"I want to decrease the amitriptyline, I have gone from 37.5 mg to about 18mg in 2 weeks. The pain is coming back, is it due to withdrawal?"

Yes, there are several medications that can be used to prevent migraines, such as propranolol, amitriptyline, and topiramate. It's also important to consider dietary factors that may trigger migraines, such as avoiding certain foods like aged cheeses, caffeine, chocolate, fruits like strawberries and oranges, beans, alcoholic beverages, meat extracts, foods with added yeasts, and certain food additives. Making changes to your diet and identifying trigger foods may help reduce the frequency of migraines for some individuals.