Nortriptyline for migraines is not indicated to treat migraine symptoms during an attack. However, nortriptyline hydrochloride (Pamelor) can be used to help prevent migraine attacks from happening. For this purpose, it must be taken continuously and requires a prescription and follow-up with a healthcare provider, usually a neurologist.
Nortriptyline is a tricyclic antidepressant that helps prevent migraine attacks because of the effects it has on blood vessels in the brain.
There are other types of medications that are specifically used to treat migraines, and the choice depends on each person’s medical history and the type of migraine. One of the best-known options is sumatriptan. Ideally, these medications should be used in the early phase of a migraine attack to help prevent the pain from getting worse.
To determine which medication is most appropriate for you, it is best to see a neurologist. The doctor will order any necessary exams to assess your migraine type and recommend the best medication, which may be taken by mouth or given intravenously (through an IV), depending on your typical migraine symptoms.