Traumatic Brain Injury and Post Concussion Syndrome For traumatic brain injury (TBI) and post concussion syndrome (PCS).


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Old 05-17-2012, 10:40 AM #1
camyam73 camyam73 is offline
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Default Medication side effects

I've been taking nortriptyline for a week now. I started at 10 mg, and on sunday night, switched to 25 mg. That night, and again last night, I've had horrendous stomach pains. At first I thought it was related to my thyroid, and just being hungry at night.... but I feel fairly certain that it's the meds.... So now, since my physiatrist is on vacation, I'll have to go see my family doctor.... The headaches have been very much under control, and while I don't want to stop taking the meds, the pain is pretty severe...

So - Any suggestions on what I could be prescribed to help with the headaches? I need something that is at least somewhat safe to take during pregnancy (the plan is that once I know I am pg, I'll stop taking it)... I just don't know that fam doc will know what else to suggest.
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Feb 24, 2012 - Slipped on a large puddle of ice at work, hitting the back of my head. No loss of consciousness, so I assumed I'd be back at work within a few days. I was wrong.

When resting, symptoms are low. With exertion, I still suffer from fatigue, migraines, vision problems, problems thinking or reading, troubles sleeping, issues finding or getting words to my mouth when the headaches are bad, tinnitus, and thyroid issues which I think are due to the concussion. Seen one specialist, and now a few others through insurance review of my case. Hoping for further treatment.
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Old 05-17-2012, 10:50 AM #2
Mark in Idaho Mark in Idaho is offline
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Stomach upset is a listed side effect of nortriptyline.

Have you tried just icing your head and upper neck?
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camyam73 (05-17-2012)
Old 05-17-2012, 11:18 AM #3
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a little, the cold seemed to make things a bit worse... my neck is not sore, just the front right side of my head, behind my eye. Some days its a dull roar, others a loud scream. With the meds I have had almost no headache at all. Still foggy, but at least not in pain.
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Feb 24, 2012 - Slipped on a large puddle of ice at work, hitting the back of my head. No loss of consciousness, so I assumed I'd be back at work within a few days. I was wrong.

When resting, symptoms are low. With exertion, I still suffer from fatigue, migraines, vision problems, problems thinking or reading, troubles sleeping, issues finding or getting words to my mouth when the headaches are bad, tinnitus, and thyroid issues which I think are due to the concussion. Seen one specialist, and now a few others through insurance review of my case. Hoping for further treatment.
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Old 05-17-2012, 11:37 AM #4
Lagr Lagr is offline
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At one point, I went up to 30mg of nortriptyline and it was giving me what I think was bad heartburn. I would get horrible pain in the middle of my chest in the evening.

Currently I take 10mg of nortriptyline and 25mg of topamax and get no headaches unless I get really overstimulated or overdo it. I'm not sure if topamax is safe to take during pregnancy though. I think it's a pretty serious medication. Hopefully your doctor will have a good recommendation.
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43 yr young female, suffered a mTBI with PCS August 2011 while playing ice hockey. Symptoms included dizziness, nausea, exertion headaches, trouble sleeping, fasciculations, sensitivity to light and noise, occasional numbness to extremities.
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camyam73 (05-17-2012)
Old 05-17-2012, 11:57 AM #5
camyam73 camyam73 is offline
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Thanks Lagr. I think I could handle being on just 10 mg of nortriptyline. It worked just fine... I'll tak with my doc tomorrow afternoon and see what he says.
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Feb 24, 2012 - Slipped on a large puddle of ice at work, hitting the back of my head. No loss of consciousness, so I assumed I'd be back at work within a few days. I was wrong.

When resting, symptoms are low. With exertion, I still suffer from fatigue, migraines, vision problems, problems thinking or reading, troubles sleeping, issues finding or getting words to my mouth when the headaches are bad, tinnitus, and thyroid issues which I think are due to the concussion. Seen one specialist, and now a few others through insurance review of my case. Hoping for further treatment.
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Old 05-17-2012, 12:47 PM #6
camyam73 camyam73 is offline
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Decided to veto the doctors appointment and ditch the meds till my specialist is back in town. Just had a huge dizzy spell where I nearly hit the ground. Cannot imagine that would have been good for my head. Thankfully there was a seat right there, so I managed to hit the seat before I hit the floor.

I really just wish I could catch a break... the meds were working, headaches mostly alleviated.... grrr
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Feb 24, 2012 - Slipped on a large puddle of ice at work, hitting the back of my head. No loss of consciousness, so I assumed I'd be back at work within a few days. I was wrong.

When resting, symptoms are low. With exertion, I still suffer from fatigue, migraines, vision problems, problems thinking or reading, troubles sleeping, issues finding or getting words to my mouth when the headaches are bad, tinnitus, and thyroid issues which I think are due to the concussion. Seen one specialist, and now a few others through insurance review of my case. Hoping for further treatment.
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