What are the side effects of Betacap and Tryptomer?
Patient: Hello Doc, I am suffering from chronic migrane from past approx 10-12 yrs. I am taking betacap tr 80 once in a day and tryptomer 10mg. but some times i used to miss the tryptomer at night. is there any side effects of these medicines. can you tell me the best way to cure the migrane.? Doctor: Hi,  Tryptomer (Amitriptyline) can cause various side effects. Some of them are: CV: Orthostatic hypotension hypertension tachycardia palpitations arrhythmias ECG changes  CNS: Confusion hallucinations disturbed concentration decreased memory delusions nervousness restlessness agitation panic insomnia nightmares mania exacerbation of psychosis drowsiness dizziness weakness emotional lability numbness tremors extrapyramidal symptoms (eg, pseudoparkinsonism, movement disorders, akathisia) seizures  DERM: Rash pruritus photosensitivity reaction dry skin acne itching etc.  The prophylactic treatment of migraine include Propranolol (Betacap ) and Amitriptyline (Tryptomer). The probability of success with any one of the anti-migraine drugs is 50–75%. Many patients are managed adequately with low-dose Amitriptyline, Propranolol.  Many patients are able to discontinue medication and experience fewer and milder attacks for long periods, suggesting that these drugs may alter the natural history of migraine.  Hope my answer was helpful. If you have further queries feel free to contact me again.  Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist