Stress does worsen migraine and the above medications u're taking serve to reduce frequency of episodes and remain protective . But they don't help in acute relief. Amitriptyline helps u to sleep as well, but here since u're drowsy but still unable to sleep, u probably are going through severe mental distress that requires assessment and medication adjustment. If Ure experiencing any racing of thoughts or feeling restless , considering stopping the medications and consult a Psychiatrist immediately as a reassessment is needed for any mood disorder.

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