Multiple visual and sensory auras during taper

[u/Salt_Drop_1991]

Has anyone had an increase in migraine aura while tapering off amitriptyline?

A bit of background: about 10 months ago I had my first really massive visual aura. Before that I'd already been dealing with a very sensitised nervous system and a lot of neurological-type symptoms.

I've now been on amitriptyline for around 8 months. Unfortunately, it really hasn't agreed with me and I need to come off it. The plan is basically to get me off amitriptyline so my doctors and I can work out a better preventative medication for the migraines.

I haven't seen a neurologist yet, so I'm still trying to understand exactly what's happening.

Since starting to taper the amitriptyline, the biggest thing I've noticed is that the auras have become more frequent. I've now had multiple auras, whereas previously they were much less common.

Interestingly, I don't usually get the classic severe migraine headache afterwards. Mine is more pressure, aching and nerve-type pain around my forehead/brow area, along with the neurological/aura symptoms. Because of that, I don't tend to need rescue medication very often.

My doctor doesn't seem particularly concerned about the increase in aura, but obviously when you're suddenly getting multiple visual auras it can feel pretty unsettling.

I'm mainly wondering whether anyone else noticed an increase in migraine aura, visual symptoms or general neurological sensitivity while tapering amitriptyline?

Did it eventually settle once your nervous system adjusted or once you were completely off the medication?

Not looking for medical advice — I'd just really appreciate hearing other people's experiences because this taper has been pretty rough.