 [ Symptoms ] how can i take feverfew without worrying about the side effects its going to have on my elavil  my migraines tend to come when i am asleep i tried the petadolax herb butterbur for 5 months only change it made was no migraines before and after my menstrual cycle other than that i still get the typical moderate mild 4 5 migraines a month im on 2 types of medications elavil taken before bedtime and topamax 2x a day 1xam 2xpm when my migraine hits my nuerologist has reccomended i take imitrex along w 4 aleve or maxalt w 4 aleve pls help point me in the rt direction [ Disease ] i am sorry you are struggling with migraines so painful i am confused about why you want to use feverfew when your neurologist has recommended you try sumatriptan imitrex plus naproxen aleve for your migraines did this combination of medications not work feverfew is one of the few herbs studied for treating migraine but the results have not conclusively shown it works on the plus side feverfew has not been shown to negatively interact with either elavil or topamax sumatriptan has been clinically proven to treat the symptoms of migraines if the treatment recommended by your neurologist is not working then i would suggest you return to him or her to discuss alternatives that may help you find some relief best wishes to you