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Hi Mamadeb! If you have been on the Nortiptyline and Ideral for 6 months and it doesn't seem to be working, then I would check with your doctor about either tweaking your dosage or trying something new. One potential side effect of Nortiptyline is weight gain. As far as Botox goes, give it a shot! I would think you would still want to find a preventive medication as well though. You can find more info about botox in this article: Intradermal Botox for Migraine, Headache, Pain Disorders. Good Luck!

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