Do I have to take nortriptyline after my 1st Botox injection?

Question

I have had my 1st Botox injection treatment for migraine headache for 1 week now. My doctor told me to continue to take nortriptyline then tapper off when botox begin to have good result. I forgot to ask him WHY I have to take nortriptyline in the meantime. Do you have the explanation for me? Thank you very much in advance.

Jason Emer, MD · Answer

Botox itself treats migraines but you should discuss with him exactly why he would have you stop your systemic medications and follow his plan.  Best, Dr. Emer.

Hratch Karamanoukian, MD, FACS · Answer

Thank you for your question.Botox will help with the trigger points for migraines.The oral medications may have other benefits for you as a preventative means - to prevent onset of migraines.

Do I have to take nortriptyline after my 1st Botox injection?

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Do I have to take nortriptyline after my 1st Botox injection?

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Everything you need to know about Botox for Migraines

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