Hi there friend! Sorry for the delay in replying, I’ve been migrainey AF. >.< I’m currently on 16mg, which hasn’t stopped the daily migraines but has greatly reduced the frequency of the ‘hot and cold fever flushes, epic nausea, bring me a shotgun please’ migraines, which has greatly increased my quality of life! After 16mg my neurologist kept me at that level and tried botox, which unfortunately didn’t work, so we’re going to slowly up my dose by 4mg at a time until either the migraines stop or I can’t tolerate the drug anymore. I believe that 16mg is the standard dose, though! I hope it works for you! <3