I’ve tried a variety of medications over the last 18 years. I currently take nortriptyline every night as a preventative as well as sumatriptan when I get a migraine attack. I’ve been taking sumatriptan for about 8 years now and it has been a real-life saver for me, I really don’t know how I managed without it for so many years!
Unfortunately, this combination of medication I am on often causes too much serotonin to be in my system, causing serotonin syndrome, which is really horrible to get.
I’ve had this every few months for the past 8 years (annoyingly, sumatriptan is the trigger) and the symptoms are similar to having an anxiety attack and can last up to 8 hours. The doctors aren’t really sure how to get around this without taking me off triptans altogether, which are the only available abortives that works for me.