Originally Posted by Eowyn

Elavil is a preventive. It takes a couple of weeks to really take effect. Even then, as Mark says, you may need a higher dose than you started with, and then you may still have breakthrough headaches.

But you need to give it a couple of weeks to see what it is really doing for you before you ask for adjustments or changes.

Ice does well when you can't have other meds! You can also try icing your head and neck while putting your feet in hot water.

Good luck!