Hi, apologies in advance for long post but at a loss how to proceed with migraine prevention and hugely appreciate anyone else’s advice/ experience. Suffered for over 30 years and finally went on first preventative last September following a non-stop 7 week daily migraine. Amitriptyline reduced that to an average of 10-12 migraine days/ month which is huge for me. Unfortunately had to keep increasing dose to maintain effect and once I’d been on 75mg for several months, stopped being as effective again and heart rate started being impacted, so tapered off 5 weeks ago. Tapering was fine until the the last week (so 6 weeks ago) and sleep stopped and started feeling pretty sick. Then started on 80mg standard release propranolol 17 days ago. Have barely slept since and been back to daily migraine for two weeks. Have follow up with doc in another two weeks. Also had 5 auras in last two weeks, which I don’t normally get. Do I keep going as I know these things take more weeks than I’ve tested the propranolol for and it could also be that I need a better dose?. Could it also still be amitriptyline withdrawal and I’d be daft to have got this far with a new med and to give up too soon. See a long stretch of three steps forward, two steps back ahead. Not sure I can maintain my job indefinitely! Help please!