Nortriptyline
"I've had a terrible experience with migraines and tried multiple prevention medications. I have been hospitalized multiple times as well for DHE, and now have the injections at home. My first prevention med for migraines was nortriptyline and it made me feel even worse, I do not recommend. I had terrible side effects from it lasting over a week after I had stopped the medication. I've been on topamax for months for 7 months now and it helped at first but my headaches have gotten so bad I'm decreasing it. But I recommend over nortriptyline. I've now started gabapentin and this has actually helped with my pain component. Beta-blockers can also be a good preventative, I'm on nadolol as well."