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Migraine medication during pregnancy - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   I have very Bad headaches, which start from Neck and work up towards the forehead and then to the head, Mostly on the Right side, does move to the other side sometimes. I am not able to sleep or do anything in that phase. intially this phase used to last for a couple of days however the Phase has gone up to 15-20days, i have been suffering now for the last 35-40days continuosly now. I used to take Migrainil, which i stopped in my Pregnancy. I now have a 16 month old son and am breast feeding. I am now prescribed DOLO- 650(Paracetamol 650) which i have been taking almost everyday, sometimes twice a day. Please advise..
Doctor :   hi
User :   This for my wife, XXXXXXXX
Doctor :   Dr AAAAAAA here
User :   hi
Doctor :   let me read what you have typed
User :   DOB 19/06/1979
Doctor :   since when she is having these symptoms?
User :   This is AAAAAAA here
Doctor :   Hello AAAAAAA
User :   actually i have problem of headaches since childhood. but lately, its just gone out of control
User :   hello doc
Doctor :   ok. if the Dolo is not working to control the headaches, then you should consider getting restarted on Migranil
Doctor :   are you taking the Dolo at the start of headaches?
User :   even if I am breastfeeding?
Doctor :   do you have symptoms like nausea, sensitivity to light or smell?
User :   yes i take dolo the moment i feel early symptoms of migrane
User :   yes..all the symptoms
Doctor :   no breastfeeding has to be stopped . slowly start with weaning off the baby
User :   my eyelids become heavy
Doctor :   are you on diet control for migraines?
User :   nope
Doctor :   have you identified any precipitating factors that cause the headaches to start?
User :   lately, due to a hectic schedule with my son, my sleep and eating had been neglected
Doctor :   in diet avoid pickles, cheese, chocolates and stale food. always have fresh foods
Doctor :   keep a note/diary of what situations or foods bring on the headaches
User :   k
Doctor :   take adequate rest of about 6-8 hour sleep daily. take help to manage with household chores and your son
User :   doctor, i have come to an end with my migranes, infact have become a bit suicidal..
Doctor :   slowly wean him off the breast milk by starting top feeds with cow's milk and with home food
User :   i just cant take it anymore..
Doctor :   and once he is weaned off the breast, start with taking the MIgranil as before
Doctor :   have a consultation with a neurologist if symptoms are severe
User :   do you recommend I get some tests done to rule out any major illness
Doctor :   the counseling and medications will help you come out of the suicidal feelings
User :   yes, i am going for my consultaion with neuro today later this afternoon
User :   also i have major acidity problem
User :   due to irregular sleeping and eating patterns, this has also increased
Doctor :   ok. what symptoms do you have at present?
Doctor :   these links will help you to have more knowledge on how to tackle with migraine
User :   a very heavy right side of my head,
Doctor :   coming back to acidity issues
User :   pain starting above my eyelids
Doctor :   the lack of sleep and proper food can affect migraines along with hormonal levels
User :   okay
Doctor :   take Tab Prilosec 1 tablet 2 times a day before food
Doctor :   it will help with the gastritis
Doctor :   and also relieve headache due to gastritis
Doctor :   nebver keep stomach empty for more than 3 hours except when you are sleeping
Doctor :   *never keep
User :   also i just remembered, i was on MGR 10, for 3 mths for the headaches. This did not help.
Doctor :   did you have a repeat consultation for migraines after your delivery?
Doctor :   if not, then I would strongly recommend a consultation with a neurologist
Doctor :   to see what could be precipitating them now
User :   After delivery only I had been to the doc for my headaches. Thats when he advised dolo and MGR 10.
Doctor :   and also to get started with appropriate treatment including counseling to overcome with your thoughts and to cope up with symptoms
Doctor :   if teh Dolo and MGR are not helping, then there is no point in continuing. start with the diet modifications as suggested
Doctor :   along with the Prilosec
Doctor :   you should start feeling better
Doctor :   practice relaxation, take some time out for yourself
User :   Yes, I shall start it
Doctor :   to listen to music, go for walk, spend time with friends
Doctor :   these will also help with the headaches
User :   Thanks doc..
Doctor :   is there anything else I can help you with?
User :   I really hope my visit to the neuro and your suggested medicines, help me this time.
Doctor :   it will take sometime before you see the results, but surely they will help
Doctor :   you shlould start feeling better in a month's time
User :   Is Prilosec safe for brestfeeding moms..
Doctor :   yes it is safe
User :   I thinks that will be all.
User :   Glad to receive your consultation.
Doctor :   thanks for consulting me. bye for now.
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