at all for the past week or so, my energy is way better and I just overall have this feeling of being “myself” again…
So I am very cautiously optimistic at this point, although it’s still early of course. The only other thing I’ve been doing besides the Celexa is that I eliminated caffeine completely, and some of the major triggers (sulfites, nitrates, msg, artificial sweeteners) but not all of them yet (still eating nuts, citrus, etc).
I’m returning to work tomorrow (I’m a teacher). So we will see how I do with added stress, less sleep, flourescent lights and all of those fun things.