Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suffering From Frequent Migraine Attacks, Took Topomac Pain Killer But No Help. Suggest?
Brief Answer:
Other preventive medications include flunarizine..
Detailed Answer:
Hi,
Thank you for posting your query.
Migraine is a treatable disease, and there are good medications to prevent the recurrence of headache episodes.
Topamac (topiramate) is a good drug, and before saying it did not work, at least 100 mg per day should be tried.
Other medical options to prevent migraine headaches include flunarizine, divalproex, propranolol, etc.
If your wife still does not improve, botox injection therapy can be very useful.
I hope it helps.
Please get back if you require any additional information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad,
Other preventive medications include flunarizine..
Detailed Answer:
Hi,
Thank you for posting your query.
Migraine is a treatable disease, and there are good medications to prevent the recurrence of headache episodes.
Topamac (topiramate) is a good drug, and before saying it did not work, at least 100 mg per day should be tried.
Other medical options to prevent migraine headaches include flunarizine, divalproex, propranolol, etc.
If your wife still does not improve, botox injection therapy can be very useful.
I hope it helps.
Please get back if you require any additional information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad,
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi Dr XXXXXXX XXXXXXX
Thank you for your reply it is very helpful. My wife is one of your patient i hope you will remember when you see us. I have visited you few months back at Apollo hospital and you pescribed Topomac. I want to mention that my wife is taking loette medicine which has a possibilty of triggering headache.
What drug you prescibe for prenentive?
She is taking zolmist nasal spary to release the pain but now its is not effecting.
Is there any other pain killer drug that will effect to release the pain,
I appreicate that you mentioned the Botox therapy. Could you please give me information on how many sittings or injections needs to be taken.
And how much will be the cost of the therapy.
Awating for your reply
Thank you for your time
Thank you for your reply it is very helpful. My wife is one of your patient i hope you will remember when you see us. I have visited you few months back at Apollo hospital and you pescribed Topomac. I want to mention that my wife is taking loette medicine which has a possibilty of triggering headache.
What drug you prescibe for prenentive?
She is taking zolmist nasal spary to release the pain but now its is not effecting.
Is there any other pain killer drug that will effect to release the pain,
I appreicate that you mentioned the Botox therapy. Could you please give me information on how many sittings or injections needs to be taken.
And how much will be the cost of the therapy.
Awating for your reply
Thank you for your time
Brief Answer:
My replies are below.
Detailed Answer:
Thank you for getting back.
Nice to XXXXXXX you on this website.
For pain relief, she can take rizatriptan (Rizact) 10 mg as and when necessary (not more than two per day).
If topamac fails, she may benefit from other drugs such as beta blockers or flunarizine, or a combination of two drugs.
Regarding Botox therapy, about 200 units are required. Cost of the procedure (including the cost of botox) would be approximately Rs 35,000 (thirty five thousand only).
It may have to be repeated after 3-6 months.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
My replies are below.
Detailed Answer:
Thank you for getting back.
Nice to XXXXXXX you on this website.
For pain relief, she can take rizatriptan (Rizact) 10 mg as and when necessary (not more than two per day).
If topamac fails, she may benefit from other drugs such as beta blockers or flunarizine, or a combination of two drugs.
Regarding Botox therapy, about 200 units are required. Cost of the procedure (including the cost of botox) would be approximately Rs 35,000 (thirty five thousand only).
It may have to be repeated after 3-6 months.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
