Trying Ritalin for Migraine Prevention… and Loving It

Wait-and-see-if-it-goes-away is my method of dealing with house problems. Not because I want to see if a minor issue will develop into a major problem, but calling someone and meeting with a service person is an exhausting proposition when you have a migraine all the time. So yesterday when Hart told me the shower was backing up, he was astonished when I immediately asked if I needed to call a plumber. That’s just not how we do things around here.

Until now. Now my mind is clear(er), I have more energy, and my migraine pain is improving. Today is my fifth day on Ritalin (methylphenidate). My headache specialist suggested it after a number of patients reported a decrease in their headaches and migraine attacks after starting it for ADD or ADHD. Though I’m taking it primarily as a migraine preventive, the fact that it is a stimulant definitely adds to its appeal — the fatigue has been more debilitating than the migraine pain since I started cyproheptadine. The reprieve from my mental fog was entirely unexpected, but so, so welcome. Carrying on an intelligent conversation and following complex tasks without trouble is blissful.

Oddly, the frequency of the migraine attacks is still the same — of the five days I’ve been on Ritalin, I’ve had migraine attacks on four of them, including today. A couple times I wasn’t even sure I had a migraine. The pain was only at a level 3, but I was having trouble staying awake, which indicates a migraine attack for me. I was able to “sleep off” the worst of those attacks with hour-long naps. The overall throbbing pain I’m so accustomed to has diminished, so the pain is mostly localized and stabbing, but mild.

This is a strange and exciting new world and I’m loving it!