###Human: Is Amitriptyline better for tension-type headaches? ###Assistant: Hi. I read your query with keen interest and understand your concerns. While considering your symptoms in totality and reviewing diagnosis made by other doctors in the past, I feel a fair trial of low dose Amitriptyline should be given. Most of my patients with similar presenting complaints, report good improvement in tension-type headaches and vertigo to 25 mg of Amitriptyline at bedtime. It is not possible to say which medicine is better without personally seeing the patient, but I think Amitriptyline will make a better option. At the same time, I am of the opinion that a single medicine for vertigo should be tried first before trying multiple medications. As I can see in your description, you are taking both Cinnarizine (Stugeron) and Betahistine. In my opinion, removing Stugeron should help you in decreasing the dizziness. I hope this answers you. Feel free to contact me if you have more questions. Thanks and regards. For further queries consult a neurologist online -->