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What Causes Increased Headache After Taking Etizola?

Posted on Thu, 11 Aug 2016

Question: Dear Dr. XXXXXXX - As prescribed by you, I have taken following medicines for treatment of my headache :-

1. Tryptomer 25 mg (5 weeks completed now)
2. Betacap TR 40 (5 weeks completed now)

As advised, I had reduced Betacap TR 40 to 20 mg for one week and replaced it with Etizola 0.25 mg. As soon as I started Etizola 0.25 mg, the frequency of headache increased and I also developed severe acidity/uneasiness. I continued Etizola 02.5 mg for 4-5 days, but since the symptoms worsened, I stopped it and started back Betacap TR 40. For the last one week, I am on Tryptomer 40 mg at night and Betacap TR 40 in the morning. With this combination, my headache is under control. I seek your advise on the following :-

1. How long I should take tryptomer 40 mg and Betacap TR 40 mg? (I am keeping a close watch on my blood sugar level since I am taking Betacap TR 40. The current blood sugar level is between 120-140 and blood pressure level 80-120/130.

2. Have I done the right thing by stopping Etizola 0.25 mg and replaced it with Betacap TR 40?

Regards...XXXX

Answered by Dr. Neeraj Kumar (4 hours later)

Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
You should continue Tryptomer 25 mg and Betacap TR 40 mg for 3 months and then follow up again.
If you have any stress or sleep disturbances then you can add clonazepam instead of etizolam 0.25 mg once or twice daily.
Pain killers may be taken as required.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Priyanka G Raj

Follow up: Dr. Neeraj Kumar (3 hours later)

Many thanks for your reply. Sir when I have sleep disturbance I take Alprazolam 0.25 (Alprax) at night. I feel quite relaxed with this tab and get good sleep.

Pl advise if I can continue with this Alprax 0.25 mg.

Answered by Dr. Neeraj Kumar (19 minutes later)

Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
Yes, you can take alprax if needed.
You can also increase amitriptyline dose to 50 mg if sleep disturbances are frequent.
Regards
Dr N Kumar

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neeraj Kumar (22 minutes later)

Thanks for your prompt guidance. I have following further queries :

1. Can I take Alprax 0.25 daily at night?
2. Tryptomer 50 to be taken for how long?

Regards...XXXX

Answered by Dr. Neeraj Kumar (7 minutes later)

Brief Answer:
Take treatment as advised

Detailed Answer:
Hello,
You can take either
1) Tryptomer 25 mg + Betacap TR 40 mg + Alprax 0.25
2) Tryptomer SR 50 mg + Betacap TR 40 mg
The duration may be from 3-6 months. The review is needed again at 3 months of therapy from starting.

Discuss with your treating doctor about these medications.

Regards
Dr N Kumar

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Neeraj Kumar (19 minutes later)

Thank you so much. I will go with option No. 1, i.e Tryptomer 25 + Betacap TR 40 + Alprax .25 mg and shall revert after 3 months.

Thanks and regards....XXXX

Answered by Dr. Neeraj Kumar (8 minutes later)

Brief Answer:
Wishing you good health and early recovery

Detailed Answer:
Hello,
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist

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Above answer was peer-reviewed by : Dr. Prasad