Currently about six weeks into taking pizotifen, been on one and half mg for a few weeks but have had a terrible breakthrough migraine for the past 3 days (may be hormonal). Haven’t had a mgraine like this for a long time, absolute screamer at the start now settled to a raw pain, balance and ears gone crazy. Disappointed with pizotifen and how easy I’ve been taking things and adhering to the diet, sleep hygiene etc but know these things happen on the “journey”.
Never asked about what abortives to take if this happened. I don’t think most abortives have an interaction but it’s been so long since I needed one I don’t know whether to take a sumitriptan ot just ibuprofen. I have been riding it out but if it continues I might need something to break the cycle. Do you take any abortives on top of your meds which do you think are best?