Effexor and Lexapro are anti-depresants of the SSRI variety. Lyrica is an anti-convulsant for epilepsy and also used to treat nerve pain. Elavil is a tri-cyclic anti-depressant that also can help with the migraines. PCS patients have had success with small doses (10 mg) of Elavil.

The SSRI's take about two weeks to get therapeutic. They also have withdrawal problems.

The Lyrica would be prescribed as Off Label, not what is was approved for.

The Elavil would probably be the best one to try.

You might first see if you can get referred to a Rehabilitation Medicine or Physical Medicine doctor who has experience with PCS and MTBI. Most neurologists are not so great at PCS and MTBI. Look in the phone book under physician, Rehab Medicine or Physical Medicine.

New York University Medical Center has a good MTBI department.

Also, check with Brain Injury Association New Jersey at www.BIANJ.ORG or call their help line at 800-669-4323.

Do not take NO for an answer. Make a stink if you have too. You can always blame it on your PCS. It can be very frustrating getting good PCS help.

My best to you as you reach out for help.