Hi there, I’m new to posting but have been lurking for quite some time. But I’ve tried searching for this and can’t find an answer, so it has prompted me to finally sign up and post
I saw a Neurologist in January of this year who recommended I try Pizotifen as it is most well tolerated. I’ve previously tried Propanolol (made my resting BP drop to 90/60 and as I have postural hypotension too you can imagine how hard functioning on that was!), Gabapentin, and Pregablin, but none had helped. Just before I was due to start taking it I was hit with a terrible case of Labyrinthitis and the severe dizziness and bouts of vertigo from that lasted almost 2 months before my brain started to compensate, much longer than it took the first time I had it in 2008. I assume it is because back then I wasn’t suffering from chronic migraines too! (A bit of backstory - I have suffered on and off with migraines since my teens, but they only became chronic in 2015/2016 when I seemed to suddenly get very sick and completely debilitated. My Hypermobility diagnosis was changed to hEDS, I was diagnosed with either Fibromyalgia or ME/CFS too. That on top of Endometriosis - ugh, why do so many of us have so many health issues to contend with?)
Anyway, back to the Pizotifen. Even though I started it during my Labyrinthitis hell, I seemed to tolerate it well and stuck to 1.5mg when I got to that level. And it did seem to be reducing the intensity and duration of my migraines, if not the frequency. I could rest and stop it in it’s tracks within a day or two, instead of being stuck in bed for a fortnight at a time. This at a time when lockdown meant my 8 year old son with ASD and ADHD was at home so I couldn’t rest as much as normal, and as we got ready to move house (we’re still packing!)
But the Neurologist said I could go up to 3mg daily, so I decided to increase as I was still getting migraines with dizziness and bouts of mild vertigo. I got up to 2.5mg but seemed to be getting more dizzy spells, which I put down to the stress of everything going on. Then a couple of weeks ago vertigo hit me out of nowhere. And then the migraine pain last week. And nothing is touching it. I’ve tried Sumatriptan twice. OTC painkillers (although probably not enough as the Neurologist warned me against taking too many). And Prochlorperazine for the vertigo. Again I have tried to only take that when it was totally intolerable, but it’s been 2 weeks of hell and I wonder if I should have been taking the full daily dose days ago to try and stop this migraine in its tracks. This morning I was in tears on the phone to my GP and all she could say was to try Naproxen instead and wait it out. But you all know how hard that is, especially after 2 solid weeks of not getting proper rest etc.
The vertigo really scares me. I mean it’s like a full on phobia level of fear. The pain I can just about tolerate but not the vertigo. So I need to get it under control. And suddenly this evening I wondered if it really was the stress that brought this on or whether it might be that I can’t tolerate the higher dose of Pizotifen as side effects do include dizziness and headache. What do you think? Could it be that I need to taper back down to 1.5mg daily?
I’ve only taken 2mg tonight instead of 2.5mg as last night was horrific. And I’ll see how I go. But I just wondered if anybody else had experienced side effects getting worse at higher doses when they tolerated a drug well at loses doses.
I’m also taking vitamin B2, Magnesium, and CoQ10, plus turmeric and Gingko Biloba as recommended by my herbalist. And I’ve realised I was eating things that are potential migraine triggers (eg pineapple and dates - I can’t tolerate alcohol or caffeine and have up chocolate and cheese ages ago, but had no idea that some fruits are high in tyramine!) I’m also doing daily meditation and trying to keep calm, but with lockdown and moving and a PIP tribunal hanging over me (finally got a date after my MP chased up as I’ve been waiting 20 months for a date) my anxiety is pretty high at the moment.
Sorry, this has been a massive mind dump! I just feel so desperate right now. I keep trying to remind myself that I had been doing better and having better days in between the bad ones, but it’s so hard to trust that things will get better the longer this current migraine goes on for. I’m sure you all understand that!