 | Tricyclics
 | Amitriptyline or Nortriptyline 25 mg hs |
|
 | Beta blocker
 | Propranol slow release 60 to 80 mg qd |
 | Nadlol 40 mg qd |
|
 | NSAID
 | Naproxen 500 mg bid |
 | Ketoprofen 75 mg tid |
|
 | Triptan
 | Naratriptan 1 mg bid |
 | Rizatriptan 5 mg bid |
 | Sumatriptan 25 mg bid to tid |
 | Zolmitriptan 2.5 mg bid |
 | Frovastriptan 2.5 mg bid |
|
 | Anticonvulsant
 | Valproate 500 - 1500 mg per day in divided dose |
 | Topiramate 25 mg bid to 100 mg bid |
|
 | Estradiol transdermal patch (Climara)
 | 0.025 mg to 0.05 mg/day patch weekly, starting 3 days before period |
|