I am wondering about the use of ADHD medications, specifically Adderall XR and it's potential impact on chronic migraines. I have had migraines since I was 11, and they became chronic about two years ago. I have tried Topamax and Nortriptyline but both had awful side effects that I could not tolerate. Topamax made me feel as though I was constantly experiencing low blood sugar (to the point of almost passing out), and I could not stay awake on the minimum dose of Nortriptyline. I also have idiopathic hypersomnolence (not quite narcolepsy, but I have a lot of trouble staying awake during normal tasks, such as driving). My new insurance company does not cover Provigil (Modofinil), which is the standard treatment, so I am trying Adderall XR. I am awake and able to function, but am worried about the fact that headache is listed as a possible side effect. I noticed on another page here at Migraine.com about preventive medications that it is actually considered a potential preventive medication for migraines:
"medications originally developed for attention deficit hyperactivity disorder (ADHD), including dextroamphetamine (Adderal), and atomoxetine HCL (Strattera)." https://migraine.com/blog/migraine-management-essential-4-preventive-treatment/
Has anyone else had any experience with this? Did it help the migraines or make them worse? I absolutely have to take something to keep me awake, but certainly don't want to be in constant pain either.
Thank you so much for any advice or insight.