My GP is as helpful as a brick, he just doesn't listen, he makes me feel like I am wasting his time, these headaches are horrible and they make me real miserable, I also feel the pills makes me feel sick, I have tried taking them at different times of the day but it makes no difference. The patch is great stick fine, but dont think it is enough on its own, as I have tried to cut the pill out and after a few days I get real bad mood swings and then the hot flushes creep back, but don't have enough patches to last if I add an additional half as they only give me enough to last a month at a time, I have seen the consultant up until last year when he told me I needed to double my dose , so I went back to my GP to sort this out but he said all I can have is the pill as I am already on the max dose the patch, I have been back to him loads of time to tell him the pills are not agreeing with me but just doesnt listen, tried a different GP and he say the same, what can I do , I am due to change the patch Thursday shall I stop the pills as from tomorrow and then come Thursday try a patch and a half, I just want to feel good, this whole thing makes me miserable, I have stopped the Amitryptyline as it never helped, I know its hormone related, they feel just like they were when I was due for a period , so sorry to go on all the time