My 14 yr old started having migraines at age 12...these were diagnosed by pediatric neurologist and child was put on elavil (amitriptyline) for migraine prevention, and all caffeine was removed from diet. Dosage started at 25 mg...increased to 50 mg, then increased again to 75 mg of the elavil. She still sees neurologist twice a year...who basically always says to keep everything the same. Headache control has been pretty good on the elavil, the few headaches that do break through are more easily controlled with ibuprofen than they were before. Usually, the only time she has a bad headache is if we get forgetfull about giving her the medication or if she "cheats" and eats or drinks caffeine. Sometimes this happens at school because seems like whenever they do anything special for the students they always forget she can't have caffeine and EVERYTHING is either chocolate or caffeinated soda (I have told the school about no caffeine). She doesn't have the willpower to turn it down if that is all there is.
Anyway, she has been on this drug for almost 2 years. I've been reading about lots of new migraine drugs available that you take only when an attack starts. Is there any reason to be concerned about the long term use of elavil for migraine prevention? Is 75 mg nightly considered a low/moderate/ or high dose of this drug? Should she be switched to a drug that only needs to be taken when symptoms occur, instead of every night like the elavil? Thanks for your input!
Thanks for the question. Elavil has been on the market for many years and is as safe as any medication for long term use. Caffiene can be a trigger for many individuals and should be avoided if possible but teenagers will be teenagers. Abortive medications can be used if the HA frequency is low enough but these medications also have more side effects and we generally do not use them in kids her age. If you wish to see if should could tolerate going off the medication you could always try reducing the doseage. Her current dose would be considered moderate. Good luck
This information is provided for general medical educations only. Please consult your docotor regarding diagnostic and treatment options.
Copyright 1994-2018MedHelp.All rights reserved. MedHelp is a division of Vitals Consumer Services, LLC.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.