Another thing - now that you are going to be on Lithium, you can take a low dose of Elavil for migraine prevention. It is a fairly effective drug, and, it is very old=well studied, with a benign side effects profile at a low dose.

I take both Elavil and feverfew. I would not boast having no migraines, but I have fewer than I used to. Maybe once a week or sometimes even once every two weeks. I consider it worthwhile to take the herb and Elavil.

The "mega" drugs for migraine prevention, Depakote and Topamax, both harmed me in very significant ways, while Elavil pretty much is innocuous and even helps with sleep.

Since Elavil is so old, it is not on the radar of many pdocs and neurologists, because it is not studied anymore, not pushed, etc. So you need to be proactive - ask for it. It is also very cheap in case you do not have insurance.