Thanks Doc. Yes, I googled some of your earlier searches and found them helpful. Sorry, I had thought I responded to that post, but see I did not. We are going to a headache specialist next month. The current neurologist doesn't seem to think outside the box. We are not experiencing cookie cutter symptoms here and we are becoming frustrated.

My gut is telling me the amitriptyline is not giving him relief and not knowing if the amitriptyline is actually helping, or not, we are struggling with upping the dose, or weaning. We started with 10 mg and increased by that amount until we reached at 50 mg. He never actually had relief until the cyproheptadine was added, but then it was stopped fairly soon and the headaches returned. They now want to increase the amitriptyline to 75 mg.

The side effects from the amitriptyline are starting to wear on him and we do not want to increase this med...especially not knowing if it's actually helping or not. Thanks for your help. I'm just looking for some answers and/or possibilities to take to the headache doc.