I get tension headaches and migraines and have been taking Imitrex and Fioricet (Butalbital) on an as-needed basis for some time. I called for a refill and the dr. told me to come in. I have also been taking Effexor for mood swings related to PMS (can't take hormones because I had breast cancer). He said, by the way, it's very hard to get off of, (gee, thanks) but I'm not going to worry about it until I finish menopause, and difficult child is 18 and out of the house, which may both happen at the same time! ) As I drive over, I'm thinking he's going to pull me off of everything because I've been on it too long. Boy, the diff between a medication dr and a chiro! He wrote FIVE, count 'em, FIVE scrips for me. His theory is to get rid of the muscle tension and stress, and that will get rid of the headaches. But I'm thinking, wait a min., now I'll be hooked on other stuff. And more of it! He did not give me any migraine preventatives because of the side effects. I'm afraid to start on anything new, and am absolutely NOT going to start them all at once because I won't know which cause side effects or which have the most benefits. According to the pharma scrip info sheet, amitriptyline has a possible side effect of increased appetite, especially sweets. Eeek! I already crave sweets. I'm hypoglycemic (and a very bad girl). The warnings are scary. No, horrifying. I don't even want to try it. Anyone here have experience with-that, pro and con? Also, he gave me Xanax, generic. (Okay, that was the one he added after I told him about difficult child, LOL.) I know lots of your here are on it. Does it work? He also prescribed chlorzoxazone, a muscle relaxant. I'm not too worried about that. I'll take one tonight and if it gives me a hangover, I just won't take it again. He re-scripted the Fiorocet, too, but the whole idea is that I'm supposed to use it sparingly, and someday, not at all. He mentioned that one of these may cause weight loss. I can't remember which. Which one? I want to know now! That's the one I'm going to take. Okay, he DID mention that I need to exercise, stretch my neck, get more chiro adjustments, use heat and ice, and all that. Just so you don't think he's a pusher.