I just saw my neurologist today for the first time since my TBI 5 weeks ago. last week my doctor put me on Fiorinal for the headaches and Celexa for help with mood stabilizing and energy level. The neurologist (who is very very good....she works at my hospital where i am an ICU nurse) she said that her post-concussive pts normally do really well with the elavil for headache and symptoms. She is having me start at 10mg for 2 nights, then 20mg for 2 nights, then 30mg for 7 days, then 40 mg after that. I will try and do that regimen to build up the dose slowly in my blood stream and see how i do. If i find that i have too many symptoms as some of you have described, i will cut back slowly to the level i can tolerate but still have less headaches. It is reassuring to read that some of you find headache relief with it. She said the celexa and nortriptyline together should be ok since they are working in different ways in the brain. Here goes a try!