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Medications for Idiopatic intracranial hypertension - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1714 Questions
User :   Idiopatic intracranial hypertension, diagnosed for 5 years,
Weakness started about 2-3 weeks ago, with increasing frequency and intensity of headache that started 2-3months back
Last LP and eye examination done on June. No papilledema, LP opening pressure is 30cm3, closing pressure, 14cm3
Evaluated by a neurologist, specialising in headache.
Unsure of what to do to get rid of pain as abortive medications are not working.
Insomnia excabating by the condition
What to do now to get rid of pain, or until I can see the neurologist which is about 1 month's time
Medications: Dimox, 500mg, BD
Lasix, 20mg, BD
Propranolol 40mg, BD
KCl, 600mg, BD
Topiramate, 100mg, ON
Oxynorm, 5-30mg, PRN
Sumatriptan, 50mg, PRN
Tramadol 50-100mg, PRN
Anarex, 2 tab, PRN
Doctor :   Hi
User :   hi
Doctor :   Dr XXXXXXX here
User :   hello
Doctor :   let me go thru ur query
User :   sure
Doctor :   based on your query, and history , you may need removal of your CSF, in the spinal canal
Doctor :   but can u grade the severity of your headache form a scale of 1=10
User :   yes, most likely when i see my doc the next time
User :   it is probably about 8
Doctor :   have u have ever removed the CSF, in the past ?
User :   photo and phonophobic as well
Doctor :   the medication list is extensive and is appropriate for your condition
User :   yes, it is not working for me now though
User :   I have taken 10mg of oxynorm already
User :   but it is still not working
Doctor :   if the pain meds are not helping, i am of the opinion that you need in titration of the medications
Doctor :   as well as a CSF drainage by a LP
User :   i'm wondering if it is possible to mix a cocktail of pain medications
User :   yes, but my appointment is in 1 month's time
User :   is there anything i can do in the mean time?
Doctor :   Is it possible for you to go the nearby ER
User :   no insurance coverage
User :   for ER trips
Doctor :   there the doc there, can help you out
Doctor :   oh ok
User :   can i mix different painkillers, I am afraid of overdosage
Doctor :   as such, the EMTALA act, helps people without insurance and u can avail emergency medical care at any hospital
User :   i don't live in the US
Doctor :   where do u reside ?
User :   Singapore
Doctor :   ok
User :   so what do I do now?
Doctor :   do u have the contact no of your GP ?
User :   my neurologist's office
User :   but it is closed
Doctor :   for now, i would suggest you take tylenol for the pain,
User :   it my condition now something I should worry about?
User :   even after taking oxynorm?
User :   can I take sumatriptan or cafegot?
Doctor :   no, nothing to worry
User :   I have taken 10mg of Oxynorm about 1 hr ago
Doctor :   ok
User :   so it is ok to mix oxynorm with cafegort/sumatripan? will I get an overdoasage?
Doctor :   not as such,
Doctor :   taking the regular dosage of the drugs is not going to harm u
Doctor :   i would advice you to contact your local doctor as well as to visit the ER or the local helpliine and they will definitely help you out
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