Migraine pain can worsen due to stress, poor sleep, or hormonal changes related to PCOD. She should rest in a quiet, dark room, drink enough water, and avoid bright light or strong smells. A cold compress on the forehead and proper sleep may help reduce the pain. Consult a doctor if the headache is severe, lasts longer than 1 hour, or recurs often.

Amitriptyline should not be stopped suddenly without medical advice. Stopping it all at once may cause symptoms such as headache, nausea, sleep disturbance, or mood changes. The dose usually needs to be reduced slowly to avoid withdrawal effects. Consult your doctor so the medicine can be stopped safely and gradually if needed.