I was assaulted almost 5years ago. I got brain damage right frontal lobe, and have had headaches ever since. Have been through so many drugs: 5 different anti-inflamatory; amitriptyline; topiromate; and others. None have worked and some worsened. It is not migraines. I do not like taking meds that wont work. Things are hard enough due to brain injury.
I'm sorry to hear you're having such pain. It's bad enough being assaulted, and I wish you all the best and send hopes for your healing.
Nortryptiline is a tricyclic antidepressant like amitryptiline. But if you have brain damage it's more likely your issue is with continued self protective reactions of your brain. What that means is, it's probably quicker to react to stresses and when it does, it produces a headache (kind of like boxers).
Look at the symptoms of encephalitis and compare with how it feels when you get a headache. If that is what's happening, then you might benefit more from a more targeted approach than the typical "reduce pain sensation" approach you've already tried and has failed to help you.
Calming the swelling reactions might include antihistamines, vasodilators or vasoconstrictors, anti-anxiety meds, and/or diuretics. I'm not a doctor, I'm just suggesting you ask your doctor about changing tactics. Also, you might benefit from finding out how boxers are treated if they unfortunately have a brain injury. There are forums for martial artists and boxers, you can ask them what works for them, I imagine they'd be willing to help.
- Nortriptyline Information for Consumers
- Nortriptyline Information for Healthcare Professionals (includes dosage details)
- Side Effects of Nortriptyline (detailed)
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