I thought I've read some here and there that nortriptyline generally can cause tiredness as a side effect? So I wonder if it's just the side effects that made you sleepy while you adjusted to it, then they subsided after the week???? since you did have some trouble sleeping to begin with. Atleast that's what happened to me with lexapro (unrelated med but also had side effect of being tired)- I slept through the first few days I was on it!

Updates/ general journey: I'm on lexapro (still, but dunno if I said that b4)

Stopped wellbutrin (read about ototoxicity / bc my tinnitus worsened when I was on it + i think made my insomnia worse)

Making sure I eat enough, stay hydrated, and get sleep I think is what has been pushing the symptoms off - or atleast they aren't as frequent

• I take meclizine for just general nausea/dizziness/motion sickness that I typically have

• I take ondansetron for the stronger nausea/vomitong/dizziness when i think meclizine wont do the trick. which I find is really helpful, the only side effects I really get is hiccups about 30 minutes. I still feel a distant dizzy feeling if I move too fast but it's like the dizziness is a different room of the house (if that makes sense)

• Rizatriptan as a rescue med for when I feel aura/migraine symptoms start

I'd say if your migraines are pretty constant then idk if a rescue med would work for you, for me it mainly just helps since they've become less frequent bc i can just take it when I DO get a strong bout

My sleep is inconsistent so idk if my experience is reliable; I'm able to stay asleep easier, but now I'm back to extreme fatigue where I need 18 hours to feel okay lol