Razzle - maybe. I'm not sure, although a lumbar puncture was done, nothing was ever said about Chiari.

We've had some success with the amitriptyline and cyproheptadine combinination. In fact, there was so much success, we were instructed to wean from cyproheptadine. Everything was great...off the med for about three weeks and the headache returned with a vengeance.

I'm inclined to think the amitriptyline hasn't done anything and it was all the cypro. It's been suggested to up the amitriptyline instead of re-adding the cypro.

Is it common to keep increasing the amitriptyline dose over time?