What can be done for recurring episodes of headaches and insomnia?

Hello doctor,

I am posing this question to a neurologist even though the query is about tablet Accutane. I took Accutane for the first time when I was 14 years old. The dosage was 20-40 mg. It cured my acne entirely, but there were some side effects like dry skin and weak bones. The second time I took tablet Accutane was one year and two months back. I took it for three weeks. From the first day of intake, I had a severe headache paired with brain fog for the entire three weeks. I called the doctor and presented the issue, but they asked me to continue with the tablets. But after three weeks of intake, I stopped as the headache was getting worse, followed by insomnia. For the next four to six months, I had severe headaches, due to which I had to take a medical leave from school. I was not able to go out, or nothing was fun for me anymore. The headaches lead to insomnia. Sometimes I used to sleep only three hours a day for three days a week. I consulted multiple neurologists, pediatricians, psychiatrists, and dermatologists. Sometimes and with such a frequency of 5 times a day, it will require daily taking medicines. I have been to emergency care two to three times. Then I consulted a neurologist 11 months before who prescribed me Nortriptyline. But I started taking it only two months later. There was a sudden relief. Then I stopped it after four days. But when the second time I took it was not that effective. But the headache and insomnia were getting better. But last month, my headache and insomnia reverted. I doubt whether I have pseudotumor cerebri or an increase in intracranial pressure because that is what I found online. Whether I need to go for a spinal tap? Kindly help me, doctor.

Thanks.

Hello doctor,

Thank you for the reply.

I have headaches for past one year and two months. Headache is persitent and the entire head pains. Redness of eyes and watering from eyes are present. There is no nausea. Headache is severe when I do not sleep at night, otherwise it is moderate. Sleep is disturbed since the intake of tablet Accutane. I do not get tired till 3 AM. I sleep till 6 to 7 AM. My mood is sad or depressed. The headache feels like my head is being crushed. Generally headache occurs five times a day with moderate to severe intensity.