Marci,
-:¦:-•:*'""*:•.-:¦:-•*Welcome to MyMigraineConnection!*•-:¦:-•:*'""*:•.-:¦:-
I wish there were clear-cut answers to your questions, but because bodies respond so differently, there just aren't.
Increasing the nortriptyline might or might not help. No medication works for everyone. Progesterone cream could help, make things worse, or make no difference at all. Unfortunately, the only way to answer your questions is to try increasing the nortriptyline and adding the progesterone cream.
One point - It's best to try only one option at a time. If you try both at the same time, and your Migraines improve, you won't know which medication is helping.
Please let us know how you're doing?
Welcome again,
Teri
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