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


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Old 05-19-2013, 12:17 PM #1
skatemom skatemom is offline
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Default How Long does it take for Elavil to kick in?

Hi,
I have been on Elavil since Tuesday (today is Sunday). I am on 10mg, once a day at night. My main symptom of my PCS is a constant, horrible headache. Headache seems like such a mild word to describe the pain...

Yesterday was actually a good day, I am wondering if it is kicking in? My head still felt "full", but there seemed to be less pain. That being said, last night was horrible, I was rolling in bed, holding my head in pain, ugh.

Would love to hear everyone's experience will Elavil - I am new to this, hoping to get a path to recovery.
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Old 05-19-2013, 12:41 PM #2
Mark in Idaho Mark in Idaho is offline
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Elavil is not a 'take this and your head aches will be gone' med. It helps many people but not everyone. Some need 20 mgs. For others, it never makes a difference.

Have you been icing the back of your head at the top of your neck ? It should help. Melatonin helps with some head aches.

It may help to take your blood pressure, especially when your head aches are at their worst. If you notice a link to a rise in BP, a BP med may help. Propranolol is often helpful. Home blood pressure meters are about $20.

My best to you.
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Old 05-19-2013, 01:33 PM #3
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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!
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mTBI and PCS after sledding accident 1-17-2011

Was experiencing:
Persistent headaches, fatigue, slowed cognitive functions, depression
Symptoms exacerbated by being in a crowd, watching TV, driving, other miscellaneous stress & sensory overload
Sciatica/piriformis syndrome with numbness & loss of reflex


Largely recovered after participating in Nedley Depression Recovery Program March 2012:

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Eowyn Rides Again: My Journey Back from Concussion

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Old 05-19-2013, 03:13 PM #4
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Give it time. YOu might need a higher dose as my own neurogist said that 10mg is a low dose. But give it time. Please keep us updated !

Quote:
Originally Posted by Eowyn View Post
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!
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Old 05-19-2013, 05:35 PM #5
jinga jinga is offline
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Default Headaches

Quote:
Originally Posted by skatemom View Post
Hi,
I have been on Elavil since Tuesday (today is Sunday). I am on 10mg, once a day at night. My main symptom of my PCS is a constant, horrible headache. Headache seems like such a mild word to describe the pain...

Yesterday was actually a good day, I am wondering if it is kicking in? My head still felt "full", but there seemed to be less pain. That being said, last night was horrible, I was rolling in bed, holding my head in pain, ugh.

Would love to hear everyone's experience will Elavil - I am new to this, hoping to get a path to recovery.

What was the nature of your injury? for the headache?
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Old 05-21-2013, 02:24 PM #6
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Thanks everyone! My injury was due to a fall skating - fell back and hit my head. My main syptom is the horrible headache....I am also 'fuzzy'. I can't handle noise or crowds, fluorescent lights.
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Old 05-25-2013, 03:30 PM #7
todayistomorrow todayistomorrow is offline
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I had horrible headaches for 6months. Completely dehabilitating and would have them as soon as I woke up. Neuro prescribed me pain meds which was the only way I got through those days, but really was just a bandaid and not good to take those long term(you'd think a neuro would know that).

My Primary Care Dr. started me on 25mg amitryptaline and I noted a HUGE improvement in my headache symptoms after a week. After I was prescribed blue tinted glasses for my convergent insufficiency(see a neuro-opthamologist!), most of my headaches resolved.

Now I am dealing with the occasional brain fog and sensitivity to noisy/loud environments and trying to exercise more.
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Old 05-25-2013, 08:55 PM #8
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I feel terrible for you. I am not healed yet but you need to know you will improve. Hang in there. It is really awful, isn't it!? did not tak elavil, and amitriptiline made me feel very groggy. So hard to know what to do.
Hang in there.
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What happened: Legs pulled forward by a parent's hockey stick while resting at the side of the rink at a family skate....sent me straight back. I hit the back of my head (with helmet) on the ice, bounced a few times, unconscious for a few minutes. September 11, 2011. Off work since then…I work part-time at home when I can. It has been hell but slowly feeling better (when I am alone☺).

Current symptoms: Vision problems (but 20/20 in each eye alone!) – convergence insufficiency – horizontal and vertical (heterophoria), problems with tracking and saccades, peripheral vision problems, eyes see different colour tints; tinnitus 24/7 both ears; hyperacusis (noise filter gone!), labyrinthian (inner ear) concussion, vestibular dysfunction (dizzy, bedspins, need to look down when walking); partial loss of sense of smell; electric shocks through head when doing too much; headaches; emotional lability; memory blanks; difficulty concentrating. I still can’t go into busy, noisy places. Fatigue. Executive functioning was affected – multi-tasking, planning, motivation. Slight aphasia. Shooting pain up neck and limited mobility at neck. Otherwise lucky!

Current treatments: Vestibular therapy, Vision therapy, amantadine (100 mg a day), acupuncture and physiotherapy for neck, slow return to exercise, magnesium, resveratrol, omega 3 fish oils, vitamins D, B and multi. Optimism and perserverance.
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Old 05-26-2013, 12:03 AM #9
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Dear Mokey,

Hi ! I"m just curious what your progress has been like? Thank you.

Quote:
Originally Posted by Mokey View Post
I feel terrible for you. I am not healed yet but you need to know you will improve. Hang in there. It is really awful, isn't it!? did not tak elavil, and amitriptiline made me feel very groggy. So hard to know what to do.
Hang in there.
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